Posted by 19 September 2017
Senate Republicans tried to repeal the Affordable Care Act, or Obamacare, in July, but failed to gain 50 votes. Now they are making one last effort to undo President Obama’s signature health care law. It is unclear if they will have more success this time than they did previously.
Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) have sponsored the bill being considered now. This legislation differs in some key ways from the earlier repeal bill, but it would still have the effect of rolling back much of Obamacare.
Among its provisions, the Graham-Cassidy legislation would:
- Turn Medicaid into a per-person block grant program, giving states more authority to determine how the program is administered and who receives services
- Take the funds currently being spent by the federal government on health insurance subsidies, premium tax-credits, and Medicaid expansion and give that money to states in the form of grants to provide health care coverage
- Loosen restrictions on what types of insurance must be sold
Critics of the bill are concerned that it will lead to less coverage than exists today. They point out that the formula for Medicaid block grants excludes many able-bodied adults who are currently covered under Obamacare’s Medicaid expansion. They also contend that unless the federal government mandates what insurance policies must contain, companies will skimp on benefits to save money.
Proponents say that Medicaid block grants will give states incentives to tailor their program to meet their needs, instead of relying on a one-size-fits-all mandate from D.C. They also say that putting some limits on spending is the only way to control the ballooning cost of the program at both the state and federal level. In addition, loosening restrictions on insurance, according to them, helps to ensure that people can buy a policy that meets their needs, not a policy that pleases a federal bureaucrat.
For the Cassidy-Graham bill to proceed under special budget reconciliation rules that allow it to bypass a filibuster threat, the Senate most vote on it by September 30. Many observers are watching Senator John McCain (R-AZ), who voted against the last repeal bill. He has indicated he may support it if Arizona Governor Doug Ducey backs the bill, something Gov. Ducey did earlier this week. Senate Majority Leader Mitch McConnell (R-KY) said he would only bring the bill up for a vote if he has enough senators lined up to pass it.
Do you think this legislation is a good way to reform health care? Or do you want to see Obamacare left in place?