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TRUMP CARE


Read this then contact you legislators. The poor, disabled and the elderly pays more. Much more as much as a $8,500.00 increase. If they can afford it at all. This is not my America read this then you decide. A true Christian can not support this!!





American Health Care Act of 2017 From Wikipedia, the free encyclopedia (Redirected from American Health Care Act) Jump to: navigation, search American Health Care Act of 2017 Great Seal of the United States Acronym AHCA Introduced in 115th United States Congress Effects and codifications Act(s) affected Patient Protection and Affordable Care Act, Medicare Access and CHIP Reauthorization Act of 2015, Social Security Act, Balanced Budget and Emergency Deficit Control Act of 1985, Public Health Service Act Legislative history Committee consideration by: House Energy and Commerce Committee: passed as "Budget Reconciliation Legislative Recommendations Relating to Repeal and Replace of the Patient Protection and Affordable Care Act" on March 9, 2017 (31-23); House Ways and Means Committee: passed as "Budget Reconciliation Legislative Recommendations Relating to Repeal and Replace of Health-Related Tax Policy" on March 9, 2017 (23-16); House Budget Committee: passed as "American Health Care Act of 2017" on March 16, 2017 (19-17) The American Health Care Act of 2017, referred to by the acronym AHCA and nicknamed variously Trumpcare[1] and Ryancare[2], is a proposed United States Congress bill whose initial contents were publicly released by House Republicans on March 6, 2017. The AHCA is intended to be a replacement for the Patient Protection and Affordable Care Act (commonly shortened to ACA, and referred to as "Obamacare") enacted in 2010 under the Obama administration.[3][4] The draft bill is a combination of legislative recommendations that were passed by the House Energy and Commerce Committee and the House Ways and Means Committee on March 9, 2017. It passed the Budget Committee on March 16, 2017 and will next reach the House floor. Contents [hide] 1 Background 2 Overview 2.1 Views of experts 2.2 Effect on health coverage and the budget 2.2.1 CBO estimates 2.2.2 Other estimates 3 Legislative process 4 Reaction 5 Comparison between ACA and AHCA 6 See also 7 References 8 External links Background The ACA, a major reform of health care in the United States, was passed during the 111th United States Congress. During the 2012 presidential election, Republican nominee Mitt Romney promised to repeal the ACA.[5] After Romney's defeat, the ACA remained in effect for the duration of Obama's presidency despite Republican efforts to repeal it. In the 114th United States Congress, Republicans passed a bill that would have repealed much of Obamacare, but the bill was vetoed by President Obama.[6] After winning the 2016 presidential election, President Donald Trump promised to "repeal and replace" the ACA with a new law.[7] The 2016 elections left Republicans in control of the executive and legislative branches of the U.S. government, but with fifty-two seats in the one-hundred member Senate, Republicans would still have to rely on at least some Senate Democrats to overcome a filibuster.[8] However, Senate rules provide for a special budget rule called reconciliation, which allows certain budget-related bills to bypass the filibuster and be enacted with a simple majority vote.[8] Republican leaders may seek to pass the AHCA through the Senate by using the reconciliation rule.[8] Overview The act would allow states to continue to enroll persons in the ACA Medicaid expansion through January 1, 2020, and would disallow further enrollment after that date.[9] The AHCA will include age-based tax credits for those who earn less than $75,000, or $150,000 for joint filers.[9] The bill would require insurance companies to cover pre-existing conditions. The AHCA uses a standard of 'continuous coverage', defined by a 63-day coverage gap, where an individual who currently has insurance and is changing insurers will not pay a higher rate with their new insurer. Individuals who wish to buy insurance but are outside of the coverage gap will pay a 30 percent premium surcharge for one year and then return to standard rates.[10] Both healthy and the sick are required to pay the surcharge, which may cause healthier persons to remain outside of the market, causing overall health care costs to rise (see adverse selection, risk pool).[10][11] Views of experts Health care experts from across the political spectrum—on the left, right and center—agreed that the House Republican health care bill was unworkable and suffered from fatal flaws, although specific objections varied depending on ideological perspective.[12] Experts agreed that the bill falls far short of the goals laid forth by Trump —"Affordable coverage for everyone; lower deductibles and health care costs; better care; and zero cuts to Medicaid"—because the bill was (1) "almost certain" to reduce overall health care coverage and increase deductibles and (2) would phase out the Medicaid expansion.[12] Among the key concerns identified by health-care experts were that (1) the tax credits funded at the level proposed in the bill are insufficient to pay for individual insurance, and could lead to Americans dropping out of the health care market;[13] (2) the bill's elimination of the ACA's community rating provision (barring insurance companies from charging older people more than three times what they charge younger people) would increase cost disparities between age groups and would increase premiums for Americans more prone to illness;[13] (3) the dropping of healthy people from the health insurance market (adverse selection[12]) could lead to insurer "death spirals" that would decrease choice;[13] and (4) the phaseout of the Medicaid expansion was likely to result in a loss of healthcare for poorer Americans.[13] Effect on health coverage and the budget CBO estimates The non-partisan Congressional Budget Office released its score (analysis) of the bill on March 13, 2017, concluding that:[14][15] Persons with healthcare insurance coverage would be reduced by 14 million in 2018, 21 million in 2020, and 24 million in 2026 relative to current law. The AHCA would reduce the deficit relative to current law by $337 billion over a decade. Approximately $1.2 trillion less would be spent over that time, while $900 billion less in tax revenue would be collected. Medicaid spending would be cut considerably. Taxes on the roughly top 5% of income-earners under current law would considerably drop. Insurance premiums would rise initially relative to current law, but would be reduced in the future moderately: "Starting in 2020, the increase in average premiums from repealing the individual mandate penalties would be more than offset by the combination of several factors that would decrease those premiums: grants to states from the Patient and State Stability Fund (which CBO and JCT expect to largely be used by states to limit the costs to insurers of enrollees with very high claims); the elimination of the requirement for insurers to offer plans covering certain percentages of the cost of covered benefits; and a younger mix of enrollees. By 2026, average premiums for single policyholders in the nongroup market under the legislation would be roughly 10 percent lower than under current law..." Premium changes would vary significantly by age: "Under the legislation, insurers would be allowed to generally charge five times more for older enrollees than younger ones rather than three times more as under current law, substantially reducing premiums for young adults and substantially raising premiums for older people." This would lead to a mix of younger enrollees, one of the reasons for the lower overall premiums over the longer-term. Under both current law and the AHCA, CBO assumes the health exchange marketplaces would remain stable (i.e., no "death spiral").[14] Social Security expenditures would decrease due to earlier mortality: "CBO also estimates that outlays for Social Security benefits would decrease by about $3 billion over the 2017-2026 period." Medicaid expenditures would increase due to reduced access to birth control. "By CBO’s estimates, in the one-year period in which federal funds for Planned Parenthood would be prohibited under the legislation, the number of births in the Medicaid program would increase by several thousand, increasing direct spending for Medicaid by $21 million in 2017 and by $77 million over the 2017-2026 period." Other estimates Outside organizations have published analyses of the effect of AHCA passage: A Brookings Institution analysis projected that under the AHCA as introduced, 15 million Americans would lose health insurance coverage over 10 years. The Brookings analysis estimated that at least 6 million would lose coverage from the public exchange; 2 million from employer coverage; and 7 million currently covered under Medicaid.[16][17] A Standard & Poor's analysis projected that under the AHCA as introduced, between 6 and 10 million Americans would lose coverage by 2024, with 2 to 4 million losing coverage from the exchange and 4 to 6 million losing coverage under Medicaid.[16][18] David Cutler, professor of applied economics at Harvard University and former administrator at the National Institutes of Health, believes that this figure could be even higher, as many as 20 million people.[13] Two reports from the Center for Budget and Policy Priorities concluded that the ACHA would shift $370 billion in Medicaid costs to the states, which would then be forced to cut coverage and services,[19] and would make health insurance far less affordable in high-cost states, particularly 11 states in which tax credit would be more the halved.[20] According to a report viewed by Politico, the White House Office of Management and Budget's own analysis of the AHCA estimated that 26 million people would under AHCA lose coverage over the next decade.[21] According to White House Communications Director Michael Dubke, the analysis tried to use similar methodology as the CBO.[21] Legislative process President Trump discussing with lawmakers on replacing Obamacare at the White House, March 2017. As with all other bills, to become a law AHCA will require passage in both the House and the Senate, followed by the president's signature. (Alternatively, Congress could override the president's veto with a two-thirds vote of both houses.) The two bills that constitute the AHCA were introduced into the House Energy and Commerce Committee and the House Ways and Means Committee on March 8, 2017[22] and passed both committees the next day.[23][24] Both committees approved the AHCA on a party-line vote without a CBO report, prompting criticism from Democrats.[25][26] House Minority Leader Nancy Pelosi argued that the bill should not proceed through Congress until the CBO completes its analysis of the bill.[3] Representative Richard Neal, the ranking Democratic member of the House Ways and Means Committee, stated: "To consider a bill of this magnitude without a CBO score is not only puzzling and concerning, but also irresponsible."[25] Trump administration officials, including budget director Mick Mulvaney and economic adviser Gary Cohn, have preemptively attacked the CBO, with Cohn saying that the CBO's score will be "meaningless."[27][28] These criticisms from the White House are unusual: "Prior administrations, both Republican and Democratic, have steered clear of attacking the credibility of the agency, which many lawmakers regard as a neutral arbiter."[27] The bill next went to the House Budget Committee, which passed it on March 16 by 19 to 17 votes, with three Republicans from the conservative Freedom Caucus joining Democrats in opposition.[29] It will next go to the Rules Committee, which will set the terms of the debate before the bill comes to the full House.[30][31] The bill, if it passes the House, will go to the Senate under budget reconciliation rules. Thus, only material which affects the budget can be included and only a simple majority vote will be required in the Senate. The comparatively "lightning fast" legislative movement for the AHCA through the House was in contrast to the Affordable Care Act, which took months of negotiations, committee markup, and debate before passage in 2010.[32] The quick process prompted complaints from Democrats "that the Republicans were rushing to approve a repeal bill without hearing from consumers, health care providers, insurance companies or state officials — and without having estimates of the cost or the impact on coverage from the Congressional Budget Office."[32] Reaction The bill has received mostly negative reactions from both conservative and progressive individuals and groups. President Trump endorsed the bill after its release, calling it "our wonderful new Healthcare Bill" on Twitter.[33] Speaker of the House Paul Ryan referred to the bill as a "conservative wish list" that would provide for "monumental, exciting conservative reform."[34] Economist Douglas Holtz-Eakin described the AHCA as "a good start."[35] But conservative members of the Republican Party quickly raised skepticism about the proposed reform as they would prefer a complete repeal of the PPACA. The White House sent Mick Mulvaney, executive of the Office of Management and Budget, to convince members of the House Freedom Caucus to support the legislation. According to numerous reports, Mulvaney was unsuccessful. Shortly after the meeting caucus chairman Mark Meadows said, "No new position tonight. Our position is the same. We believe we need to do a clean repeal bill."[36] The AARP released a statement opposing the bill. Stating, "On top of the hefty premium increase for consumers, big drug companies and other special interests get a sweetheart deal."[37] The American Medical Association released a statement opposing the bill.[38] America's Essential Hospitals, American Hospital Association, Association of American Medical Colleges, Catholic Health Association of the United States, Children's Hospital Association, Federation of American Hospitals, and National Association of Psychiatric Health Systems also stated their opposition in a joint letter.[39] Conservative groups, including Heritage Action, the Cato Institute, Americans for Prosperity, FreedomWorks, and the Tea Party Patriots all oppose the bill.[40] Progressive groups, including MoveOn.org, American Bridge, the Center for American Progress, and Our Revolution, were resolutely opposed to the bill, as expected.[40] Economist and New York Times columnist Paul Krugman stated that the bill's "awfulness is almost surreal," writing that Republican congressional leadership "came up with instead was a dog's breakfast that conservatives are, with some justice, calling Obamacare 2.0. But a better designation would be Obamacare 0.5, because it’s a half-baked plan that accepts the logic and broad outline of the Affordable Care Act while catastrophically weakening key provisions."[41] Comparison between ACA and AHCA The following table describes major differences and similarities between the ACA and the AHCA, as originally proposed in the House Differences and similarities between the ACA and AHCA[42][43][44] ACA AHCA Insurance mandates Individual mandate Employer mandate on larger companies No individual or employer mandate Insurers can impose a one year 30% surcharge on consumers with a lapse in coverage Aid for insurance consumers Income-based subsidies for premiums that limit after-subsidy cost to a percent of income Tax credits for out-of-pocket expenses Age-based refundable tax credits for premiums, phased out for higher incomes No tax credits for out-of-pocket expenses Medicaid Matching federal funds to states for anyone who qualifies Expanded eligibility to 138% of poverty level income Federal funds granted to states based on a capped, per-capita basis starting in 2020 States can choose to expand Medicaid eligibility, but would receive less federal support for those additional persons Premium age differences Insurers can charge older customers up to three times as much as younger customers Insurers can charge older customers up to five times as much as younger customers Health Savings Accounts Individuals can put $3,400 and families can put $6,750 into a tax-free health savings account Individuals can put $6,550 and families can put $13,100 into a tax-free health savings account "Cadillac" tax Cadillac tax on high-cost employer plans implemented in 2020 Cadillac tax on high-cost employer plans implemented in 2025 Other taxes 3.8% tax on investment income 0.9% tax on individuals with an income higher than $200,000 or families with an income higher than $250,000 Repeal of both taxes Essential health benefits[45] Insurers are required to offer ten essential health benefits Private plans are required to offer the ten essential health benefits. Some Medicaid plans are not required to offer mental health and substance abuse benefits Pre-existing conditions Insurers are banned from denying coverage for pre-existing conditions Dependents staying on plan Dependents can stay on health insurance plan until age 26 Annual and lifetime limits Insurers are prohibited from setting annual and lifetime limits on individual coverage See also 2017 Patient Protection and Affordable Care Act replacement proposals Efforts to repeal the Patient Protection and Affordable Care Act World's Greatest Healthcare Plan of 2017 References 1.Jump up ^ Claire Zillman (March 14, 2017). "Trumpcare Could Signal the Beginning of the End for Guaranteed Maternity Coverage". Fortune. 2.Jump up ^ Eric Bolling (March 14, 2017). "RyanCare is still ObamaCare. Here are five ways to start over". Fox News. 3.^ Jump up to: a b Golstein, Amy; DeBonis, Mike; Snell, Kelsey. "House Republicans release long-awaited plan to repeal and replace Obamacare". Washington Post. Retrieved March 7, 2017. 4.Jump up ^ Newkirk III, Van R. (March 6, 2017). "Is the Republican Plan 'Obamacare Lite'?". The Atlantic. Retrieved March 7, 2017. 5.Jump up ^ Shear, Michael D.; Parker, Ashley (June 28, 2012). "Romney Says He Will 'Repeal Obamacare' if Elected". New York Times. Retrieved March 11, 2017. 6.Jump up ^ Weaver, Dustin. "House fails to override ObamaCare veto". TheHill. Retrieved February 8, 2016. 7.Jump up ^ Haberman, Maggie; Pear, Robert (January 10, 2017). "Trump Tells Congress to Repeal and Replace Health Care Law 'Very Quickly'". New York Times. Retrieved March 11, 2017. 8.^ Jump up to: a b c Phillips, Amber (March 9, 2017). "The budget rule you've never heard of that ties Republicans' hands on Obamacare". Washington Post. Retrieved March 11, 2017. 9.^ Jump up to: a b "House Republicans just introduced their bill to repeal and replace Obamacare". Vox. 10.^ Jump up to: a b Kliff, Sarah (March 6, 2017). "The American Health Care Act: The Republicans' bill to replace Obamacare, explained". Vox. 11.Jump up ^ Pear, Robert; Kaplan, Thomas (March 6, 2017). "House Republicans Unveil Plan to Replace Health Law". The New York Times. Retrieved March 7, 2017. 12.^ Jump up to: a b c Benjy Sarlin, Experts: The GOP Health Care Plan Just Won't Work, NBC News (Marsh 8, 2017). 13.^ Jump up to: a b c d e Maryalice Parks, The 3 key provisions in the GOP health care bill that has some experts concerned, ABC News (March 9, 2017). 14.^ Jump up to: a b "American Healthcare Act Cost Estimate" (PDF). Congressional Budget Office. March 13, 2017. 15.Jump up ^ Thomas Kaplan, [1], New York Times (March 13, 2017). 16.^ Jump up to: a b Philip Bump, How many people would lose health-care coverage under the new House bill? Depends who you ask, Washington Post (March 10, 2017). 17.Jump up ^ Loren Adler & Matthew Fiedler, Expect the CBO to estimate large coverage losses from the GOP health care plan, Brookings Institution (March 9, 2017). 18.Jump up ^ The U.S. Health Insurance Market Is Poised To Move To A Defined-Contribution From A Defined-Benefit System Of Federal Financing, Standard & Poor's (March 7, 2017). 19.Jump up ^ Edwin Park, Aviva Aron-Dine & Matt Broaddus, House Republican Health Plan Shifts $370 Billion in Medicaid Costs to States: Funding Cuts Would Force States to End Expansion for Low-Income Adults, Cut Coverage and Services for Other Groups, Center for Budget and Policy Priorities (March 8, 2017). 20.Jump up ^ Aviva Aron-Dine, House Tax Credits Would Make Health Insurance Far Less Affordable in High-Cost States, Center for Budget and Policy Priorities (March 9, 2017). 21.^ Jump up to: a b Paul Demko (March 14, 2017). "White House analysis of Obamacare repeal sees even deeper insurance losses than CBO". Politico. 22.Jump up ^ Lee, MJ; Fox, Lauren; Collinson, Stephen (March 8, 2017). "Democrats trying to delay House GOP health care bill". CNN. Retrieved March 8, 2017. 23.Jump up ^ Thomas Kaplan, Abby Goodnough and Jennifer Steinhauer (March 9, 2017). "Health Bill Clears House Panel in Pre-Dawn Hours". The New York Times. Retrieved March 9, 2017. 24.Jump up ^ Jessie Hellmann (March 9, 2017). "Second committee advances ObamaCare repeal legislation". The Hill. Retrieved March 9, 2017. 25.^ Jump up to: a b April Fulton, GOP Health Bill Faces Criticism As Committee Work Begins, NPR (March 8, 2017). 26.Jump up ^ Mike DeBonis, Kelsey Snell & Sean Sullivan, bamacare revision clears two House committees as Trump, others tried to tamp down backlash, Washington Post (March 9, 2017). 27.^ Jump up to: a b David Lawder, Trump aides attack agency that will analyze health bill's costs, Reuters (March 12, 2017). 28.Jump up ^ S.V. Date & Jeffrey Young, White House Preemptively Attacks Congressional Budget Office on Obamacare Bill[, Huffington Post (March 8, 2017). 29.Jump up ^ "Republicans split, conservatives angry as healthcare overhaul inches ahead". Reuters. 2017-03-17. Retrieved 2017-03-17. 30.Jump up ^ Robert Pear and Thomas Kaplan (March 9, 2017). "G.O.P. Health Bill Clears 2 House Panels After Marathon Sessions". The New York Times. Retrieved March 9, 2017. 31.Jump up ^ Ben Jacobs, Republican healthcare plan approved by two House panels, clearing major hurdle, The Guardian (March 9, 2017). 32.^ Jump up to: a b Robert Pear, Obamacare Took Months to Craft; Repeal May Be Much Swifter, New York Times (March 7, 2017). 33.Jump up ^ Abutaleb, Yasmeen; Cornwell, Susan (March 7, 2017). "Trump endorses House Republican healthcare plan, opposition grows". Reuters. Retrieved March 7, 2017. 34.Jump up ^ Cornwell, Susan; Abutaleb, Yasmeen (March 8, 2017). "U.S. congressional panels begin fight over Republican healthcare plan". Reuters. Retrieved March 8, 2017. 35.Jump up ^ "The American Health Care Act is a good start". Washington Post. 36.Jump up ^ CNN, Lauren Fox. "Freedom Caucus unswayed on bill after Mulvaney meeting". CNN. Retrieved March 8, 2017. 37.Jump up ^ "AARP Opposes Healthcare Bill - AARP". AARP. Retrieved March 8, 2017. 38.Jump up ^ Abelson, Reed (March 8, 2017). "American Medical Association Opposes Republican Health Plan". The New York Times. ISSN 0362-4331. Retrieved March 8, 2017. 39.Jump up ^ American Hospital Association. "AHA, Health Organizations to Congress Re: The American Health Care Act" (PDF). American Hospital Association. Retrieved March 8, 2017. 40.^ Jump up to: a b Watkins, Eli. "Groups lining up in opposition to GOP health care plan". CNN. 41.Jump up ^ Paul Krugman, [2], New York Times (March 10, 2017). 42.Jump up ^ Cameron, Darla; Shapiro, Leslie (March 7, 2017). "How the House Republicans' proposed Obamacare replacement compares". Washington Post. Retrieved March 8, 2017. 43.Jump up ^ Park, Haeyoun; Sanger-Katz, Margaret (March 6, 2017). "The Parts of Obamacare Republicans Will Keep, Change or Discard". New York Times. Retrieved March 8, 2017. 44.Jump up ^ Snell, Kelsey (March 8, 2017). "What the GOP health plan really means for taxes". Washington Post. Retrieved March 8, 2017. 45.Jump up ^ Ehley, Brianna (March 8, 2017). "Obamacare repeal seen as weakening mental health protections". Politico. Retrieved March 11, 2017. External links House Energy and Commerce Committee's "Budget Reconciliation Legislative Recommendations Relating to Repeal and Replace of the Patient Protection and Affordable Care Act" (initial committee print), and the substitute and amendment that were approved at the March 8-9, 2017 meeting. House Ways and Means Committee's "Budget Reconciliation Legislative Recommendations Relating to Repeal and Replace of Health-Related Tax Policy" (initial committee print), and the substitute and amendment that were approved at the March 8-9, 2017 meeting. Media related to American Health Care Act of 2017 at Wikimedia Commons Categories: Patient Protection and Affordable Care Act 115th United States Congress 2017 in American politics 2017 in American law Healthcare reform legislation in the United States Internal Revenue Code Navigation menu Not logged in Talk Contributions Create account Log in Article Talk Read View source View history Search Main page Contents Featured content Current events Random article Donate to Wikipedia Wikipedia store Interaction Help About Wikipedia Community portal Recent changes Contact page Tools What links here Related changes Upload file Special pages Permanent link Page information Wikidata item Cite this page Print/export Create a book Download as PDF Printable version In other projects Wikimedia Commons Languages Add links This page was last modified on 18 March 2017, at 02:10. Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. 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