Published: Sat, June 24, 2017
National | By Rosalie Gross

Trump is willing to work with Senate Republicans on health care bill

Senator Tom Cotton, R-Ark., came out strongly against the House bill.

Trump remained confident, but acknowledged that a "negotiation" might be needed to get the bill passed.

The Senate bill calls for phasing out the enhanced federal support for the expansion by 2024.

The Senate bill takes immediate steps to stabilize insurance markets for the next two years.

Major health-care industry groups largely fell into two camps Thursday when Republicans released their Affordable Care Act repeal: those that criticized the bill and those that preferred to say nothing at all.

"The president said the House Bill was mean", said Senate Democratic leader Chuck Schumer.

"I recognize that repealing and replacing the Affordable Care Act has become a core tenet of the Republican Party", he wrote on Facebook.

Indiana Republican Party chairman Kyle Hupfer says the Senate legislation is all part of the GOP promise to repeal and replace the ACA. Tell us about it at and you could be featured in an upcoming story.

McConnell's dilemma is similar to what House Speaker Paul Ryan faced earlier this year when he struggled to get enough votes to get the House Republican bill through the lower chamber.

"What will be available are policies that don't cover a number of benefits that people are used to getting coverage for today", Blumberg said.

For instance, the bill could set up conscience protections for religious organizations that refuse to comply with previous mandates that coverage for sterilizations and contraceptives be provided in their employee health plans, the bishop noted.

But the Senate bill would make subsidies less generous than under current law. That would likely be fine for healthy consumers who don't go to the doctor much. To provide a giant tax break to the wealthiest Americans. If so, he might be waiting until the last minute to introduce the continuous-coverage language, so Democrats have less time to raise the issue with the Senate parliamentarian.

AARP is already on record against the Senate bill, citing what it calls an "age tax" as well as cuts to Medicaid.

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The draft repeals retroactively a 3.8 percent tax on net investment income for individuals with incomes above $200,000 or couples above $250,000 - effective December 31, 2016. These levies would disappear in 2023 and 2017, respectively. "We could have a vehicle stabilization fund". Deductibles and co-payments have skyrocketed as well. Insurers have been pressuring President Trump and congressional Republicans to guarantee the funding of the subsidies for months. Ron Johnson (R-Wisconsin) are sticking together to get changes such as fewer government subsidies created to make health insurance more affordable. Moderates including Sen. Susan Collins, R-Maine, have expressed concern that the measure would cause many to lose coverage.

Gov. John Bel Edwards, who joined a bipartisan coalition of six governors in a letter calling for a more transparent writing process, said the bill "specifically disadvantages" Louisiana.

The Senate provisions aren't expected to affect job-based health plans or Medicare for seniors. But bronze plans have an average deductible of almost $6,100.

It would also slap annual spending caps on the overall Medicaid program, which since its inception in 1965 has provided states with unlimited money to cover eligible costs.

At a recent Capitol Hill AHCA-bashing press conference, I asked if the Democrats had a plan ready to go if the GOP efforts failed. She previously covered United States politics for the Huffington Post and worked with the White House team at Bloomberg News.

Lower-income Americans could be left uninsured. But Republicans from states that expanded Medicaid, like Ohio's Rob Portman, want to extend that to seven years.

"Over the first 10 years, the bill would cut $15 billion in federal funding", Johnson said.

Older enrollees would see premiums soar.

ACA: Insurers could charge older people up to 3 times more than younger people. The bill would widen that band to five-to-one.

Bread for the World, a social welfare organization of Christians that advocates for the ending of hunger the United States and overseas, was also critical of the Senate bill's changes to Medicaid, saying it will increase hunger and poverty domestically. Trump campaigned on the promise to fight for working Americans and provide a tax cut for the middle class.

Those with pre-existing conditions or opioid addictions may receive fewer covered services.

Additionally, the bill allows states to redefine what counts as an Essential Health Benefit for Medicaid plans.

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