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Trump optimistic on health care; some doubtful

"If this bill became law, you could eliminate Suffolk's $50 million annual property tax levy completely, eliminate Suffolk's $150 million structural deficit, and have $50 million left over for combating the heroin and opioid epidemic, improving infrastructure, public works programs, environmental preservation and coastal erosion programs, upgraded and improved sewering or for some other objective that county residents deems necessary". A CBO score of the Senate bill is expected this week.

This bill wouldn't actually do very much to help those people. The Senate Bill won't remove such a provision.

Medicaid: Long before the ACA, Medicaid provided access to care for our most vulnerable kids, seniors, and people with disabilities, now including 7,300 North Carolinians with HIV. The House and Senate could change the percentages of federal support for the expansion during years 2020 through 2024 to meet in the middle.

Senators would also eliminate the cost-sharing subsidies - which reduce deductibles and co-pays for lower-income Obamacare enrollees - in 2020. He's certainly been very good at opposition, but his ability to pass bills into law, especially from his current position, is still unproven.

Sandoval said he would do "everything in my power" to make sure those people can maintain the quality of life they now have.

Overall, as rightly pointed out by Spencer Perlman, director of health-care research at Veda Partners, the Senate plan has the "same architecture" but with "nicer furnishings". Congress will not commit to funding promised subsidies to cover treatment for the poor and those with expensive ailments, or to keeping in place the mandate forcing individuals to buy insurance or pay a penalty. It would maintain Obamacare's ban on allowing insurers to charge higher premiums to those with pre-existing conditions.

ROVNER: Well, the piece of the Affordable Care Act that's most at stake is what we've just been talking about, the people who buy their own insurance in the individual market.

The bill also provides $50 billion over four years, starting in 2018, to help stabilize the insurance market.

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Senate GOP leaders unveiled the 142-page proposed ACA replacement Thursday. That cost sharing help is crucial for people with HIV, whose drugs alone can cost over $30,000 a year, and people with HCV, whose cure tops $80,000.

Senate bill: Creates fund for high-risk pools at $112 billion over 10 years. The federal-state program covers low-income people, from newborns to elderly nursing home residents, from special-needs kids to young adults caught in the opioid epidemic.

House bill: Would be funded by giving states a per-capita amount or block grant based on their spending, not adjusting for rising costs.

Former Arizona Gov. Jan Brewer, a Republican who surprised her party when she made a decision to expand Medicaid four years ago, is urging Congress to save the expansion, which has provided coverage to 400,000 Arizonans. In states that do expand by deadline, federal government would pay a smaller part of cost.

The Senate proposal wouldn't cut Medicaid spending in real dollars - spending would continue to grow - but it would slow the rate of spending for the program, phase out extra money the federal government has given to states that expanded Medicaid under the Affordable Care Act (also known as Obamacare) and leave states to pick up more of the tab.

ACA: Insurers required to cover essential health benefits, such as hospital visits and mental health care. "Obamacare" restrictions on what older Americans under Medicare age can be charged for insurance would be radically changed and policies might be made unaffordable.

"Sen. Collins will carefully review the text of the Senate health care bill this week and into the weekend".

Over one half of non-elderly adults with Medicaid and with disabilities live below the federal poverty level and almost 85% have incomes below 200% of poverty level. "She has a number of concerns and will be particularly interested in examining the forthcoming CBO analysis on the impact on insurance coverage, the effect on insurance premiums, and the changes in the Medicaid program", Clark said.

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