While McConnell and Trump called this plan a straight repeal of the Affordable Care Act, it would in fact have left many parts of the law in place. That is because under Senate rules, legislators can only repeal the parts of the law that have a budget or tax impact.
What would be repealed:
- federal Medicaid expansion funding – phased out over two years.
- Premium tax credits and cost-sharing subsidies
- individual mandate to get insurance coverage
- Employer mandate
- coverage of Planned Parenthood services (will end up being blocked for 1 year)
- the taxes on corporations and the wealthy (would add up to $631 billion in tax cuts over 10 years)
What would stay:
- Can get insurance under parents’ plans up to 26 years old
- Insurance companies still mandated to accept all applicants regardless of health status
- 10 ACA mandated essential health benefits remain in place
- Mental health coverage remains as one of the 10 essential health benefits.
Possible changes:
- Medicaid services or payments to nursing homes and for services to people with disabilities could be cut to compensate for the decline in federal funding of Medicaid
- Eight states have a “trigger clause” dropping Medicaid expansion immediately if federal matching rate declines “below the ACA-promised rates”
- Mental health coverage prices likely to go up, because only those who need mental health coverage likely to purchase mental health plans.
CBO’s estimate of effects:
- “Premiums on the exchange would increase 20 percent to 25 percent the year after enactment” – double within 10 years.
- “roughly 10 percent of the population would live in areas where there would not be any insurer in the individual market.”
- “32 million people would lose health insurance by 2026″
Health Care: Were The Risks Of Repeal Without Replace Too High?
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