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Congress Should Address Puerto Rico’s Medicaid Funding Shortfalls After Passing Bipartisan Debt Restructuring

June 8, 2016

Update, June 30:  Yesterday the Senate passed the debt restructuring bill for Puerto Rico previously passed by the House.  The bill now goes to the President for his signature.

The House will likely consider on Thursday bipartisan ...


GOP-ers’ Health Plan Would Make Millions More Uninsured, Analysis Shows

June 1, 2016

A new study supports our finding that a leading congressional Republican health plan, from which House Republican leaders may borrow for their own plan, would likely cause millions to end up uninsured or underinsured.

We’ve already noted in a recent blog post series that if House Republican leaders unveil a...

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Previewing a House GOP Leaders’ Health Plan, #9: Allowing Insurers to Sell Across State Lines

May 13, 2016

Conservative health care proposals commonly allow insurers to offer health plans to people or small businesses in other states, even if the plans don’t comply with the other states’ requirements — and the health proposal that House GOP are crafting may do the same.  Selling health insurance “across state lines,” supporters say, would reduce premiums and give consumers substantially more...

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Previewing a House GOP Leaders’ Health Plan, #8: Health Savings Accounts

May 13, 2016

Republican health plans commonly expand health savings accounts (HSAs) in ways that would primarily benefit high-income taxpayers and likely do little to increase coverage — and the health plan that House GOP leaders are crafting to replace the Affordable Care Act (ACA) may well do the same.

Under current law, individuals in a high-deductible health plan (one with a deductible of at...

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Previewing a House GOP Leaders’ Health Plan, #7: High-Risk Pools

May 12, 2016

House Speaker Paul Ryan said recently that uninsured people with pre-existing conditions could get coverage through high-risk pools if policymakers repealed the Affordable Care Act (ACA) provision barring insurers from denying coverage based on health status.  But that’s not likely a realistic option under a health...

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Previewing a House GOP Leaders’ Health Plan, #4: Health Insurance Subsidies

May 11, 2016

In place of the Affordable Care Act’s (ACA) subsidies for marketplace coverage and its Medicaid expansion, a health plan from House GOP leaders would likely provide only modest tax subsidies to buy health insurance in a largely unregulated individual market.  These subsidies — probably delivered through a refundable tax credit or standard tax deduction — would likely be highly insufficient,...

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Previewing a House GOP Leaders’ Health Plan, #3: No Individual Mandate

May 10, 2016

Any health plan from House GOP leaders would almost certainly lack the Affordable Care Act’s (ACA) requirement that most people have health insurance or pay a penalty, and that would prove very harmful. 

As we’ve explained, the individual mandate leads many more people to...

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Previewing a House GOP Leaders’ Health Plan: What Could a Plan to “Replace” Health Reform Include?

May 9, 2016

House Republican leaders claim they’ll soon announce a health plan that would both “repeal and replace” health reform (the Affordable Care Act, or ACA).  Speaker Paul Ryan has convened a task force of House committee chairs to craft a plan that House leaders hope to release by July, according to...

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Medicaid Spending per Beneficiary Would Shrink by Half Under House Budget’s Per Capita Cap Option

April 8, 2016

We’ve explained that the House Budget Committee-approved budget plan would convert Medicaid into a block grant, cutting federal spending by about $1 trillion over the next decade relative to current law (in addition to repealing health reform’s Medicaid expansion).  The committee has...

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Administration Retains Proposal to Curb Medicare Advantage Overpayments

April 5, 2016

The Centers for Medicare and Medicaid Services (CMS) announced yesterday its final Medicare Advantage payment rates and policies for 2017, affirming that it will implement a new policy to change how Medicare reimburses certain Medicare Advantage plans for employer or union retirees...

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