Few Immigrants will lose reach to Subsidized ACA Plans
The GOP plan could cause hundreds of thousands of immigrants who are lawfully present including asylum seekers, refugees and victims of trafficking to lose their ACA marketplace coverage by cutting off subsidies that make premium bearable.
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Those on MEDICAID will Pay more to see the doctor
Many Medicaid enrollees can expect to pay more out of pocket for appointments.
The bill would require states that have expanded Medicaid to alter enrollees upto $35 for few services if their incomes are between federal poverty level and 138% of that amout $21,597.
The policy would not apply to people seeking primary care or substance abuse treatment and mental health care.
The Senate bill would permit states to enact even higher cost sharing for enrolless who seek emergency room care for nonemergencies.
Medicaid enrollees do not pay anything when seeking medical services studies have shown charging even small copayments prompts low income people to forgo need care.
Trump tax bill
ACA coverage will become difficult to get and keep
For those with ACA marketplace coverage the GOP plan would make it difficult to enroll and retain their plans.
Marketplace policyholders would be required to update income, immigration status and information each year rather be allowed to automatically reenroll someting over 10 million people did this year.
They would have less time to enroll the bill shortens the annual open enrollment time by about month.
People applying for coverage outsied time period they lose a job or other insurance or need to add newborn or spouse to existing policy would have to wait for all documents to processed before getting government subsidies to assist pay their monthly premiums.
They get up to 90 days of premium helpf during application process which can take weeks.
The legislation does not call for extension of generous subsidies put in place during COVID-19 pandemic.
Congress does not act those subsidies will expire at year end resulting in premium rising by average of 75% next year according to KFF.
People applying for coverage outside tha time for instance because they lose a job or other insurance or need to add a newborn or spouse to existing policy would have to wait for documents to processed before getting government subsidies to assit pay their monthly premiums.
They get up to 90 days of premium assist during application method which can take weeks.
Republican lawmakers and conservative policy think tanks consisting Paragon Health Institure added changes are needed to decrease enrollments while opponents add they are attempt to undo Obamacare.
The legislation does not call for more generous subsidies put in place during COVID-19 pandemic.
Congress does not act those enhanced subsidies will expire at year end result in premiums rising by average of 75% next accordin to KFF.
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Many People will have to work to stay on Medicaid
The cuts to health care spending come from Medicaid work requirement which woukd cut off coverage for millions of enrollees who do not meet latest employment or reporting standards.
In 40 states and Washington DC all which have expanded Medicaid under Affordable Care Act some Medicaid enrollees would have regularly file paperwork proving that they are working volunteering or school at least 80 hours a month they qualify for exemption like caring for young kids.
State experimenets with work requirements have been plagued with admin issues like eligible enrollees losing coverage over paperwork problems and budget overruns.
Georgia work requirement which launched in July 2023 has cost over $90 million wiht only $26 million of that spen on health advantages according to Georgia Budget and Policy Institute research organization.
Less Cash Mean Less Care in Rural Communites
Belt tightening that would target states could translate into health services medical professionals and even hospital in rural communities
The GOP’s plan curtail a practice famous as provider taxes every state has used for decades to increase Medicaid payments to hospital nursing homes and providers and private managed care companies.
Hospitals and nursing homes added they use extra Medicaid dollars to expand or add new service and improve care for all patients.
Rural hospitals operate on thin profit margins and rely on Medicaid tax payments to sustain them,
Republicans senators tacked a $50 billion fund onto version of bill to cushion the blow to rural hospitals.
Rural hospitals operate on thin profit margins and rely on Medicaid tax payments to sustain them.
President Trump One Big Beautfiul Bill cuts federa spending on Medicaid and Affordable Care Act marketplaces by about $1 trillion over decade.
The bill which Senate passed tuesday would reverse many of health coverage gains of Obama and biden admin whose policies made it easy for millions of people to reach heath care and decrease the US uninsured rate to record lows.
The Senate plan to Slash Medicaid and ACA marketplace funding could make 12 million over people without insurance by 20234 CBO said.
Trump tax bill