Published: Thu, September 21, 2017
World | By Paul Elliott

Cassidy-Graham is like previous Affordable Care Act repeal bills

Cassidy-Graham is like previous Affordable Care Act repeal bills

Cassidy-Graham would pool the federal dollars the residents of each state receive for financial assistance to purchase health insurance and send those funds to the states in temporary block grants. Congress in the 1980s narrowly rejected an effort by the Reagan administration to tie Medicaid funding to block grants.

Shares of health-care companies was flat as a vote to repeal the Affordable Care Act again looked like an imminent possibility. According to one estimate, the state stands to lose about $4 billion in federal funding in 2027, when the bill's temporary block grant system would expire.

Graham-Cassidy would replace Medicaid's open-ended federal reimbursement to states with a capped per-beneficiary amount. The ACA mandates say that most Americans need to have health coverage or pay a fine, but the Cassidy Graham proposal says that "the individual mandate would be eliminated". But another reason for the light attention it received at the time was that the consensus of wonks and pundits (present company excluded) that the Medicaid expansion was such a sweet deal for the states that they'd all take the deal, if not immediately then after health care providers and other interested parties weighed in.

Our economy, now and into the future, depends on a well-funded comprehensive health care system. "It is nothing more than a tax cut for the rich and a poorly disguised cost shift from the federal government to the states and families".

But he acknowledged that it's hard to explain that to critics after the health care bill went down. However, the Center on Budget and Policy Priorities, which has been critical of GOP plans, says taking the block grant and per capita provisions together, Iowa would lose $525 million in 2026.

The impact of shifting billions in federal funding to states Sizing up the implications for the four wavering Republican senators The demise of bipartisan attempts to fix Obamacare And does the measure pass the Jimmy Kimmel test? If this bill becomes law, it would completely destroy Medicaid, which covers 74 million Americans including 45 percent of children under the age of 6 and seniors who require long-term nursing home care.

She noted that the bill would also repeal the Affordable Care Act's requirements for people to have health coverage and for large employers to provide it, requirements that she said "have harmed families and business owners".

To clear the Senate, the bill would need the support of at least 50 of the chamber's other 51 Republicans, including some who remained undecided Wednesday. Federal officials are expected to rule on his request by early next month, state officials have said. Health insurers must make final decisions about whether to participate in the Affordable Care Act by September 27. In addition, the amendment does not take steps toward coverage and access for all Americans, and while insurers are still required to offer coverage to patients with pre-existing conditions, allowing states to get waivers to vary premiums based on health status would allow insurers to charge unaffordable premiums based on those pre-existing conditions.

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