House GOP reveals AHCA: Update - Repeal of ACA IS BACK ON

hashmander

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Hospitals keep taking a bath.....I hate hate hate suffering but people keep voting in these fukkers...how much should you and I care?
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Regular_P

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Trump aides, lawmakers hold talks to revive healthcare bill

Top White House officials met moderate and conservative Republicans in the U.S. House of Representatives on Monday in an effort to revive a plan to repeal and replace Obamacare.

Key members of the administration, including Vice President Mike Pence, invited a group of moderate Republicans known as the "Tuesday Group" to the White House. Pence then went to Capitol Hill to meet the Freedom Caucus, a group of House conservatives who last month derailed a healthcare bill backed by President Donald Trump.

The White House would like to see a revised bill come up for a vote as early as week's end, before the House breaks for a spring recess, and the text of the new proposal could be ready some time on Tuesday, lawmakers said.

"It was clear the president would be very happy come Friday to have this passed," said U.S. Representative Chris Collins, a member of the Tuesday Group and a Trump ally.

"This could move fairly quickly," he said.

Just 10 days ago, House Speaker Paul Ryan was forced to cancel a vote on a bill to replace the 2010 Affordable Care Act, popularly known as Obamacare, when it was clear he could not deliver the votes needed for it to pass.

The defeat was a big political setback for Trump and fellow Republicans in Congress who were elected on pledges to repeal and replace former Democratic President Barack Obama's signature healthcare law.

Freedom Caucus members said the Republican bill was too similar to Obamacare, while moderate Republicans balked at some of the changes conservatives sought.

Trump attacked Freedom Caucus members on Twitter late last week for their opposition to the bill and threatened to work to defeat them in the 2018 congressional elections.

At the weekend, he struck a more conciliatory tone, tweeting early on Sunday: "Talks on Repealing and Replacing Obamacare are, and have been, going on, and will continue until such time as a deal is hopefully struck."

After golfing with the president on Sunday, Republican Senator Rand Paul, a sharp critic of the Republicans' previous healthcare bill, also expressed renewed hope the healthcare bill could be revised in a way that picked up support from the conservative and moderate factions of the Republican Party.

Paul told reporters he was "very optimistic that we are getting closer and closer to an agreement repealing Obamacare."



KEY PROVISIONS

Pence and White House Chief of Staff Reince Priebus laid out the administration's revised healthcare plan during a 40-minute meeting with Freedom Caucus members, said Congressman Mark Meadows, the leader of the conservative group.

Meadows said he was "intrigued" by the new plan, which would allow states to opt out of some of Obamacare's mandates, possibly by obtaining waivers.

"We're encouraged ... but would certainly need a whole lot more information before we can take any action either in support or in opposition," Meadows told reporters. He expected to see a detailed draft of the proposal within 24 hours, he said.

In the earlier meeting with the moderate Tuesday Group, White House officials said the new plan would preserve Obamacare's essential health benefits clause, or services and care that insurers must cover, but states could apply for a waiver if they could show it would improve coverage and reduce costs, according to Collins.

Trump aides also discussed directing funds from the $115 billion stability fund for states into high-risk pools for people with pre-existing health conditions to better ensure insurance premiums come down in cost, Collins said.

"It's an acknowledgement that they were chasing votes with the Freedom Caucus and the Far Right and then ended up losing votes with those of us who are typically the most reliable votes," Collins said of the proposal provisions discussed at the meeting.



(Reporting by David Morgan; Writing by Eric Beech and Amanda Becker; Editing by Peter c00ney and Paul Tait)
 

Pressure

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The sides are so far apart about what they want I just don't see them coming to a consensus anytime soon and if they do the bill will be so at odds with itself that I don't see how it will benefit citizens.
 

tru_m.a.c

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Wellmark, Iowa's largest insurer, to halt sales of individual health insurance policies

Iowa’s dominant health insurance company has decided to quit selling individual policies because of tumult in the market stemming from the Affordable Care Act and Republicans’ failed effort to replace it.

Wellmark Blue Cross & Blue Shield’s decision means more than 21,000 Iowans who bought health insurance policies from the company in the past three years will need to find another carrier — and it’s not clear all of those people will have another choice.

Wellmark President John Forsyth said his company's decision was painful but necessary, because the carrier had lost $90 million over three years covering that group of people.

“We’re an Iowa company, we’re here for Iowans, we want to do the right thing for Iowans, but we can’t allow a small subset to put the broader group in jeopardy,” he said in an interview Monday.

Forsyth said the overall problem is too few healthy, young consumers are buying health insurance. That drives up costs, because the pool of customers is filled with older Iowans with chronic, expensive health problems. “You’ve got to get those healthy people in the pool to make this work,” he said.


Monday's announcement won’t affect most of the 1.6 million Iowans who have Wellmark insurance, including policies purchased through an employer. It also won’t affect nearly 77,000 Wellmark customers who bought individual policies that took effect before Jan. 1, 2014. But it will mean the company won’t sell any new individual policies for 2018, and those who bought such policies since 2014 will lose them.

Two other carriers, Aetna and Medica, sell individual policies in much of the state. But they have not yet committed to doing so for 2018. Iowa Insurance Commissioner Doug Ommen said he is worried that consumers in some Iowa counties won’t have any options if they need to buy individual health insurance policies for next year. “We are very concerned about this development,” Ommen said of Wellmark’s announcement.

Ommen said carriers have until June to submit proposed health insurance premium rates for 2018, and they still would have until October to decide whether to pull out of the state's market.

Wellmark dominates Iowa’s health insurance market, selling roughly three-quarters of all policies in the state.

In much of Iowa, the only other two choices for individual health insurance are Medica, a relatively small carrier based in Minnesota, and Aetna, a national company that already has stopped selling such policies in all states but Iowa, Delaware, Nebraska and Virginia.

The individual Wellmark policies that would be affected by Monday’s decision include 18,900 sold in traditional ways and about 2,500 sold on the Obamacare “exchange,” which is the government’s online marketplace.

For the current year, Wellmark raised premiums on some individual health-insurance customers by as much as 43 percent.

Wellmark's decision to stop selling individual policies in Iowa comes after consumers here already lost two other choices for such plans. UnitedHealthcare announced in 2016 that it would stop selling individual policies in the state. CoOportunity Health, a health-insurance co-op set up under the Affordable Care Act, collapsed in 2015.

Forsyth said his company hopes to re-enter the individual market in the future, but it has firmly decided to stay out for 2018. He made several recommendations for how government leaders could stabilize the market. One would be to set up a system to help shoulder insurers’ costs once they top $100,000 in a year for a particularly sick consumer. That would only affect a few hundred Iowans per year, but it would do a great deal to stabilize insurers’ risks, he said. Forsyth cited a single Wellmark customer who has a rare genetic disease that is costing more than $1 million per month to treat.

Forsyth said he supports the Obamacare rule barring discrimination against people with pre-existing health problems. But he said the government needs to set up strong measures to encourage young, healthy people to buy coverage in order to balance out the costs of older people with more health problems.

Wellmark also wants the government to give young people extra subsidies toward premiums. And he wants the government to let insurers return to their old practice of charging young people as little as one-fifth as much for premiums as older people are charged. The current rule is one-third, meaning insurers have to charge relatively high rates to young consumers, discouraging them from getting in the pool, he said.

Critics of the idea of loosening the rule say doing so would let insurers charge older consumers exorbitant premiums, but Forsyth said that wouldn’t have to happen if enough young people enter the pool.

http://www.desmoinesregister.com/st...ndividual-health-insurance-policies/99994906/
 

Dr. Acula

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So this is the solution that Pence came up with to please the Freedom Caucus.

Kill the recent sacred cow of the right: Pre-existing conditions.

These are the targets
Those two regulations detail ObamaCare's essential health benefits, which mandate which health services insurers must cover, and "community rating," which prevents insurers from charging sick people higher premiums.
Pence presents new healthcare offer to Freedom Caucus

The fukkery.... oh my god. :ohhh: This thread should be on and popping once this fight picks back up.

Watch out for middle of the night votes and distractions coming up. :francis:
 
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