The first major hurdle to amend Obamacare was crossed last Thursday when House Republicans passed the American Health Care Act. Now, the Senate will hone the House bill or craft their own in light of what their constituents want and what the American people need.
There are five major items the Senate must consider, according to CNN, as they craft legislation that could conceivably pass.
Medicaid
The House plan phased out Medicaid expansion over time, ending enhanced funding for expansion in 2020. Once enrollees cycle off, they would not be able to re-enroll. Medicaid spending overall would be curtailed, and the plan ultimately passes the Medicaid burden onto the states.
Tax credits
The House bill gauges the credits on age, not income, according to Business Insider. Senators may consider a person's income when calculating their tax credit, especially taking into consideration the effects on low income people.
Planned Parenthood
The House plan defunds Planned Parenthood for one year. Some female senators have concerns about defunding the organization, whether or not they are in favor of abortion. This may collide with more conservative senators under pressure from religious groups to keep the program defunded, as called for in the House plan.
Pre-existing conditions
The House plan lets states opt out of this provision. This would allow insurers to base premiums on a person's medical history and would apply to those not continually insured, according to Politifact. Senators will likely ensure in their own bill that people with pre-existing conditions have safeguards.
Essential health benefits
The House bill allows states to opt out of 10 essential health benefits currently covered under Obamacare, according to the Brookings Institute. Senate Republicans may want to push further to drive down premiums. Moderate senators may differ, feeling the House bill already scales back enough insurance protection.
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