Late last night, Senate Majority Leader McConnell announced that he will not hold a vote on the Better Care Reconciliation Act (BCRA), the bill that repeals and replaces the Affordable Care Act (ACA). Instead, McConnell now proposes to revive 2015 legislation that simply eliminates the ACA’s coverage provisions and funding mechanisms, without saying what would take their place.
Senate Republican Leadership and the Trump Administration are Presenting Impossible Numbers on Stabilization Funding and Medicaid Expansion
The Senate health bill ends the Medicaid expansion for adults starting in 2021, leaving 11 million residents across 31 states without health care.
The bill allows people with incomes below poverty to buy coverage on the marketplace, but for someone living at or below the poverty level, marketplace coverage would mean massive exposure to out-of-pocket costs that could total half their yearly income, or more.
Just as with earlier versions, the latest iteration of the Senate's Affordable Care Act repeal bill would devastate insurance coverage, gut the Medicaid program, and dramatically increase deductibles and out of pocket costs.
New additions include fewer protections for those with pre-existing conditions, a complete restructuring of Medicaid, and more. Read our analysis to learn more.
A few days ago, we wrote about the Cruz Amendment: “If you create one pool for healthy people and one pool that only covers sick people—those with pre-existing conditions—you are thrusting sick people into a pool that is the very definition of a death spiral.”
Now that the Senate bill text has been released, we can see exactly how the death spiral will play out.
ACA opponents often complain about deductibles in the law’s health insurance marketplaces. But under the Senate bill health care repeal bill, deductibles would skyrocket for most marketplace enrollees.
Our analysis of HHS data shows that, with all states combined, deductibles would rise greatly for between 7.7 million and 8.5 million out of the 11.1 million people who received Marketplace coverage in 2016—between 69 percent and 77 percent of all Marketplace enrollees.
Senator Ted Cruz has been openly touting a proposal to amend the Senate’s health bill by allowing health plans to market cheap, narrow-coverage plans—that is, junk health insurance policies—as long as they also separately offer coverage that complies with minimal federal marketplace standards. This model will endanger affordable coverage for people with pre-existing conditions in multiple ways.
The version of the Senate health bill that was released in June included several major elements that would severely damage protections for people with pre-existing conditions, including allowing states to waive essential health benefits requirements and sharply cutting assistance with premiums for older people and assistance with out-of-pocket expenses for others.
A Special Message to Our Donors: Thank You for Helping us be a Powerful Voice for Health Care Consumers
The debate in the U.S. Senate over health care repeal is a pivotal moment in the history of health policy in the United States. We will either preserve the progress we have made toward achieving equal access to quality health care for all, or we will take a huge step backward and put the health of millions of people at risk. It is vital that health care consumers have a voice in this national debate. Families USA is that voice. Thanks to your support, we are making sure that the debate over the future of the Affordable Care Act and Medicaid is about people and not politics.
22 million more people uninsured would be bad enough, but a new study on the economic impact of the Senate’s health bill, the Better Care Reconciliation Act (BCRA), found that the bill would also lead to 1.45 million fewer jobs nationally and weaker state economies in 2026. The negative impact would be felt in virtually every state.
This Fourth of July recess week, constituents and health care advocates across the country have been turning up the heat on their Senators to reject the Better Care Reconciliation Act (BCRA), the GOP’s harmful bill to take health care away from millions. Although some members of Congress who have supported or are yet to reject repeal of the Affordable Care Act have been in hiding during recess, with some even canceling their July 4 parade appearances, there is no escaping the resounding voices of people throughout the USA standing up for the Affordable Care Act.
While states are balancing their budgets and beginning a new fiscal year on July 1, credit rating agencies are warning that the new health care repeal plan could put a dent in future credit ratings for state bonds, making it harder for states to routinely borrow the money they need for education, transportation and other vital state priorities.
Reuters reported that both Moody’s Investor Service and Fitch Rating, leading industry research and credit rating agencies, said the Senate bill, if passed, would be a “credit negative for states” and “cause states to face downward pressure on their credit ratings.”