What’s next for the GOP health care bill? | POLITICO
By the time Congress returns from its break on Wednesday, it’s unlikely to pass a sweeping replacement plan that will provide insurance to nearly all Americans.
Instead, the House and Senate will likely try to find a compromise between the two chambers’ versions of the bill, both with the goal of creating the kind of broad-based coverage that Trump promised on the campaign trail and that Senate Majority Leader Mitch McConnell has insisted will pass.
House Republicans are hoping to strike a compromise on the bill that they can then attach to a reconciliation bill that would send the bill to the Senate for a vote.
But that may not be enough to avoid a government shutdown.
Senate Republicans have also said they would try to craft a compromise that would be easier for President Donald Trump and his allies to pass.
Here’s a look at what is still unclear about the House version of the Republican health care plan.
Health care bill as it stands, Senate GOP’s view A key component of the House GOP bill is a $5 billion boost in the federal budget to pay for insurance subsidies to help people buy insurance.
The GOP bill has no caps on federal spending on Medicaid, and the bill doesn’t include an end to funding for the ACA’s subsidies.
The Senate GOP bill would allow states to impose a 10 percent surcharge on premiums, and would limit federal payments to insurers to the same levels as the ACA.
That could leave some insurers with high out-of-pocket costs, making the ACA marketplaces less appealing for consumers.
Republicans have said that if they cannot reach an agreement, they will pass their own version of their health care proposal.
But they have not said how they would do so.
While House Republicans and Senate Democrats are working out details, Trump’s top political adviser, Stephen Miller, is reportedly pushing the White House to make changes to the House bill to make it more palatable for Trump.
While some House Republicans, including Trump’s son-in-law Jared Kushner, have expressed interest in the idea of passing the Senate bill, Miller has not, according to a person familiar with the talks.
The House GOP plan has already faced criticism from the nonpartisan Congressional Budget Office that the GOP plan would leave 23 million fewer people with health insurance by 2026 than the CBO predicted.
The CBO also found that the Senate version would increase the deficit by $337 billion over the next decade.
If the CBO’s projections hold up, that would leave the GOP’s health care proposals in the same dire straits as their Democratic counterparts.
The Congressional Budget Bureau estimated that the bill would increase premiums for some people by more than 10 percent and leave others with more health insurance than they do now.
But most analysts expect the bill’s price tag to be higher, with the CBO estimating that premiums for the poorest 20 percent of Americans would increase by 18 percent and those with incomes between $50,000 and $80,000 would see their premiums rise by an average of 14 percent.
The number of Americans with health care coverage will be significantly smaller under the Senate GOP plan.
CBO projected that the Congressional Budget Board’s estimates of the impact of the Senate health care legislation on premiums for individual insurance consumers would vary significantly depending on whether they included data on premiums in the individual market.
The analysis was based on a scenario where the Senate plan would have repealed the ACA and replaced it with a new health care system that had similar premiums to the ACA but which did not include premium subsidies.
Under the Senate’s plan, people who purchased coverage through their jobs would not have to pay more for their coverage, CBO said.
CBO also estimated that premiums would be lower for older adults and people with pre-existing conditions.
The nonpartisan Congressional Research Service estimated that older Americans would pay an average premium increase of $3,500 per year under the House plan and $3 for younger adults.
Under current law, the ACA provides subsidies for people to buy insurance on the individual and small group market.
Republicans argue that this will help lower premiums for people with preexisting conditions and help lower the number of people who are uninsured.
Democrats have also argued that the current system makes it difficult for many Americans to afford insurance, which makes it harder for people who need it to purchase insurance.
Republicans point out that the CBO estimated that it would save $1,000 per adult in premiums under the current law and $5,000 in premiums for children under the CBOs projection.
However, the CBO also said that people who would be covered by the subsidies would have more health coverage than people who weren’t, which could make the premiums unaffordable for some individuals.
CBO’s analysis also estimated how much the Republican bill would cost the federal government over the course of the next 10 years, based on how much money the GOP plans to spend on the health care programs.
The plan would save the federal treasury $1.3 trillion over the 10-year period under CBO’s estimates, which is about $150 billion more than what the CBO estimates would have been under the ACA if the plan had been