Here’s the breakdown from Richard Mayhew at Balloon Juice
A quick look at TrumpCare 1.0
by David Anderson
at 9:02 am on March 7, 2017.
I was thinking of doing a marathon line by line read of the House bill last night but I had to be on the soccer field an hour after it dropped so I was able to be spared.
Here is the Energy and Commerce chunk of the bill. And here is the Ways and Means financing.
The interesting thing on the Ways and Means is that they kept the Cadillac Tax. They pushed it back from 2019 to 2025 but it is still there as a magic financing mechanism instead of anything else.
Here are the major points of the bill.
Legacy Medicaid would be per-capita block granted based on category of assistance spending for FY2016 as the baseline and adjusted at CPI-Medical.
Medicaid Expansion would be open through 2020 but then grandfathered. If anyone loses Medicaid eligibility for more than a month, the federal enhanced match money disappears.
Non-Medicaid expansion states get a small amount of money thrown at them quickly
Planned Parenthood and legal access to abortion are kicked hard
12/31/19 would be the end of the ACA Exchange as we know it (subsidies made skimpier in the mean time)
New plan would be age based tax credits
30% 1 year non-continual enrollment penalty
Major tax cuts for high income
This bill would give flat, age based refundable tax credits to finance individual market purchases. In some regions, they would be sufficient to buy Bronze plans straight up. In most regions, they are grossly insufficient. In Pittsburgh (zip code 15219), the least expensive Bronze for a 64 year old is $485/month. After the flat age based subsidy, it is $151/month with a $7,150 out of pocket maximum. In Durham, NC (27708), the same individual sees a post-age based subsidy price of $646. In Anchorage (zip code 99508), the least expensive Bronze after the $333/month subsidy would cost $1,317 per month. These estimates are deliberately biased low as I am using the current 3:1 age band. As part of the repeal bill, the age band would switch to 5:1 so 64 year olds would pay signficantly more.
Let us be clear.
1. 20 million people will lose healthcare
2. The bad old days will be back
3. You will be bankrupt once again from one illness
4. The working poor, who got access to healthcare because of Medicaid Expansion – THEY ARE SCREWED
5. Grandma and Grandpa in the nursing home paid by Medicaid-you better have a place in your house when they’re kicked out of the nursing home
6. Preventive care measures – those wellness measures that have been so popular – GONE
7. The subsidies which help the working class/middle class get Obamacare – GONE
8. This WILL make Medicare insolvent, which folds into the plan to turn Medicare into a voucher system
9. THIS IS A HUGE TAX CUT-$600 BILLION- FOR THE WEALTHY. THEY ARE TAKING AWAY FUNDS FROM THE POOR AND GIVING THEM TO THE WEALTHY.
10. GOP health bill includes tax break for insurance execs making $500,000+
11. Health insurance isn’t the end goal of #TrumpCare. Tax cuts for the rich is.
And, for those of you who are smug, because you don’t think that Trumpcare will affect your Employer Given Healthcare?
How bad is the Republican health care bill? Nancy LeTourneau points me to Christopher Jacobs, who shares some scuttlebutt about the CBO score of a previous draft of the bill:
Based on my conversations with multiple sources close to the effort, the Congressional Budget Office (CBO) had indicated to congressional staff that the prior House framework could see at least 10 million, and potentially up to 20 million, individuals losing employer-sponsored health insurance.
CALL YOUR REP.
CALL YOUR SENATORS.
Download the 5 calls app onto your phone.
Here is the link that will tell you how many people in your Congressional District benefit from Obamacare. Ask the staff member if the Congressman knows that X Amount of people in their district would be hurt by Trumpcare.