{"id":10966,"date":"2017-04-20T17:21:00","date_gmt":"2017-04-20T17:21:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/04\/20\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick\/"},"modified":"2017-04-20T17:21:00","modified_gmt":"2017-04-20T17:21:00","slug":"new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick\/","title":{"rendered":"New GOP Health Proposal Could Ditch Protections For People Who Are Sick"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/20\/524881039\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick?utm_medium=RSS&amp;utm_campaign=healthcare\">Alison Kodjak<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/20\/524881039\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/20\/tom-macarthur_custom-884529d3891f2662d975fb627144bb75df9888f6-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/20\/tom-macarthur_enl-884529d3891f2662d975fb627144bb75df9888f6-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Rep. Tom MacArthur, R-N.J., has drawn up a proposed amendment to the GOP health care bill, hoping to attract enough support to pass the House.<\/p>\n<p>                <b><\/p>\n<p>                    Bill Clark\/CQ-Roll Call,Inc.\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Bill Clark\/CQ-Roll Call,Inc.\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>House Republicans are mulling over new changes to their health care proposal, hoping to wrangle enough votes to pass a bill that would allow them to keep their campaign pledge to repeal and replace the Affordable Care Act.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.documentcloud.org\/documents\/3674557-170413-AHCA-MacArthurAmendment.html\">latest proposal<\/a> allows states to make changes to the ACA&#8217;s rules governing health insurance policies and markets, in an effort to allow some states to offer stripped-down policies with lower premiums.<\/p>\n<p>The proposal represents a deal between <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/macarthur.house.gov\/\">Rep. Tom MacArthur<\/a>, R-N.J., who is the head of the moderate Tuesday Group, and Rep. Mark Meadows, R-N.C., who leads the far-right Freedom Caucus. The two groups <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/03\/24\/521395060\/ryan-trump-meet-as-more-republicans-defect-from-health-care-bill\">could not agree<\/a> on details of an earlier health care plan championed by House Speaker Paul Ryan, known as the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/03\/20\/520529668\/tax-credits-penalties-and-age-rating-parsing-the-gop-health-bill\">American Health Care Act.<\/a><\/p>\n<p>The new proposal, which was reported by <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.politico.com\/story\/2017\/04\/20\/obamacare-repeal-republicans-new-deal-237397\">Politico<\/a> and The Huffington Post, is an amendment to that bill. It consists of a summary and bullet points rather than legislative language.<\/p>\n<p>Without the full language it&#8217;s unclear whether the plan could bring in enough votes to pass, says a senior House Republican aide.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>The proposal retains many of the popular consumer protections of the Affordable Care Act, including ensuring that people with pre-existing medical conditions cannot be refused coverage or charged more.<\/p>\n<p>MacArthur, on his <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.facebook.com\/CongressmanTomMacArthur\/posts\/1982611475303157\">Facebook page,<\/a> said the plan &#8220;will make coverage of pre-existing conditions sacrosanct for all Americans.&#8221;<\/p>\n<div>\n<div>\n<h3>Essential Health Benefits<\/h3>\n<p>Under the Affordable Care Act, every health insurance plan must cover the following services:<\/p>\n<p>\u2022Ambulatory services (care you get without being admitted to the hospital)<br \/>\u2022Emergency services<br \/>\u2022Hospitalization (like surgery and overnight stays)<br \/>\u2022Pregnancy, maternity and newborn care <br \/>\u2022Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)<br \/>\u2022Prescription drugs<br \/>\u2022Rehabilitative and habilitative services and devices<br \/>\u2022Laboratory services<br \/>\u2022Preventive care and chronic disease management<br \/>\u2022Pediatric services, including oral and vision care (but adult dental and vision coverage aren&#8217;t essential health benefits)<\/p>\n<p>Source: <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/coverage\/what-marketplace-plans-cover\/\">HealthCare.gov<\/a><\/p>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES524895916\" CLASS=\"BUCKETWRAP LISTTEXT\" --><\/p>\n<p>But the plan also allows states to <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/03\/23\/521220359\/gop-health-bill-changes-could-kill-protections-for-people-with-preexisting-condi\">waive those protections<\/a>.<\/p>\n<p>If states requested waivers, people with pre-existing conditions would likely be covered through state-run high-risk pools, which can be expensive for patients and for taxpayers. Many states used high-risk pools before Obamacare with limited success because they weren&#8217;t adequately funded, according to a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/kff.org\/health-reform\/issue-brief\/high-risk-pools-for-uninsurable-individuals\/\">study<\/a> by the Kaiser Family Foundation.<\/p>\n<p>The plan &#8220;would make coverage unaffordable for many older consumers and would segregate high-cost consumers in coverage that would likely be inadequate,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/healthaffairs.org\/blog\/author\/jost\/\">Timothy Jost<\/a>, a professor emeritus at Washington and Lee Law School who writes a health policy blog for <em>Health Affairs<\/em>.<\/p>\n<p>The proposal could also cause <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.americanprogress.org\/issues\/healthcare\/news\/2017\/04\/20\/430858\/latest-aca-repeal-plan-explode-premiums-people-pre-existing-conditions\/\">premiums to spike<\/a> for people with medical issues, according to comments <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/twitter.com\/TopherSpiro\/status\/855067932623347712\">posted on Twitter<\/a> by <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.americanprogress.org\/about\/staff\/spiro-topher\/bio\/\">Topher Spiro<\/a>, vice president for health policy at the left-leaning Center for American Progress. A person with diabetes could see premiums rise by about $5,600 while someone with metastatic breast cancer could be charged an additional $142,650, he says.<\/p>\n<p>There are some protections against such premium spikes in the proposal, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.mlstrategies.com\/professionals\/rodney-whitlock.htm\">Rodney Whitlock<\/a>, vice president of health policy at ML Strategies, who was a Republican Senate staffer when the Affordable Care Act was passed.<\/p>\n<p>He says language that forces states to promise their changes would still protect people with pre-existing conditions, and result in lower premiums, invites people hurt by the changes to sue the state.<\/p>\n<p>The proposal doesn&#8217;t mention Medicaid at all, so it may do little to bring in support for the Republican bill. That&#8217;s because the American Health Care Act was killed in part because it rolled back Medicaid coverage for millions of low-income people, something moderate Republicans <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/03\/24\/521337539\/republicans-still-divided-over-health-care-bill\">opposed<\/a>.<\/p>\n<p>&#8220;I have a hard time believing that this will be acceptable to moderates in the House, much less the Senate, and will certainly be opposed by all Democrats,&#8221; Jost says.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/20\/524881039\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"New GOP Health Proposal Could Ditch Protections For People Who Are Sick\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/20\/524881039\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/20\/524881039\/new-gop-health-proposal-could-ditch-protections-for-people-who-are-sick?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/20\/tom-macarthur_custom-884529d3891f2662d975fb627144bb75df9888f6-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/20\/tom-macarthur_enl-884529d3891f2662d975fb627144bb75df9888f6-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Rep. Tom MacArthur, R-N.J., has drawn up a proposed amendment to the GOP health care bill, hoping to attract enough support to pass the House.<\/p>\n<p>                <b><\/p>\n<p>                    Bill Clark\/CQ-Roll Call,Inc.\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Bill Clark\/CQ-Roll Call,Inc.\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>House Republicans are mulling over new changes to their health care proposal, hoping to wrangle enough votes to pass a bill that would allow them to keep their campaign pledge to repeal and replace the Affordable Care Act.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.documentcloud.org\/documents\/3674557-170413-AHCA-MacArthurAmendment.html\">latest proposal<\/a> allows states to make changes to the ACA&#8217;s rules governing health insurance policies and markets, in an effort to allow some states to offer stripped-down policies with lower premiums.<\/p>\n<p>The proposal represents a deal between <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/macarthur.house.gov\/\">Rep. Tom MacArthur<\/a>, R-N.J., who is the head of the moderate Tuesday Group, and Rep. Mark Meadows, R-N.C., who leads the far-right Freedom Caucus. The two groups <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/03\/24\/521395060\/ryan-trump-meet-as-more-republicans-defect-from-health-care-bill\">could not agree<\/a> on details of an earlier health care plan championed by House Speaker Paul Ryan, known as the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/03\/20\/520529668\/tax-credits-penalties-and-age-rating-parsing-the-gop-health-bill\">American Health Care Act.<\/a><\/p>\n<p>The new proposal, which was reported by <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.politico.com\/story\/2017\/04\/20\/obamacare-repeal-republicans-new-deal-237397\">Politico<\/a> and The Huffington Post, is an amendment to that bill. It consists of a summary and bullet points rather than legislative language.<\/p>\n<p>Without the full language it&#8217;s unclear whether the plan could bring in enough votes to pass, says a senior House Republican aide.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>The proposal retains many of the popular consumer protections of the Affordable Care Act, including ensuring that people with pre-existing medical conditions cannot be refused coverage or charged more.<\/p>\n<p>MacArthur, on his <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.facebook.com\/CongressmanTomMacArthur\/posts\/1982611475303157\">Facebook page,<\/a> said the plan &#8220;will make coverage of pre-existing conditions sacrosanct for all Americans.&#8221;<\/p>\n<div>\n<div>\n<h3>Essential Health Benefits<\/h3>\n<p>Under the Affordable Care Act, every health insurance plan must cover the following services:<\/p>\n<p>\u2022Ambulatory services (care you get without being admitted to the hospital)<br \/>\u2022Emergency services<br \/>\u2022Hospitalization (like surgery and overnight stays)<br \/>\u2022Pregnancy, maternity and newborn care <br \/>\u2022Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)<br \/>\u2022Prescription drugs<br \/>\u2022Rehabilitative and habilitative services and devices<br \/>\u2022Laboratory services<br \/>\u2022Preventive care and chronic disease management<br \/>\u2022Pediatric services, including oral and vision care (but adult dental and vision coverage aren&#8217;t essential health benefits)<\/p>\n<p>Source: <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/coverage\/what-marketplace-plans-cover\/\">HealthCare.gov<\/a><\/p>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES524895916\" CLASS=\"BUCKETWRAP LISTTEXT\" --><\/p>\n<p>But the plan also allows states to <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/03\/23\/521220359\/gop-health-bill-changes-could-kill-protections-for-people-with-preexisting-condi\">waive those protections<\/a>.<\/p>\n<p>If states requested waivers, people with pre-existing conditions would likely be covered through state-run high-risk pools, which can be expensive for patients and for taxpayers. Many states used high-risk pools before Obamacare with limited success because they weren&#8217;t adequately funded, according to a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/kff.org\/health-reform\/issue-brief\/high-risk-pools-for-uninsurable-individuals\/\">study<\/a> by the Kaiser Family Foundation.<\/p>\n<p>The plan &#8220;would make coverage unaffordable for many older consumers and would segregate high-cost consumers in coverage that would likely be inadequate,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/healthaffairs.org\/blog\/author\/jost\/\">Timothy Jost<\/a>, a professor emeritus at Washington and Lee Law School who writes a health policy blog for <em>Health Affairs<\/em>.<\/p>\n<p>The proposal could also cause <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.americanprogress.org\/issues\/healthcare\/news\/2017\/04\/20\/430858\/latest-aca-repeal-plan-explode-premiums-people-pre-existing-conditions\/\">premiums to spike<\/a> for people with medical issues, according to comments <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/twitter.com\/TopherSpiro\/status\/855067932623347712\">posted on Twitter<\/a> by <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.americanprogress.org\/about\/staff\/spiro-topher\/bio\/\">Topher Spiro<\/a>, vice president for health policy at the left-leaning Center for American Progress. A person with diabetes could see premiums rise by about $5,600 while someone with metastatic breast cancer could be charged an additional $142,650, he says.<\/p>\n<p>There are some protections against such premium spikes in the proposal, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.mlstrategies.com\/professionals\/rodney-whitlock.htm\">Rodney Whitlock<\/a>, vice president of health policy at ML Strategies, who was a Republican Senate staffer when the Affordable Care Act was passed.<\/p>\n<p>He says language that forces states to promise their changes would still protect people with pre-existing conditions, and result in lower premiums, invites people hurt by the changes to sue the state.<\/p>\n<p>The proposal doesn&#8217;t mention Medicaid at all, so it may do little to bring in support for the Republican bill. That&#8217;s because the American Health Care Act was killed in part because it rolled back Medicaid coverage for millions of low-income people, something moderate Republicans <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/03\/24\/521337539\/republicans-still-divided-over-health-care-bill\">opposed<\/a>.<\/p>\n<p>&#8220;I have a hard time believing that this will be acceptable to moderates in the House, much less the Senate, and will certainly be opposed by all Democrats,&#8221; Jost says.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-10966","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10966","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=10966"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10966\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=10966"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=10966"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=10966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}