By Sean Sullivan, Paige Winfield Cunningham and Kelsey Snell
May 4 at 7:24 PM
Republican senators are signaling that their strategy will be rooted in crafting their own replacement for the Affordable Care Act. It remains unclear how closely that measure will resemble the one narrowly passed in the House on Thursday or whether Republican senators will resolve their stark differences.
A small group of GOP senators met Thursday morning in the office of Senate Majority Leader Mitch McConnell (R-Ky.) to begin outlining their health-care priorities, said Sen. John Cornyn (R-Tex.), McConnell’s top deputy.
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The measure’s original version, introduced in March by Speaker Paul D. Ryan (R-Wis.), already contained elements at risk of being struck out in the Senate under budget reconciliation rules that allow tax and spending changes but not broader policy changes.
That proposal initially left many of the ACA’s insurance regulations alone — with the goal of ensuring it would pass muster with the Senate parliamentarian, a nonpartisan officer of the Senate who decides on what may go in a reconciliation bill — but not all of them.
The version of the bill the House passed Thursday undercuts the ACA’s insurance regulations even more by giving states a path to opt out of federal requirements for insurers to cover certain “essential” health benefits — and to allow them to charge sick people the same premiums as healthy people.
The GOP bill would allow insurers to charge older Americans five times what they charge younger people, as opposed to three times as much under current law.
And it would enable insurers to hike premiums by 30 percent for people who don’t remain continuously covered. Health-policy experts, including conservative ones, have noted that the parliamentarian may decide those provisions need to be stripped out.
While House passes GOP health-care bill, Senate prepares to do its own thing































