Republican Senators Preparing to Hand President Trump Draft Health Care Bill

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And while Republicans are using a process that allows them to pass the legislation with just 51 votes, the window closes at the end of September. If they were so stupid as to let the public in on their progress, people might begin to jam Senate switchboards, just like they did with the House. Thus, the Affordable Care Act's protections would theoretically remain for sicker people. Several provisions of the ACA allowed millions of Americans seeking substance-abuse treatment to gain coverage, including through an expansion of the Medicaid health program.

The federal government and state now share the costs of Medicaid - with Washington paying about 58 percent of cost in Iowa.

Republican leaders Tuesday indicated that they preferred not to repeal as numerous Obamacare-era regulations as the House bill did, including a key protection for people with pre-existing conditions that blocks insurers from charging people more for insurance based on their health history.

"There is no capacity at the state level to pick up the slack if the federal government withdraws its commitment", Sen.

Like their colleagues in the House, they've held no hearings or public debates on what they're considering.

The President also made clear to Republican leaders that he wants to sign tax reform by the fall, which is widely expected to significantly boost economic growth.

Health and Human Services Secretary Tom Price said Medicaid can be more efficiently managed by the states, and that open-ended federal financing doesn't necessarily mean improved health for beneficiaries.

The proposed federal legislation, now under consideration in the U.S. Senate, would destabilize the individual health insurance market and increase premiums and out-of-pocket costs for lower-income New Yorkers who buy policies through NY State of Health, the state's online exchange established under Obamacare.

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Obamacare has been running into increasing difficulties, which analysts blame largely on President Donald Trump and the Republican Congress for generating uncertainty over the health care law's future.

Republicans would try to lower premiums by loosening some of the law's requirements, including standard benefits and a guarantee that those in poor health won't be charged more.

"There's some skepticism as to whether they can get (health care) done".

Trump's promise to repeal Obama's health overhaul was a fixture of his campaign. "It is the single most destabilizing factor in the individual market, and millions of Americans could soon feel the impact of fewer choices, higher costs, and reduced access to care". But candidate Trump didn't elaborate on details, and repeatedly promised voters "great" health care.

The United Hospital Fund said in a report released Thursday that the American Health Care Act would undermine insurance coverage gains that NY achieved under Obamacare, formally the Affordable Care Act.

But health care policy is all about trade-offs, and Republicans have largely avoided talking about downsides.

The analysis also forecast that people with higher-than-average health care costs, such as people with diabetes, would see premiums increase so high that comprehensive coverage could become unaffordable. Ron Wyden, D-Ore., said in this weekend's Democratic radio address. "As much as $110 million, $117 million in New Hampshire would be at risk".

That means the state's Medicaid expansion nearly surely would end if the GOP bill cuts off those federal dollars.

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