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1. Executive Order 2. Trumpcare 3. CBO Estimate 4. Amendments 5. AHCA Pulled 6. AHCA Re-introduced 7. McArthur Amendment 8. AHCA Passed 9. CBO Estimate 2
https://www.govtrack.us/congress/votes/115-2017/h256 3
https://www.govtrack.us/congress/committees/HSBU#activity 4
Individual – 2.5% penalty or $695 Employer - $2,000 or $3,000 (indexed annually) 5
Premium subsidy completely repealed and replaced by refundable credit Stability Fund High risk individuals who do not have employer provided coverage • Providing incentives to “entities” to help stabilize premiums for health insurance coverage in the • individual market Reduce cost of premiums in small or individual market • Promoting participation in the state and increasing health insurance options in the market • Promoting access to preventive services, dental care, vision care, or other combination • Maternity coverage and newborn care • Prevention, treatment, or recovery support for those w/ mental or substance abuse • Direct payment to providers for medical care • Reduction of out-of-pocket costs • Abortion May permit abortion to save the life of the mother, or if the child is a result of rape or incest • May purchase separate plan to cover abortion services, but cannot use credit to pay for those • services Penalty for improper credit 25% penalty (1/1/2020) • 6
2019 – applicable surcharge Surcharge applies in 2018 only if individual enrolls due to special enrollment • Look-back begins in 2019 • Surcharge applicable on a monthly basis • State Waivers: Permitted to encourage fair health insurance premiums • 1/1/2018 – ratio specifications • 1/1/2020 – re-define EHBs for the state • The following is not permitted: Gender rating • Limiting access to individuals with pre-existing conditions • Section 135 5 to 1 ratio or as the Secretary implements through final regulation • 7
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Section 117 – work requirement Section 121 – per capita allotment Each year, an excess aggregate amount of ¼ will be reduced • Block Grants – 10 year periods Must provide assistance for: 1) hospital care; 2) surgical care and treatment; 3) medical care and • treatment; 4) obstetrical and prenatal care and treatment; 5) prescribed drugs, medicines, and prosthetic devices; 6) other medical supplies; 7) health care for children under 18 10
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