(Last Updated On: October 25, 2017)
House Republicans 1st Replacement Draft

Paul Ryan and the rest of the Republican House released their Obamacare replacement Draft (3/6/2017) for the Affordable Care Act (ACA)

Having a more conservative vision for the country’s health care system, replacing national insurance subsidies using a fresh type of individual tax credits and grants to assist states shape their particular policies.

People would not be penalized when they forgo health insurance. But the bill would make an effort to support individuals to keep coverage by enabling insurance companies to levy a surcharge of 30 percent for people who have a difference between health plans, when they drop and then later on get a new health insurance policy.


There are actually two bills that encompass the total plan.

Obamacare Replacement Draft in a Nutshell

Here’s what’s kept :

  • Coverage can’t be denied coverage for preexisting conditions.
  • Young adults keep coverage till they are 26.

As the House Releases its Draft, Here’s what lost:

  • There’s no more penalty for not getting healthcare, instead there’s a 30% levy based on differences between plans???

The healthcare tax credit got changed in the final draft:

  • The original plan was to have credit increase only by age.  That mean a millionaire got the same tax credit as a fast food server, even if they are both 60 years old.  This is adjusted by some degree by income in the last wording.
  • Some conservative want it back to being income neutral.  Of course, any chance of getting Democrats on board would want the tax credits to be income based.

Yet to get numbers from the OMB:

  • Office of Management and Budget estimates keeping demonstrating the credits will be both too little to provide enough help to lower-income individuals and overly expensive general to get a GOP decided to slash federal spending the ACA has required.
  • Several House Republicans expressed worries the committees might begin to work with no whole financial evaluation on the laws. To be qualified to receive special budget rules known as “reconciliation” — letting bills to pass with a simple majority in the Senate — the deficit increases .

Medicaid – States Split between ACA Participants or Not

Medicaid would be converted into a per capita limit on funds to states to anybody eligible from its present type of entitlement, based on exactly how many folks they’d registered. In states that expanded Medicaid underneath the ACA, the authorities for now would continue paying for nearly the whole price of the growth.

Thirty one states, in addition to the District of Columbia, have embraced that growth. Beginning in 2020, but, the GOP strategy would limit the authorities’s ample Medicaid payment — 90 percent of the price of insuring individuals in the growth group — exclusively to individuals who were in the program by then. States would keep getting that amount of federal help for every single of the individuals provided that they stayed eligible, together with the thought that many folks on Medicaid drop off after a couple of years.

For the other 19 states that failed to expand Medicaid, the laws would provide $10 billion spread over five years. States could utilize that cash to subsidize hospitals as well as other providers of care that treat many patients that are poor.

Some Republicans are not happy:

  • States that elected to enlarge Medicaid underneath the ACA, four key Republican senators, said they’d oppose any new strategy which might leave numerous Americans uninsured.
  • The four senators were split on just what their standards would be met by suggestions, but with 52 Republicans, McConnell wouldn’t have sufficient votes to pass repeal with no support of at least two of these.
  • Senate Finance Committee Chairman Orrin Hatch, R-Utah, would not rule out changes in the measure where significant amounts of reasonable Republicans have expressed worries that too many voters could be left by the measure .

Here’s a political red flag:

  • Planned Parenthood funding is totally removed, not just for abortions.
  • Some Republicans are concerned that federal funds happens to be barred from financing abortions but Planned Parenthood provides routine medical care.

Remember as these bills move through the two chambers of Congress:

  • Once the middle class gets a benefit there has never been a time when the Federal Government has renegaded and given that benefit back.
  • The political sands have shifted.  People are now more in favor of Obamacare and are worried about getting they benefits taken away.

Most Important Point for Healthcare Professionals

No important changes, for patients or doctors, seems to be in the works until 2020.  Will explain those details in another post as the smoke starts to clear.

Associated Links

  • Healthcare reform in the United States
  • Internal Revenue Code
  • Health
  • Statutory law
  • United States
  • 111th United States Congress
  • Internal Revenue Service
  • Patient Protection and Affordable Care Act
  • Presidency of Barack Obama
  • Medicaid
  • Health insurance coverage in the United States
  • American Health Care Act

  • One thought on “House Republicans Release Obamacare Replacement Draft

    1. Unfortunately, the Republicans have been talking about “repeal and replace” for how long now? Trump wants to do it, yet they can’t garner enough votes? Something is afoul here. Seems as if the Republican establishment could care less about Trump and play by their own set of rules, which to me is disgusting and it only hurts the American people.

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