In the Health Reform Update for the past two weeks, Senate
leaders roll out their changes to the House-passed bill that would repeal and
replace key provisions of the Affordable Care Act (ACA). However, protests from conservative and
moderate Republicans may impede their plan to amend and vote on the bill next
The Senate’s Better Care Reconciliation Act (BCRA)
restructures ACA tax credits and delays the phase-out of the Medicaid expansion
while increasing long-term cuts to Medicaid. It fully-funds the ACA
cost-sharing subsidies before repealing them in 2019 and removes the
controversial provision that would let states once again allow persons with
pre-existing conditions to be charged higher premiums.
Anthem announces that it will exit two additional
ACA Marketplaces (in Indiana and Wisconsin).
However, Aetna backtracks on their pledge to sit-out off all
Marketplaces for 2018 while a new start-up enters into several new regions
where Marketplace insurers have departed.
Marketplace insurers continue to seek premium
increases of up to 80 percent to compensate for the potential loss of ACA
cost-sharing subsidies and the individual mandate. A consultant estimates that up to two-thirds
of 2018 increases can be blamed on those two factors.
The Nevada governor vetoes legislation that would
have given all state residents the opportunity to purchase Medicaid-equivalent
coverage through the ACA Marketplace.
You can find the full Health Reform Update here. If
you’re interested in Advocacy you can also join the PSI Patient Coalition here.