CBO sees peril in Senate bill for uncrowded regions

CBO sees peril in Senate bill for uncrowded regions

Republican senators are considering a draft of a health care bill that would scale back federal funding for Medicaid, change the subsidies available to help low- and moderate-income people buy private insurance, end the mandate that most people buy health insurance and repeal the taxes that helped expand coverage to about 20 million Americans under the Affordable Care Act.

The 22 million who would lose insurance under the Senate plan is only slightly less than the 23 million estimated to lose it under the House plan, which Trump has called “mean”.

Ron Johnson will vote against a motion to proceed on the Senate health care bill if GOP leaders insist on moving forward with it this week, CNN reports.

Robert Stone, a local doctor and member of Physicians for a National Health Program, oversees a handful of protesters of the Senate health care bill in Bloomington, Ind., on Monday, June 26, 2017.

“Senate bill doesn’t fix ACA problems for rural ME”, tweeted Sen. Dean Heller, a Nevada Republican who is facing a tough re-election contest next year, says the bill is too tough on Medicaid coverage for the poor. Senate Majority Leader Mitch McConnell (R-Ky.) has indicated he would continue negotiations to bump up the vote count.

If the Senate approves its repeal version, either the House would have to pass the same bill or reconcile its version with the Senate’s before Trump could sign it into law.

But the Senate has some money to work with, given that its bill was judged to save $321 billion over a decade, which is $202 billion more than what the House version saves. Two other conservatives – Texas’ Ted Cruz and Utah’s Mike Lee – have also said they’d vote no without revisions, and several other moderates have expressed worries about the bill’s Medicaid cuts and reductions in people with coverage.

The analysis found that the Senate’s bill would result in a whopping 22 million fewer Americans without health insurance by 2026.

The letter says the Republican plan is likely to lead to higher costs and greater difficulty in affording care for low- and middle-income patients.

The Trump administration challenged the findings. “I can not support a piece of legislation that takes insurance away from tens of millions of Americans and hundreds of thousands of Nevadans”, said Heller.

For months, the administration has pointed to rising insurance premiums and reduced competition among insurers to argue that a replacement for the ACA is urgently needed. The report notes that government subsidies under Obamacare help to insulate most purchasers from rising costs.

He announced changes that would replace Obamacare’s individual mandate to hold coverage with a provision created to prevent Americans from dropping coverage and then signing up again once they need medical care. The CBO did not quantify the withdrawal effect of the Senate bill.

For the first time, the Senate bill would cap federal spending on Medicaid in 2020, forcing state governments to either scale back the program or make up the difference out of their own budgets. If the Senate is able to pass its legislation, another House vote will be necessary to either vote on the Senate bill or some other compromise measure. And if that assumption turned out to be wrong, the states would face an even bigger budget gap. We also hear he might want to run for governor in 2018, and maybe he’s not so concerned about the pushback from his fellow Senate Republicans.

“It is critical that Senators completely understand legislation and its impact prior to casting a vote”, Wyden wrote.