Elected officials predict "disastrous effects" under proposed replacement of Affordable Care Act

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In later years, reductions in support for health insurance cause negative economic effects. Mari said that without Medicaid, she, her husband, and their kids would not have had any other options. Two of her three children have developmental disabilities.

Before Medicaid expansion the number of uninsured people in Montana was around 20 percent, Wernham said. In order to pay for a massive tax cut for the wealthy, they're considering deep cuts to the program over and above what rescinding the expansion would entail. Exchange leaders and Democratic lawmakers argue numerous 5 million Californians who receive health coverage through Covered California risk losing insurance under the GOP repeal bill approved last month by the House. Then the Republicans think they'll be able to win support for their harmful repeal bill. Supporters say the legislation is necessary to restore what is in some states a collapsing individual market.

And current CMS Administrator Seema Verma says her agency predicts more insurers dropping out. Two states, ME and Wisconsin, have jumped out front with this concept and are proposing Medicaid waivers for their states to enact these requirements, making them early laboratories for this punitive approach. Bottom line, there's another term we can use to describe this bill: fiscally irresponsible. Deb Fischer, R-Neb., said repeatedly when asked recently about it recently.

Anthony Carroll, associate state director for advocacy for AARP in Iowa, said the House bill is a "starting point" for the Senate and this a key chance for AARP to weigh in with lawmakers. He added that Senate Republicans are working on their version of the American Health Care Act behind closed doors. Tim Kaine introduced a new health bill to the Senate last week. She calls it a "failing report card for the exchanges". But Ernst took issue with the way the group has been portrayed publicly, saying that all Senate Republicans have been welcome to stop by the group's meetings and offer input. Studies show that when children have health coverage they can get important doctor-recommended screenings and care to help them stay healthy and are more likely to enter school ready to learn.

In response to questions from The Denver Post, only one of the largest insurers - Kaiser Permanente - definitively said it expects to sell plans in 2018 through Connect for Health Colorado, the online insurance marketplace where people who buy health insurance on their own can shop for coverage that meets the standards of current federal law. By everyone's admission the details weren't fully worked out, but what's remarkable is that it passed both houses of the legislature in this swing state, and even Sandoval said some nice things about the basic idea.

Neither Obamacare nor the AHCA effectively connects patients with cost, which is critical to making America's great health care affordable again. There will be numerous hearings, plenty of input from interested parties and lots of time for the public to weigh in. Senate Bill 265 should be passed.

Almost half of insurers surveyed nationally said they expected to request premium increases of 20 percent or more for 2018, but the Oliver Wyman report notes that, prior to the GOP's reform efforts, most had expected much lower increases for 2018.

Pressed on whether the process represents the kind of transparency Republicans have promised, she noted that Democrats made last-minute changes to what's become known as Obamacare.

"I want to make sure that we would not pull the rug out from Montana from a federal perspective and make sure that we keep our obligation to the states that have chose to expand Medicaid", Daines said. The proposed cuts would fall especially hard on Alabama's small-town nursing homes and other long-term care services. I shouldn't have to choose where I work based on the need for affordable insurance. "But a good segment of people worry it will fall on them".