Published: Fri, May 26, 2017
World | By Paul Elliott

CBO: 23M More Americans Uninsured Under AHCA

CBO: 23M More Americans Uninsured Under AHCA

The Congressional Budget Office, the nonpartisan group that analyzes the potential impacts of legislation in Congress, released its new report on the legislation previously passed by the GOP-controlled House of Representatives.

Many people in states that under the bill could permit slimmer benefits and higher premiums for customers with pre-existing conditions "would face substantial increases in their out-of-pocket costs", the report said.

The bill will now move on to the Senate, and should it pass that chamber, it will not look like this current AHCA version. "The AHCA is a first step, but not the solution; now the Senate is doing its own work to put forth its own ideas that could work for states like Nevada". McConnell, however, told Reuters on Wednesday he does not yet know how Republicans will get the necessary votes. "But that's the goal", he said.

Enacting the American Health Care Act would lead to a reduction of $119 billion in the deficit by 2026.

The CBO score is important for procedural reasons, because the GOP's only hope of passage lies in the budget reconciliation process.

An earlier version of the bill - which Republicans gave up on in March after not being able to get the votes - was projected to eliminate healthcare for 24 million people by 2026.

Perhaps Rubio genuinely believes that axing health care to 23 million Americans is a fair tradeoff for lower taxes for the upper class.

The bill, which is now being considered by the Senate, removes the requirement for states to cover pre-existing conditions.

It estimated that 23 million more people would be without health insurance in 2026 compared with the current baseline.

More than half of that increase in the uninsured - 14 million - would come from reduced Medicaid enrollment. Because of those policies' skimpy coverage, the CBO doesn't count those people as insured in this report.

The Trump administration attempted some counter-programming ahead of the CBO release Wednesday morning. People in that income bracket who are 21 will pay less or about the same under the ACA as the AHCA. "This CBO report again confirms that the American Health Care Act achieves our mission: lowering premiums and lowering the deficit". In 2020, premium increases would depend on which states were granted waivers to opt out of certain provisions of Obamacare and how said waivers were implemented.

One-sixth of the population is roughly 54 million Americans.

In some regions, people with pre-existing medical conditions and others who were seriously ill "would ultimately be unable to purchase" robust coverage at premiums comparable to today's prices, "if they could purchase at all", the report says.

The American Health Care Act would allow states under certain circumstances to apply for waivers exempting coverage of certain essential health benefits mandated under the Affordable Care Act. So we called it an age tax and that would result in thousands of dollars of rate increases for every single person in their late 50s early 60s who goes out and buys individual insurance. "In reality, Americans are paying more for fewer healthcare choices because of Obamacare", Price said.

Critics of the Affordable Care Act have argued that while it has improved access to health insurance, it has not improved access to health care.

The bill also would roll back the ACA's expansion of Medicaid. In states that made moderate changes to their markets, representing about one-third of the US population, premiums would fall 20 percent on average. But it's impossible to make a meaningful blanket statement about how premiums would change under this bill, as those changes differ vastly for different groups of people.

Poorer and older Americans?

States that haven't expanded medicaid coverage under Obamacare have done so because they aren't willing to expose their tax payers to an increasing liability that the federal government may try to distance itself from in the coming years. That's more than nine times that person's premium under the Affordable Care Act.

But two small-business groups, the Main Street Alliance and the Small Business Majority, said the bill could hurt their members, many of whom rely on the individual insurance market for their coverage. That is the bill approved and now evaluated by CBO.

So the CBO now must re-evaluate it, even though the House passed that revised version without waiting for the CBO's report.

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