Under the Republican health bill, it’s up to states whether to dismantle key parts of the Affordable Care Act.
Red, or GOP-leaning, states are sure to be interested in rolling back the law’s coverage requirements and freeing insurers to charge people more when they have preexisting conditions.
As strange as it sounds, deep-blue, heavily Democratic states supportive of Obamacare, including California and New York, may be forced to do the same, according to experts, regulators and consumer advocates.
Republicans celebrated on Thursday after successfully moving a health-care bill forward that they said would fulfill their promise to repeal President Barack Obama’s Affordable Care Act. Yet one of the bill’s most far-reaching sections is only tangentially related to repealing the law, also known as Obamacare.
The law would limit federal spending on Medicaid — the program that provides health insurance to the poor — to an index of inflation in medical prices. Since the program’s costs are increasing more rapidly than that index, over time, the government would spend hundreds of billions less on Medicaid than it would under the current system. It would be up to states to decide how to make up the difference.
The GOP’s Obamacare replacement might need some emergency treatment.
A leading House Republican on Tuesday said he has told the GOP leadership he will vote against their bill to repeal and replace key parts of the Affordable Care Act.
The loss of a vote from Rep. Fred Upton, R-Mich., the former chairman of the Energy and Commerce Committee, could make it much more difficult for Republicans to even dare to call a vote on their replacement bill, much less to get it passed this week.