https://audioboom.com/posts/6106877-maureen-groppe-of-usa-today-discusses-mitch-mcconnell-s-revisions-to-the-healthcare-bill
via USA Today’s Maureen Groppe:
Would you get a tax cut?
The revised version keeps the taxes imposed by the ACA on investment income, on high earners. And it no longer eliminates the ACA’s limit on how much of the executive’s pay an insurance company can write off as a corporate tax deduction. The bill would still repeal other ACA taxes, including those on tanning beds, sectors of the health care industry and on high-cost employer-provided insurance plans.
Would you still receive a subsidy to reduce the cost of premiums?
You could still lose all or some of your subsidy, which is now available to people earning up to $84,650 for a family of three. That income limit would still be lowered slightly and would become less generous. But people who have tax-advantaged Health Savings Accounts can use their HSA contributions to pay for premiums, instead of just for health services and products as they can now.
Could you buy bare-bones insurance plans with the subsidy?
The bill would let anyone buy catastrophic plans, including those who qualify for subsidies. Those plans have low premiums, but high deductibles and limited benefits.
What if you need a lot of health care services?
If an insurer offers plans that meet the ACA’s requirements — including covering minimum benefits and not charging sicker people more — theinsurer could receive funding to help cover the cost of sick customers. But it’s unclear whether the funding would be enough to keep the plans affordable. Because insurers would also be able to sell plans that don’t meet the ACA’s requirements, that would segment the market into sick and healthy people. Insurance companies say that would destabilize the market and increase costs for people with pre-existing conditions.
But would insurers have to cover you if you have a pre-existing condition?
The plans that don’t meet the ACA’s requirements would not have to accept sick people, according to Larry Levitt, senior vice president at the Kaiser Family Foundation. And the bill would make it easier for states to waive requirements that insurance plans cover specific benefits, which could make it difficult for those with expensive health conditions to find affordable plans. Like the earlier version, the new bill would also still end the ACA’s requirement that insurers spend a specific amount of the premiums they collect on benefits, instead of on profits, administration and other expenses
Would you still get help paying for deductibles and co-payments?
The bill would still sunset in two years cost-sharing subsidies for low- and middle-income people who purchase insurance on an exchange. But it now includes an additional $70 billion – up from $112 billion – for states to reduce insurance costs in other ways. States would have to match the funds.
Could older people be charged more?
The bill would still eliminate the ACA’s requirement that insurers can’t charge older customers more than three times what younger customers pay for the same coverage. Instead, those in their 60s could be charged five times as much, or more.
Would young adults be able to stay on their parents’ plan?
The bill would not change the ACA’s rule that dependent children can stay on a parent’s plan until age 26.
