“Republicans in Congress must share the blame for higher rates and loss of insurers.
In other words, this replacement for ACA subsidies has no methods to do what Obamacare has done all along: reform healthcare so that those who have had inadequate or no coverage at all, can be covered at a reasonable cost including readily available federal subsidies that assure enrollees of coverage unrestricted by spending caps, pre-existent conditions, or gender-related health needs.
- State-based exchanges – Both laws create exchange authorities charged with operating health insurance marketplaces: internet websites where residents may compare and purchase private insurance policies that meet minimum levels of coverage.
- Guarantee issue - meaning consumers cannot be denied coverage due to pre-existing health conditions.
- Subsidies for lower-income households – While the amount of individual subsides vary, and the income levels for eligibility differ, both laws provide financial assistance to lower-income households so that health insurance is affordable.
- The individual and business mandates – Both laws require individuals who can afford it to purchase insurance or face a financial penalty. The Massachusetts law required businesses with more than 10 employees to provide health benefits to their workers or pay a $295 per employee. Under the ACA, businesses with 50 or more full-time employees must offer health insurance or pay a $2,000 per employee penalty.
The repeal of Obamacare will wipe out the mandated ACA coverage for Congress and the Trumped-up Replacement will not bring it back! Nonetheless, YOU will be stuck paying 72-75% of their premiums again on any of those 300+ plans (many of them unavailable to YOU) - strange how that works out, don't you think?! (see https://fas.org/sgp/crs/misc/R43194.pdf for more details).