Family Voices Indiana is a family-led organization that provides information, education, training, outreach, and peer support to families of children and youth with special health care needs and the professionals who serve them.
Wednesday, April 26, 2017
Latest Healthcare Proposal Guts Protections for Pre-Existing Conditions
Make no mistake: The proposed changes only make a bad bill worse.
Take Action:Urge your representative in Congress to oppose any bill that will increase the number of uninsured, decrease federal protections for people with pre-existing conditions, and cut Medicaid. And tell them it’s time to drop harmful campaign to repeal the ACA.
New proposal takes aim at people with preexisting conditions
The new proposal allows states to seek waivers from enforcing the ACA’s core protections for people with pre-existing conditions for almost any reason a state claims. Under this harmful amendment, states could:
Possibly allow insurers to charge older adults even higher premiums than the original House repeal bill, beginning January 1, 2018. The insurer practice of charging different rates based on age is known as “age rating” and it is not entirely clear what the amendment would do to age rating. The original House repeal bill increased the maximum "age rated" premium for older adults to five times that of younger people. Summaries of this new amendment have said that states could only allow insurers to increase age rating for older adults up to a maximum of five times the premiums of younger people. However, the actual amendment appears to allow states to go beyond this and allow premiums to be even more than five times higher for older people than for younger people.
To get approval from the federal government for any of the preceding changes, the new amendment does not ask much of states. For example, states that pursue these waivers are not required to guarantee coverage for people with pre-existing conditions at all.
And states could qualify for these waivers simply by participating in a program that reimburses insurers for expensive claims from high-cost individuals (what Republicans are calling an “invisible high risk pool”). However, such a program offers no guarantee that insurers will actually make coverage affordable to these people with expensive health conditions.
Worse, under these waivers, there is no limit on how much more insurers could charge people with pre-existing conditions who face a gap in coverage, meaning insurers could effectively price these individuals out of affordable health coverage all together.
Make no mistake, this amendment would return us to the days before the ACA when people with pre-existing conditions were denied affordable and comprehensive health insurance.
On top of all this, the new amendment prevents states from waiving these protections for health coverage provided to members of Congress and their staff. While Congress is comfortable stripping protections from millions of families, they are simultaneously ensuring that they do not lose any essential health benefits or face higher premiums due to their own health conditions.
And remember, the new proposal is adding troubling changes to a bill that has been widely criticized for the damage it would cause to our health care system.
New proposal adds to a repeal bill that is bad for America’s health care
In March, Speaker Ryan gave up on passing the existing version of the American Health Care Act, unable to garner enough votes. Here’s what this disastrous legislation would do:
Raise premiums for millions of people in America, especially older and sicker populations
Increase the number of people without insurance by 24 million
Effectively eliminate Medicaid expansion and ration future Medicaid care
The bottom line? Affordable Care Act repeal would destroy health care
Despite their promises, Republicans in Congress continue to threaten the ACA’s protections for people with pre-existing conditions and its guarantee of affordable coverage. And they continue to put forth proposals that strip coverage from millions and drive up health care costs for millions more.
originally posted: http://familiesusa.org/blog/2017/04/house-republicans-gut-protections-pre-existing-conditions-latest-proposal