115th United States Congress

[Gredival]

because i'm rich

Trickle down is going to make us all that way soon enough.

[archibaldcrane]

The Senate bill has been updated with language including the 6-month "lock-out" period for people who go 63 days or more without coverage:

https://www.vox.com/2017/6/26/158746...-health-repeal

It's unclear whether this provision can pass the Byrd rule, which is only supposed to allow provisions that directly affect budgetary matters. It seems like if this applies then you could get away with literally anything.

[Aerin]

Hmmm, another question then. If this is going to repeal the currently (relatively) high bar for quality of insurance policies for even the Bronze plans, couldn't someone just get the bare minimum dirt cheap plan that covers basically nothing, and then when they get sick upgrade to one that covers everything? I mean, pre-ex conditions still wouldn't be a thing there right because they would maintain coverage technically?

[archibaldcrane]

Hmmm, another question then. If this is going to repeal the currently (relatively) high bar for quality of insurance policies for even the Bronze plans, couldn't someone just get the bare minimum dirt cheap plan that covers basically nothing, and then when they get sick upgrade to one that covers everything? I mean, pre-ex conditions still wouldn't be a thing there right because they would maintain coverage technically?

Yes I believe so, but you'd have to wait for an open enrollment period or have a qualifying life event to change plans. Also, if states opt out of certain essential benefits (like, say, maternity care) there's a decent chance that no insurers in your area will cover maternity care at all - so if you are in a dirt cheap plan and get pregnant, there may be no plan to hop onto in order to cover those costs.

[archibaldcrane]

CBO for BCRA
2018: 15 million *more* uninsured
2020: 19 million
2026: 22 million

similar to the AHCA numbers, a million more uninsured by 2018, but a million less by 2026. Expect tens of thousands of additional unnecessary deaths per year if this passes.

[archibaldcrane]

Good chart of where the savings/expenses come from:



772 billion dollar cut over a decade in Medicaid, and a 408 billion dollar cut to subsidies and cost-sharing payments.

[Zetanio]

Does this mean NY insurers will stop having to offer all the poors coverage?

If so, this will lower my premiums probably.

[tyven]

should know whether it passes byrd bath in next 24-48 hours

[archibaldcrane]

Does this mean NY insurers will stop having to offer all the poors coverage?

no, although many of the poors won't be able to afford coverage anymore

If so, this will lower my premiums probably.

probably not, although if you are young enough maybe

[archibaldcrane]

should know whether it passes byrd bath in next 24-48 hours

and the Byrd bath just knicks out individual portions right? It's not an all-or-nothing approach? Like, they'd say "your 6-month penalty doesn't pass muster, you must remove that part"?

[tyven]

and the Byrd bath just knicks out individual portions right? It's not an all-or-nothing approach? Like, they'd say "your 6-month penalty doesn't pass muster, you must remove that part"?

yep tho 60 votes can keep single items attached.

[archibaldcrane]

I wonder if they intentionally released this plan to the CBO before adding their (dubious) continuous coverage penalty - so they can say "yeah it says 22 million but that was scoring before we added our fix - also no we don't need to wait for a new score we fixed it already lets just vote".

Since the bill changed this morning, they can scream "fake news" about the CBO all they want.

[archibaldcrane]

And don't get fooled by the "average premiums will be 20% lower in 2026" bullshit - because those premiums will be paying for much less generous plans:

“Because nongroup insurance would pay for a smaller average share of benefits under this legislation, most people purchasing it would have higher out-of-pocket spending on health care than under current law,” CBO’s analysts wrote.

This is just robbing peter to pay paul - less upfront cost via premiums in exchange for more out of pocket costs via deductibles, cost sharing, and paying for things not covered by the remaining benefits.

And given how poor at financial planning most Americans are, this is even worse, lowering an expected expense that can be more easily planned for and replace it with unexpected expenses that are harder to plan for.

[archibaldcrane]

I wonder if they intentionally released this plan to the CBO before adding their (dubious) continuous coverage penalty - so they can say "yeah it says 22 million but that was scoring before we added our fix - also no we don't need to wait for a new score we fixed it already lets just vote".

Since the bill changed this morning, they can scream "fake news" about the CBO all they want.

Scratch this, apparently the CBO score reflects the 6 month penalty.

[archibaldcrane]

Susan Collins comes out as a pretty strong NO vote on this: https://twitter.com/SenatorCollins/s...71862694256641

I want to work w/ my GOP & Dem colleagues to fix the flaws in ACA. CBO analysis shows Senate bill won't do it. I will vote no on mtp

Heller also appears to be sticking with his NO. Just need one more moderate.

[Gredival]

Supposedly Rand Paul is considered an absolute loss already, for different reasons than Collins and Heller of course.

https://www.axios.com/axios-sneak-pe...am=top-stories

A widely-held view in McConnell-world is that he doesn’t start with 52 Republicans; he starts with 51. Many view Rand Paul as a lost cause and someone who was never ‘gettable.’

Also

Lisa Murkowski has said she won't vote for a bill that defunds PP. Susan Collins will likely join her, so all it would take would be one more Republican to sink the bill over abortion alone.

[archibaldcrane]

If it's just PP though, they'll just re-fund PP and buy them off. Needs to be more substantial than just PP - Collins doesn't even mention PP in her tweets today.

I really don't see Rand Paul being the thing that stands between all of ACA taxes rescinded and all of them remaining, but I could be wrong.

[kuronosan]

I can't stand that people associate Planned Parenthood with abortions when they do far more than that.

There are clinics that specialize in abortions, I don't get what the huff is about.

[Day]

they do be performing a lot of abortions tho

[Tyrath]

they do be performing a lot of abortions tho

3% of their activities is a lot I guess