That measure would cut about $834 billion from Medicaid and leave an additional 23 million people without coverage in 2026, according to CBO. It would reduce the federal deficit by $119 billion. Heller had announced his opposition to the bill in a strong statement Friday in which he said he opposed its drastic cuts to Medicaid.
He can only afford to lose two Republicans given the party's 52-seat majority in the Senate. The budget office's findings added to this uncertainly. Rand Paul of Kentucky, Ron Johnson of Wisconsin, Ted Cruz of Texas, Mike Lee of Utah and Dean Heller of Nevada - said they don't support the measure in its current form. "I want to work with my GOP and Democratic colleagues to fix the flaws in ACA".
The Senate health care bill Sen.
The $320 billion in savings over the next decade is far more than the House bill earned, thanks chiefly to major Medicaid changes that kick in halfway through the next decade.
Senate Democrats were also swift to react. The GOP formula for annual adjustments has sparked a particularly sharp reaction, with critics saying that the Senate decision to use a broad measure of annual inflation simply won't keep up with faster increases in health care costs.
Meanwhile, President Trump invited all GOP senators to the White House for a meeting Tuesday afternoon. Currently, federal Medicaid matching payments to states are open-ended. With about 70 million enrolled, Medicaid covers more people than Medicare, from newborns to nursing home residents. "The increase would be disproportionately larger among older people with lower income" - especially those between 50 and 64 and with incomes below 200 percent of the poverty level, or around $30,300 for a single person. In this case, both have two specific, and related, concerns causing them heartburn on the health bill: The prevalence of opioid addiction in their states, and their constituents' reliance on Medicaid. The Senate and House health plans would cap the amount Medicaid will spend per person, and then give states that amount of money to administer the program largely as they please. Shelley Moore Capito, R-W.Va., answered only "we'll see" when asked if she would support a pivotal procedural vote, expected Wednesday, on whether to formally begin debate.
The House is also scheduled to vote on "Kate's Law", which would strengthen penalties against undocumented immigrants convicted of illegal re-entry who have "a serious criminal record".
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"This bill is every bit as mean as the House bill", said Senate Minority Leader Chuck Schumer, D-N.Y.
Other organizations, such as Families USA and the American Public Health Association, said the CBO's findings show the Senate proposal did "devastating harm" and would "seriously jeopardize the health of America".
The waiting period is created to prompt healthy people who might not otherwise buy insurance to do so.
"Despite being eligible for premium tax credits, few low-income people would purchase any plan", the CBO said. But if they do take the leap, Democrats competing in the 2018 midterms will be able to turn that slogan around with a clarion call to "repeal and replace" the American Health Care Act, or whatever the final legislation ends up being called.
Throughout the last seven years, the most effective slogan used by Republicans to push their version of health reform has been that the individual market created by Obamacare has failed to deliver low-priced options to Americans looking to buy health insurance.
In addition to higher deductibles and less coverage, about half the USA population could also face costs for "essential health benefits" if their state decides to exercise its right under the BCRA to waive the current law's requirements on certain benefits that all health insurers must now provide. But these policies would cover about 58 percent of costs on average. That's about $100B more than the plan needed to drop the federal deficit in order for it to move forward.
The CBO coverage estimates pose yet another problem for Senate Majority Leader Mitch McConnell, R-Ky., who unveiled the legislation last Thursday.