3/6/2017 update: The first official look at the GOP repeal and replace plan is out.
The Hill has links to the two portions of the legislation in their story here:
Many of the mandates are killed by the bill, for example the individual and employer mandates. However the pre-existing coverage mandate remains. The taxes are mostly repealed. The infamous “Cadillac Tax” is kicked further down the road until 2025.
Medicaid expansion would be rolled back over several years and a per-enrollee capped allotment will be paid to states.
Subsidies are rearranged to be mostly age-based instead of income based and will be in the form of refundable tax credits.
Michael Hurd, PhD has a review of the plan: Obamacare Repeal: A Good Thing, But Still Not a Free Market https://drhurd.com/2017/03/06/63226/
2/27/2017 update: The alleged GOP repeal and replace plan under consideration has been leaked. Highlights/Lowlights: it would repeal various mandates including the individual mandate; states would receive a capped per-enrollee federal contribution for Medicaid; current ACA income-based tax credits would transition to credits allocated by age of enrollee; and tax breaks would be limited for high-dollar employer-based coverage.
For more details and a link to the draft bill see: http://www.politico.com/story/2017/02/house-republicans-obamacare-repeal-package-235343
There are a few notable newcomers since our previous post on replacement plans:
- Ted Cruz has introduced a full repeal bill: “S. 106, a bill to repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 in its entirety was introduced by Sen. Ted Cruz (R-TX) and referred to the Senate Finance Committee.”
- S. 222 the ObamaCare Replacement Act by Dr. Rand Paul which repeals parts of ACA and replaces with more flexible HSAs (no HDHP requirement) and $5000 tax credits to fund the HSA. Read more at Reason.com: http://reason.com/blog/2017/01/25/sen-rand-paul-introduces-replacement-for
- Rep. Darrell Issa’s “Access to Insurance for All American’s Act” would offer federal employee health plans to all Americans http://www.nbcsandiego.com/news/local/Congressman-Darrell-Issa-Proposes-Plan-to-Replace-Affordable-Care-Act-412059253.html.
- Cassidy/Collins contains portions of Cassidy/Sessions and would be a partial repeal tied to provisions that allow states to keep ObamaCare on a state by state basis or fund state-based market-oriented reforms: https://www.collins.senate.gov/newsroom/cassidy-collins-introduce-comprehensive-obamacare-replacement-plan
- AEI’s “Improving Health and Healthcare Plan” utilizes tax credits and expands HSAs to some extent. It also has an “auto enroll” feature that places non-enrollees in an HDHP. http://www.forbes.com/sites/theapothecary/2016/12/30/how-aeis-improving-health-and-health-care-plan-would-repeal-and-replace-obamacare/#68d118953be6
And, of course, President Trump has started the ball rolling with his Executive Order on ObamaCare: http://www.cnn.com/2017/01/20/politics/trump-obamacare-executive-order/