The Republican proposal to repeal the ACA and make permanent cuts to Medicaid is so bad it’s already failed to get enough support to even get a vote in the House. In addition to taking coverage from 24 million people by 2026, raising costs for almost everyone, and shifting burdens to state budgets, the proposal:
- Allows insurance companies to charge people with pre-existing conditions more for their health coverage. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
- Lets insurers sell barebones insurance that doesn’t cover essential health services and caps coverage. This would allow insurance companies to refuse to cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called “essential health benefits” in the existing law. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
- Cuts coverage while turning over $600 billion in tax breaks to the wealthiest households making over $250,000 a year, and the insurance industry and prescription drug companies.
The updated deal called the MacArthur amendment makes minor changes to the existing proposal that basically makes a bad bill worse.
- The Republicans want to go backwards – way backwards – back to the days when we were all at the mercy of the big insurance companies, the days when you could lose your coverage because you got sick, be denied coverage altogether because you had a health care condition, or be forced to pay higher premiums for coverage because you actually needed health care.
- The ACA ended the biggest insurance industry abuses, including discrimination based on age, gender and health status. These are the protections that the Trump administration and Republicans in Congress would make optional in this bill.
- The MacArthur amendment does nothing to lower the cost of premiums, out-of-pocket costs, and prescription drugs for consumers, or to guarantee people with pre-existing conditions affordable coverage, or to stop the $600 billion in tax breaks for the rich and insurance companies in the repeal bill.
The Bill STILL Wrecks Health Care for American Families
Just like the bill that didn’t have enough support to pass in March, the latest GOP proposal would take health care away from 24 million people, slash Medicaid, and raise health care costs for all families in order to give $600 billion in tax cuts to the very wealthy and the big insurance and drug companies. It will blow a hole in state budgets so the wealthiest 400 Americans can get a tax break of $7 million a year. It will allow companies to charge older people five times as much as younger consumers and increase costs for people in their 50s and 60s by thousands of dollars a year.
Newest Horror – No More Protections for People with Pre-Existing Conditions!
Trump, Pence and Ryan are doing everything they can to bring their plan to destroy our health care. In order to win the votes of the extreme right they are now planning to allow insurance companies to charge whatever they want to people with pre-existing conditions and to sell junk health insurance.
As the New York Times health insurance analyst wrote: “…the proposed changes would effectively cast the Affordable Care Act’s pre-existing conditions provision aside.”
HERE’S WHAT WE KNOW ABOUT THE LATEST REPUBLICAN PLAN:
Allows insurance corporations to charge people with pre-existing conditions whatever the want. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
Barebones insurance that doesn’t require any coverage. Allows insurers to not cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called essential health benefits.
Allows insurance companies to cap how much they pay for your care. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
Higher Premiums for People Who Actually Need Health Care: Health insurance companies will sell barebones plans which leave off basic coverage at a low price and hike the prices of coverage that covers care people actually need, with the biggest hikes for people who have had any medical care.
AND IT STILL TAKES HEALTH COVERAGE AWAY FROM 24 MILLION PEOPLE, HIKES INSURANCE PREMIUMS, HITS PEOPLE IN THEIR 50s and 60s the HARDEST AND SLASHES MEDICAID BY $880 BILLION.
TELL YOUR MEMBER OF CONGRESS TO PROTECT OUR CARE.
Already worried about your family’s health care? Now President Trump and Republicans in Congress say they will slash $1 trillion to states for Medicaid, robbing health security for 74 million American working families, children, seniors and people with disabilities. They want to pass the buck to states to throw seniors out of nursing homes, take health care away from working families and jeopardize the lives of Americans with disabilities. Their plan will wreck state budgets, and take away the jobs of millions of Americans who care for our families in hospitals, health centers, doctors’ offices and in our homes.
- If Trump and the Republicans slash Medicaid funding for states, millions of seniors will be thrown out of nursing homes, American families will be slammed with crushing health care costs for their parents, children and people with disabilities will go without needed care. Huge costs will be shifted to state governments and millions of health care providers will lose their jobs.
- Capping Medicaid will cut federal funding to states for Medicaid by $1 trillion, so that states will either have to raise taxes, cut school funding or cut Medicaid coverage for the children, working families, seniors and people with disabilities who rely on Medicaid for their health care.
- There is only one reason that Trump and the Republicans want to make what the New York Times called a “radical change” in Medicaid – to slash federal funding for health care. For 50 years, our federal government has guaranteed that it will pay for Americans in each state who need care at the cost of providing that care. Under the Republican plan, the federal government would provide a fixed amount that doesn’t keep up with rising costs. Bottom line: families and state governments would be forced to pay more and lose life-saving health care.
Governors respond to the claim that the Republican plan will increase state “flexibility.”
- Republican Massachusetts Governor Charlie Baker: “We are very concerned that a shift to block grants or per capita caps for Medicaid would remove flexibility from states as the result of reduced federal funding.”
- Democratic Louisiana Governor John Bel Edwards: “… flexibility would really mean flexibility to cut critical services for our most vulnerable populations, including poor children, people with disabilities and seniors in need of nursing home and home-based care.”
- 74 million Americans rely on Medicaid each year including 33 million children. (Link includes data for each state)
- Half (46%) of Medicaid spending is on long-term care for seniors and people with disabilities.
- Republicans propose a total of $2 trillion in cuts to Medicaid over the next decade: $1 trillion through block grants and $ trillion through repeal of the ACA.
- Medicaid provides essential care for women throughout their lives—from family planning and maternal health services to nursing home care. Medicaid finances nearly half of all births in the U.S., accounts for 75% of all publicly-funded family planning services, and accounts for half (51%) of all long-term care spending, which is critical for many frail elderly women.
- Medicaid is there for all Americans. Of people who rely on Medicaid: 41% are White, 25% are Latino and 22% are African American. (Link includes data for each state).
- Small businesses rely on Medicaid to provide health coverage to 6.1 million small business owners and employees. ()
- There are two ways that Republicans propose to radically change Medicaid:
- Medicaid “block grants” provide a fixed amount of money to each state, which does not increase when more people need Medicaid and does not depend on how much each state health care costs go up.
- Medicaid “per-capita” cap would give states a fixed amount of money for each person enrolled in Medicaid that would not increase based on how much each state’s cost of providing health care goes up.
 Based on U.S. Census Bureau’s 2016 Current Population Survey with small businesses defined as those with fewer than 50 employees.