Good morning family – only time for a quick post right now. I am very disappointed and just hurt with what our government is currently trying to “push through” as a replacement for President Obama’s Affordable Care Act. I have provided a couple things for you to read if you are interested and form your own opinion if you haven’t already. To me, and this is just me, this plan is a recipe for disaster and is the leverage for the death panels that were feared prior to release of the President Obama’s plan. It is blatantly obvious – even if the death’s are not directly intended, by proxy they will occur with this plan. This plan shows me just one more reason why getting older in this country sucks. My thanks to all those in the medical community and those with a shred of integrity left in Washington that are fighting for the American people and resisting the passage of this atrocity of legislation.
http://kff.org/interactive/proposals-to-replace-the-affordable-care-act/ – PDF file available to read entire content of proposed healthcare plan under President Trump.
March 23, 2010 – Affordable Care Act
Require most U.S. citizens and legal residents to have health insurance.
Create state-based health insurance exchanges through which individuals and small businesses can compare plans, apply for financial assistance, purchase coverage.
Provide refundable premium tax credits, based on income and cost of coverage, for individuals/families with income between 100-400% of the federal poverty level.
Impose new insurance market regulations, including requiring guaranteed issue of all non-group health plans during annual open enrollment and special enrollment periods; limiting rating variation to 4 factors: age (3 to 1 ratio), geographic rating area, family composition, and tobacco use (1.5 to 1 ratio); prohibiting pre-existing condition exclusion periods; prohibiting lifetime and annual limits on coverage; and extending dependent coverage to age 26.
Require ten essential health benefits be covered by all individual and small group health insurance
Require plans to provide no-cost preventive benefits and limit annual cost-sharing.
Expand Medicaid to 138% of the federal poverty level at state option and require a single, streamlined application for tax credits, Medicaid, and CHIP.
Extend CHIP funding to 2015 and increase the match rate by 23 percentage points up to 100%.
Close the Medicare Part D doughnut hole and enhance coverage of preventive benefits in Medicare.
Reduce Medicare spending by reducing payments for Medicare Advantage plans, hospitals, and other providers.
Establish the Independent Payment Advisory Board and the Center for Medicare and Medicaid Innovation (CMMI).
March 6, 2017 – American Health Care Act (as proposed)
Repeal ACA mandates (2016), standards for health plan actuarial values (2020), and, premium and cost sharing subsidies (2020).
Modify ACA premium tax credits for 2018-2019 to increase amount for younger adults and reduce for older adults, also to apply to coverage sold outside of exchanges and to catastrophic policies. In 2020, replace ACA income-based tax credits with flat tax credits adjusted for age. Eligibility for new tax credits phases out at income levels between $75,000 and $115,000
Retain private market rules, including requirement to guarantee issue coverage, prohibition on discriminatory premiums and pre-existing condition exclusions, requirement to extend dependent coverage to age 26. Modify age rating limit to permit variation of 5:1, unless states adopt different ratios.
Retain health insurance marketplaces, annual Open Enrollment periods (OE), and special enrollment periods (SEPs).
Impose late enrollment penalty for people who don’t stay continuously covered.
Establish State Innovation Grants and Stability Program with federal funding of $100 billion over 9 years. States may use funds to provide financial help to high-risk individuals, promote access to preventive services, provide cost sharing subsidies, and for other purposes. In states that don’t successfully apply for grants, funds will be used for reinsurance program
Repeal funding for Prevention and Public Health Fund at the end of Fiscal Year 2018 and rescind any unobligated funds remaining at the end of FY2018. Provide supplemental funding for community health centers of $422 million for FY 2017
Encourage use of Health Savings Accounts by increasing annual tax free contribution limit and through other changes
Eliminate enhanced FMAP for Medicaid expansion as of January 1, 2020 except for those enrolled as of December 31, 2019 who do not have a break in eligibility of more than 1 month
Convert federal Medicaid funding to a per capita allotment and limit growth beginning in 2020 using 2016 as a base year
No change to Medicare benefit enhancements or provider/Medicare Advantage plan payment savings
Repeal Medicare HI tax increase and other ACA revenue provisions
Prohibit federal Medicaid funding for Planned Parenthood clinics
Quotes that resonated today:
To do two things at once is to do neither. Publilius Syrus
It isn’t what we don’t know that kills us, it’s everything we know that ain’t so. Mark Twain
The trouble with the rat race is that even if you win, you’re still a rat. Lily Tomlin
Don’t judge each day by the harvest you reap but by the seeds that you plant. Robert Louis Stevenson
To us, the ashes of our ancestors are sacred and their resting place is hallowed ground. Chief Seattle
Money often costs too much. Ralph Waldo Emerson