8 ways the Senate healthcare bill will change healthcare coverage | THE POLITICUS

8 ways the Senate healthcare bill will change healthcare coverage

The Senate unveiled its legislation to dismantle the health reform law on Thursday. I wanted to highlight what are the biggest changes from ACA or Obamacare. Here's are the 8 biggest changes.

Adults under 65

The oldest people under 65 would pay five times more than younger people. Subsidies to help pay for insurance would end at incomes of 350 percent of poverty level, with adults 59-64 paying up to 16.2 percent of income. Medicaid would be cut starting in 2021.

Low-income nursing home residents

Skilled nursing care covered by Medicare up to 100 days. Medicaid coverage for long-term care could be cut as federal payments to states decline.

People with pre-existing medical conditions

Insurance companies would be required to accept all applicants regardless of health status. But the draft bill would let states ask permission to reduce required coverage, also called “essential health benefits,” which would give insurers some discretion over what they offer in their plans, and possibly change what they can charge consumers.

People who go to Planned Parenthood

A one-year block will be placed on federal reimbursements for care provided by Planned Parenthood.

People with disabilities

Services covered by Medicaid could be cut as federal funding to states declines over time. The cuts would be larger than those in the House bill.

People who use mental health services

Medicaid would not be required to cover mental health after 2019. For other types of insurance, requirements could change in states that request a waiver.

Working poor on Medicaid

Federal funding for Medicaid expansion phases out between 2021 and 2023. In addition, eight states would have a trigger clause — if the federal matching rate declines below the ACA-promised rates, the expansion goes away immediately. That would affect Arkansas, Illinois, Indiana, Michigan, Montana, New Hampshire, New Mexico, and Washington. Further reductions would start in 2025.

The wealthy

Similar to the House bill; would repeal ACA taxes on corporations and the wealthy that pay for insurance subsidies.