Here's proof of how Republicans think - some call it magic.
As of February, about 14.2 million people have gained Medicaid coverage in 26 expansion states that reported their total enrollment, and 20 GOP senators hail from expansion states.
Pennsylvania is among 31 states that expanded Medicaid under Obamacare, which allowed a new category of adults to access coverage beyond the traditional program, which provided health coverage to low-income, elderly and disabled individuals. Avalere based its research around funding for children who are eligible for Medicaid based on their family's income, not their disability status. It would turn Medicaid from an entitlement program to one funded by federal block grants to states, capped based on the number of beneficiaries.
Medicaid was meant to provide health care coverage to those who can afford it least.
Senate Majority Leader Mitch McConnell has invited all Republicans to join with the Senate group crafting the bill. He said the bill would require $226 billion in tax increases, quadrupling the state tax burden. Capito and Pennsylvania Gov. Tom Wolfe's offices didn't respond immediately to a request for comment. McKinley, however, said these concerns are overblown. The American Health Care Act makes no changes to Medicaid until 2020. Susan Collins (R-Maine) and Bill Cassidy (R-La.), who have put forward a more centrist healthcare plan that would allow states to keep much of ObamaCare in place if they choose.
Republican Senators are reportedly rethinking the American Health Care Act's elimination of the individual mandate and its provision to turn Medicaid into a state-run program.
Thirty-nine percent of voters said the legislation would let insurance companies reject coverage for people who would be considered uninsurable without Obamacare, while 30 percent said it would not, in line with figures last week. The House plan preserves the Obamacare ban against insurers denying coverage to people with medical conditions.
The new analysis also identifies a second group of people who could be at risk of higher premiums: those with pre-existing conditions now buying their own insurance. She said her coverage was good, but noted that she lives in urban St. Louis, where there are more choices than in some of her state's more rural counties.
Conservatives like Cruz are also laying down what they say is a key marker for whether a bill can pass the Senate: "Do premiums go up, or do they go down?" But he said Senate Republicans are looking at other ways to deal with the issue than the House's approach. Starting in 2014, members and their staffs had to use federal or state health care exchanges instead of the coverage that is available to most government workers. We must be able to buy health insurance across state lines like vehicle insurance (the state insurance commissioners won't like that), we need to expand health savings accounts and allow those who purchase their private health insurance to deduct the cost on their income tax returns just as employers do for their employee plans.
Sen. Joe Manchin, D-W.V. said at a press conference "it's callous to say you're going to cut back on people for the first time being able to get treatment".
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