b********n
发帖数: 38600 | 2 Senate Republicans provided additional summary details here:
Short-Term Stabilization Fund: To help balance premium costs and promote
more choice in insurance markets throughout the country, this stabilization
fund would help address coverage and access disruption – providing $15
billion per year in 2018 and 2019; $10 billion per year in 2020 and 2021.
Cost-Sharing Reductions: Continues federal assistance – through 2019 – to
help lower health care costs for low-income Americans in the individual
market.
Long-Term State Innovation Fund: Dedicates $62 billion, over 8 years, to
encourage states to assist high-cost and low-income individuals to purchase
health insurance by making it more affordable.
Tax Credits: Targeted tax credits will help defray the cost of purchasing
insurance; these advanceable and refundable credits - adjusted for income,
age and geography - will help ensure those who truly need financial
assistance can afford a health plan.
Health Savings Accounts: Expanded tax-free Health Savings Accounts to give
Americans greater flexibility and control over medical costs; increased
contribution limits to help pay for out-of-pocket health costs and to help
pay for over-the-counter medications.
Repeals Obamacare Taxes: Repeal costly Obamacare taxes that contribute to
premium increases and hurt life-saving health care innovation, like the
taxes on health insurance, prescription drugs, medical devices, and “high-
cost” employer sponsored plans.
Empowers states through state innovation waivers (Obamacare 1332 Waiver):
Provide states additional flexibility to use waivers that exist in current
law to decide the rules of insurance and ultimately better allow customers
to buy the health insurance they want. Allow the Department of Health and
Human Services (HHS) to fast-track applications from states experiencing an
Obamacare emergency.
Preserve access to care for Americans with pre-existing conditions, and
allow children to stay on their parents’ health insurance through age 26. (
There are no changes to current law as it applies to Veterans, Medicare, or
Social Security benefits.)
Strengthen Medicaid for those who need it most by giving states more
flexibility while ensuring that those who rely on this program won’t have
the rug pulled out from under them.
Targets Medicaid to Those Most in Need: In 2021, begins gradual reductions
in the amount of federal Obamacare funds provided to expand Medicaid,
restoring levels of federal support to preexisting law by 2024 while
providing fairness for non-expansion states.
New Protection for the Most Vulnerable: Guarantees children with medically
complex disabilities will continue to be covered.
Provides additional state flexibility to address the substance abuse and
mental health crisis.
Flexibilities for Governors: Allows states to choose between block grant
and per-capita support for their Medicaid population beginning in 2020, with
a flexibility in the calculation of the base year. Allows states to impose
a work requirement on non-pregnant, non-disabled, non-elderly individuals
receiving Medicaid.
New Protections for Taxpayers: Curbs Medicaid funding gimmicks that drive up
federal costs. |
