New Senate Bill to Replace ACA Gives More Power to States

7 Ways the GOP's Last Ditch Obamacare Replacement Could Affect You

It replaces all of these provisions with a block grant that is smaller than the total amount of the money it takes away.

"It's not the repeal of Obamacare that was promised", wrote FreedomWorks' legislative affairs vice president Jason Pye on Saturday.

Health Reform: After nine fruitless months, Republicans have finally come up with an ObamaCare replacement plan that is simple and appealing, and that should easily pass the Senate.

"The Cassidy-Graham repeal and replace bill would unleash health care debates in all 50 states, with very unpredictable results".

The notice Monday from the Congressional Budget Office (CBO) angered Democrats, who planned to use the complete figures to hammer the Graham-Cassidy legislation, which is picking up steam in the Senate ahead of a possible vote within two weeks.

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Should consideration extend beyond September, reconciliation authority would have to be renewed in a subsequent budget resolution.

The waiver route to "state flexibility" could make a comeback if Graham-Cassidy fails; even with McCain's vote (and he's still not onboard, thanks to concerns about the irregular procedure being used to advance this bill), Republicans are, at this point, one senator short of 50.

As in the presidential election, we start from a baseline of extreme tribalism, in which 48 or 49 Republican senators will vote for anything, no matter how terrible, that bears their party's seal of approval.

The bill would immediately repeal Obamacare's individual mandate requiring people to get covered or pay a tax and its rule requiring large employers to provide coverage or face crippling penalties.

The simple fact is that all the major elements of the ACA - prohibiting discrimination by insurers based on medical history, requiring that people buy insurance even if they're now healthy, premium subsidies and Medicaid expansion that make insurance affordable even for those with lower incomes - are there because they're necessary.

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The other complaint from liberal groups is that Cassidy-Graham won't spend as much on health care as ObamaCare would.

Republicans have been seeking to "end Medicaid as we know it" and shift responsibility for the program and its costs to the states for most of the program's existence. Summaries of the bill indicate that, if passed, it would be every bit as harmful as the Trumpcare proposals that failed to escape the Senate in July.

And all this is assuming no other Republicans defect, even though Graham-Cassidy includes steep Medicaid cuts - an idea that gave many Republicans serious pause in previous incarnations.

GCHJ also eliminates the inequity of three states receiving 37 percent of Obamacare funds and brings all states to funding parity by 2026. It also scraps the 2010 law's tax on medical device sales. So if the bill comes up, it would likely hit the floor in the last week of this month.

"I can't support a bill that keeps 90% of Obamacare in place", Paul tweeted. "Inaction is not an option, and I sincerely hope that Senators Graham and Cassidy have found a way to address the Obamacare crisis".

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