David Nather Jun 23
The Senate health bill is out. Here's your speed read
You can read it here, and a summary here. The highlights:
- Ends the Affordable Care Act's mandates and most of its taxes.
- Phases out its Medicaid expansion over three years, ending in 2024.
- Limits Medicaid spending with per capita caps, or block grants for states that choose them. The spending growth rate would become stricter in 2025.
- States could apply for waivers from many of the insurance regulations — though not protections for people with pre-existing conditions and coverage for young adults.
- The ACA's tax credits would be kept in place, unlike the House bill — but their value would be reduced.
- Funds the ACA's cost-sharing subsidies through 2019, but then repeals them.
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