Health Care

Senate GOP releases 'Obamacare' overhaul, but not all aboard

And key votes such as Sens.

The legislation was crafted as a compromise between the current health care measure, commonly known as Obamacare, and a measure approved by the House of Representatives last month, according to Republican aides and lobbyists. Trump recently told senators that the House bill was "mean", though weeks earlier he had celebrated its passage.

But make no mistake: The Senate's plan, called the Better Care Reconciliation Act, is an very bad bill.

But while there are a few things to like in this bill, overall, it's a mess. That explains why Mr. McConnell wants to have a vote on his legislation before Congress leaves town for the Fourth of July without any hearings or much public debate.

At a closed-door meeting with senators last week President Donald Trump reportedly called the House's health care plan "mean", and now Democrats are taking the President to task for his words, calling the Senate GOP bill "meaner".

"Currently, for a variety of reasons, we are not ready to vote for this bill, but we are open to negotiation and obtaining more information before it is brought to the floor".

At the same time, I was careful to say again and again that while the Affordable Care Act represented a significant step forward for America, it was not ideal, nor could it be the end of our efforts - and that if Republicans could put together a plan that is demonstrably better than the improvements we made to our health care system, that covers as many people at less cost, I would gladly and publicly support it.

Senator Dean Heller, a Republican from the Democratic-leaning state of Nevada who is up for re-election next year, said he had "serious concerns" with the way the legislation would dramatically restructure and scale back Medicaid.

Members quickly rushed back to their offices to start reading the text of the bill.

And, if the Senate Trumpcare bill becomes law, this fate could await all 50 states.

U.S. Senate leaders on Thursday unveiled a draft of legislation to replace Obamacare, proposing to kill a tax on the wealthy that pays for it and reduce aid to the poor to cut costs.

Phases out Medicaid expansion by 2023, potentially putting at risk health insurance coverage for more than 10 million Americans. States can seek waivers that would allow insurers to charge higher premiums based on health status under certain circumstances. Instead, what they passed gives the Office of the Commissioner of Insurance the ability to alter protections in the bill for those with pre-existing conditions.

The Senate's proposal allows states substantial freedom in determining their own health care programs - even more freedom than the House bill allows for.

"I am opposed to the defunding of Planned Parenthood", Collins said. A CBS News poll published on Tuesday found that 59 percent of people disapproved of the House bill.

"I want to get to yes, but this first draft doesn't get the job done".

The CBO will score the bill over the weekend and Senate Majority Leader Mitch McConnell is planning for a vote late next week. This would likely force states to cut enrollment, benefits or provider payments. The bill pays the insurers the money they've been owed, then ends the program, which will make Obamacare policies significantly less attractive for the one group that has shown interest in buying them: the folks whose policies are so heavily subsidized, for both premiums and deductibles, that their expenditure on them is negligible.

Most Americans actually get their health insurance through an employer and not through the government or health insurance exchanges.

Toomey downplayed concerns over Medicaid funding, saying he did not expect dramatic changes. They're in the Senate plan, although at slightly lower levels than Obamacare.

But Caroline Pearson, a senior vice president at the consulting firm Avalere Health, says the bill bases its tax credits on lower-quality insurance."If you're paying a similar percentage of income, you're getting a less generous product under this new plan", she says.

Never the supportive player for Cornyn, junior U.S. Sen.

Additionally, the Senate's bill, like the one passed by the House, would allow states to decide which benefits insurance must cover. Cost-sharing subsidies are explicitly extended through 2019, an important detail that should help calm insurance markets.



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