This is the story of how a group of senators and House Republicans, who are deeply committed to the American Health Care Act (AHCA), ended up with a proposal that would put a price tag on one of the most controversial parts of the bill.
This story will explore what’s been known about the bill so far and how it would have affected the lives of millions of Americans, from how much the price tag would have increased premiums to the impact it would make on people’s health care coverage.
The Senate bill passed on a party-line vote with just 13 Republicans and no Democrats.
Sen. John Barrasso (R-Wyo.), one of three Republican senators who opposed the AHCA in its current form, told Vox that “most people are going to lose coverage” if it became law.
“They’re not going to get any subsidies.
They’re not getting any subsidies from the ACA.
They don’t have to pay any of the taxes,” he said.
He said people who do not qualify for the subsidies would face a penalty of $2,000 a year, which would likely drive many to cancel their plans.
Barrasso added that “if we’re going to be paying the lion’s share of the cost, we’re not paying it today.”
The bill is a huge boon to insurance companies, as it would not apply to people who were already on the Affordable Care Act exchanges.
This would be the first time the tax credit was available to people outside of the exchanges.
It would also affect some of the poorest people in the country, such as people with pre-existing conditions, who currently are barred from buying insurance through the ACA marketplaces.
This bill also would significantly increase the costs of preexisting conditions.
People who have preexistent conditions would no longer be eligible for subsidies, which the CBO says could increase premiums by as much as 50 percent.
People who were eligible for the tax credits in 2018 could still buy coverage on the ACA exchanges, but now would have to go through a lengthy enrollment process.
But the Republican plan also included a provision that would allow insurers to charge more for preexistant conditions, even though the bill would also cap the price of those conditions at $1,500 per person.
It was unclear if the provision was part of the final legislation.
There is an argument that this is the best the GOP could do for people with preexisitic conditions, as people would be able to shop around for coverage through the exchanges without paying any out-of-pocket costs.
But it’s not clear if this provision was included to incentivize people to buy insurance on the exchanges, or if the bill is simply going to create more problems.
This was a major part of Republican health care reform plans before the AHBC became law, and it would also have been one of many key provisions in the bill that Republicans could have pulled out if they had the votes.
“The GOP plan is not the best possible thing to do for the people who would lose coverage,” Barrasso said.
Senate Republicans have been working to get the AHCC through the House, and their proposal would be one of two pieces of legislation they’re expected to pass, with the other being a separate bill to fund the government.
Both of these pieces of work have been met with skepticism from Democratic leaders.
House Democratic Leader Nancy Pelosi (D-Calif.) tweeted that “repealing and replacing this bill would be a disaster for America.”
Senators John Barrasa, left, and Joni Ernst, center, pose with Sen. Ron Johnson, R-Wis., after they voted on the AHC in the Senate on June 25, 2019, in Washington.
GOP Sen. Susan Collins, R–Maine, voted against the AHCM as well, saying she didn’t think it would be “an appropriate use of taxpayer dollars.”
This article has been updated with comments from Sen. John McCain.