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senate Bill S. 1213

Should Obamacare’s Health Insurance Tax Credits & Subsidies Be Expanded?

Argument in favor

Health insurers that are making money from Medicare and Medicaid (both government-funded healthcare programs) should be required to participate in the ACA exchanges. That will help ensure affordable, accessible health insurance for more Americans along with expanded Obamacare tax credits and insurance subsidies.

jimK's Opinion
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08/08/2019
I believe that healthcare needs to be universally available. The ACA is a hard fought and well established foundation upon which to build and reach that goal. By enforcing compliance with rules and policies established for Medicare it ensures more of an Apples to Apples comparison of exchange offered plans with limited 'surprises' in what may or may not be covered. Further, it ensures that offerors are competing to structure the details of their plans and to offer a high quality of service in order truly compete with others by offering plans that best address chosen details of implementation and the services provided. For example, if one plan has higher deductibles or co-pays, this can be compared directly with a competitors plan that may cost more but with less out-of-pocket expenses. Let consumers decide. I think this is the best approach for intelligently transitioning to a cost effective universal health care program that best meets the needs of most people.
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Mark's Opinion
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08/08/2019
Gotta laugh at all the inane posts from conservatives regarding ‘socialism’. Make sure you don’t drive on any of those socialism roads on your way to work today.
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burrkitty's Opinion
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08/08/2019
On the way to a UNIVERSAL SINGLE PAYER HEALTHCARE SYSTEM.
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Argument opposed

Forcing health insurers into the ACA marketplace just because they make money off Medicare and Medicaid could put them into financially untenable positions, which have caused major insurers to leave the Obamacare exchanges in the past. This could in turn harm all consumers’ abilities to purchase health insurance.

Tom's Opinion
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08/08/2019
Let this dead horse lay. We need a new, workable program.
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David's Opinion
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08/08/2019
Socialized medicine will push us into bankruptcy much sooner. Obamacare is a third party payer system. Other people, spending other people’s money on other people. There is no control of cost or quality because Government is spending other people’s money on a service for someone else which doesn’t effect them so there is no concern for cost or quality. Besides that, Federal Government is constitutionally not allowed to do this.
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SneakyPete's Opinion
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08/08/2019
🤔 What Are the Cons of the Affordable Care Act (AKA - ObamaCare)? 🤔 Forcing health insurers into the ACA marketplace just because they make money off Medicare and Medicaid could put them into financially untenable positions, which have caused major insurers to leave the Obamacare exchanges in the past. This could in turn harm all consumers’ abilities to purchase health insurance. ACA (AKA-ObamaCare)POINTS ONE MUST CONSIDER: 1. It raises the cost of health insurance for many Americans.The Affordable Care Act (AKA-ObamaCare)was intended to bring in more low income households to the insurance market. Low income individuals could receive government subsidies to make their insurance affordable. For higher income families, those subsidies were not made available. The law also requires a wider range of services and benefits to be covered, which means health insurance plans had to be generic instead of specifically tailored to individualized needs. This has caused premiums to rise dramatically over time. 2. There is an individual mandate which requires insurance or a fine. Because the Affordable Care Act (AKA-ObamaCare) includes coverage for high risk groups of individuals, a mandate had to be implemented to include healthy individuals to offset the other group. This mandate requires insurance to be obtained or to pay a fine of up to 2% of one’s income. It is a fine that the Supreme Court viewed as a tax, so allow for it to be implemented. 3. More taxes were built into the Affordable Care Act (AKA-ObamaCare). Besides the individual mandate, the Affordable Care Act (AKA-ObamaCare)also requires additional taxes on medical devices and pharmaceutical sales. Individuals with high incomes also saw potential tax increases on certain income sources. Part of the funding also came from savings in Medicare payments, which reduced the number of doctors accepting this plan. In essence, the wealthiest in the US are being asked to fund the health care for the poorest. 4. It makes it difficult to access a doctor in some communities. In rural areas, the Affordable Care Act (AKA-ObamaCare)brought hundreds of previously uninsured families into the healthcare community. This created more appointments for doctors, which reduced physician access for everyone. Even in the first year of the law’s implementation, it was not unusual for a waitlist of up to 6 months to form when accessing optional services from local doctors. 5. Enrolling in the Affordable Care Act (AKA-ObamaCare) is an extensive process. Since having health insurance is required because of the Affordable Care Act, many are forced to endure a very complicated enrollment process. Public health agencies, hospitals, and other social services or medical providers set up assistance programs to guide consumers through this process, but the complication of finding the right coverage for the right need can be a somewhat tricky process to get right – even with help. 6. Some businesses cut employee hours to avoid the coverage mandates.Under the Affordable Care Act (AKA-ObamaCare), any business with 50+ full-time employees is required to offer insurance or make payments to cover employee healthcare expenses. To avoid this coverage mandate, some business owners decided to cut the hours of their employees to less than 30 hours per week, which allowed them to be classified as a part-time worker so that the required costs could be avoided. 7. Many private health insurance plans were canceled because of the Affordable Care Act. Because the Affordable Care Act (AKA-ObamaCare) requires 10 essential services to be provided, insurers canceled many plans instead of changing them. This caused many families to lose their affordable insurance, being forced to replace it with a higher cost plan that included services that many people didn’t need or want. Maternity care is often the most cited example of the problems this law created in this area. 8. It increased the medical expense deduction for all families. Before the Affordable Care Act (AKA-ObamaCare), families could itemize and deduct medical expenses which exceeded 7.5% of their income for that year. In 2013, the law changes this so that deductions couldn’t begin until families spent at least 10% of their income on medical expenses. For a family of 6 earning $100,000 per year, that meant an additional $2,500 that could not be deducted. SneakyPete.......... 👍🏻👍🏻👍🏻👍🏻👍🏻. 8.8.19.........
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The house has not voted
  • The senate has not voted
      senate Committees
      Committee on Finance
    IntroducedApril 11th, 2019
    I believe that healthcare needs to be universally available. The ACA is a hard fought and well established foundation upon which to build and reach that goal. By enforcing compliance with rules and policies established for Medicare it ensures more of an Apples to Apples comparison of exchange offered plans with limited 'surprises' in what may or may not be covered. Further, it ensures that offerors are competing to structure the details of their plans and to offer a high quality of service in order truly compete with others by offering plans that best address chosen details of implementation and the services provided. For example, if one plan has higher deductibles or co-pays, this can be compared directly with a competitors plan that may cost more but with less out-of-pocket expenses. Let consumers decide. I think this is the best approach for intelligently transitioning to a cost effective universal health care program that best meets the needs of most people.
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    Kill Obamacare now. #MAGA
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    Gotta laugh at all the inane posts from conservatives regarding ‘socialism’. Make sure you don’t drive on any of those socialism roads on your way to work today.
    Like (69)
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    On the way to a UNIVERSAL SINGLE PAYER HEALTHCARE SYSTEM.
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    One small step for the ACA. One giant leap for Medicare for All. Stop Trump and Republicans from decimating healthcare.
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    Most every industrialized country in the world treats healthcare as a right rather than a business. America which has too long kowtowed to its business lobbyists should be working to bring healthcare to all of our citizens. I strongly support this legislation if and when (and that is in question with Moscow McConnell in charge) it is brought up for a vote.
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    Obamacare is all there is for many of us who are deemed uninsurable otherwise. Until Trump allowed some healthy people to opt out, it worked. Now it’s crippled but until we have Medicare for All, it’s what we have and we must provide enough for it to keep doing its jobs.
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    Anynomus, your ignorance is showing. Your big, fat, orange Daddy weakened the ACA, considerably, once he illegally assumed the title of President. The problem is the heartless pig and his Repugnant minions, who promise you the world then take it away, once you put them in power. Wake up, you fool. You are just a damned pawn... As to the answer to the question, it’s the least we can do! Shore it up and put the mandate back in. Sounds like a good idea to me. At least, until we have the same care for all. Oh, and while you’re at it, take away the ridiculously advantageous medical package our “leaders” get. Same care for ALL. WE ARE ALL THE SAME. Additionally, there should be no special care for these people as they are NOT doing their jobs! P.S. (Let’s takeaway their ungodly pensions, too! Social Security is good enough for you and me. Should be good enough for them also. Vote these current idiots out and let’s get some REAL legislation that supports ALL OF US, not just the “elite” enacted! )
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    There is no other alternative that’s been established despite 45’s promise to bring better health care to all. There needs to be some way for people to get good medical care as people are dying while waiting for the care we all deserve. They also needs to more competitive rates as some people are forced to pay a large percentage of their pay for insurance which comes with big co pays. As I said before, the people we pay get much better healthcare than the tax payers have & that to me is not right. Surely we would get better health insurance IF WE COULD VOTE OUR OWN IN.
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    Obamacare should have never existed
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    Let this dead horse lay. We need a new, workable program.
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    Yes. And the super wealthy citizens who free load off our tax dollars should pay for it. Along with the free loading corporations that pay $0 in federal income taxes.
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    We need to reverse the damage Trump has done to the ACA and expand it on the way to implementing a Medicare-for-all system!
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    Expand and work towards Universal Healthcare
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    Yes. Strengthen ACA. Vote YES on Elizabeth Warren’s bill. Strengthen ACA We The People rely on ACA.
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    Socialized medicine will push us into bankruptcy much sooner. Obamacare is a third party payer system. Other people, spending other people’s money on other people. There is no control of cost or quality because Government is spending other people’s money on a service for someone else which doesn’t effect them so there is no concern for cost or quality. Besides that, Federal Government is constitutionally not allowed to do this.
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    Look at systems that has been working for decades in other more civilized countries!!!
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    Universal Helthcare just like every other industrialized country on the planet. As for the anti socialism conservatives. What do the Republicans have for you? What are the Repugnants doing to lower your premiums and deductibles? Repugnants have nothing to offer you. Zero, nothing...In all your misguided brilliance you deny those who are offering a solution to your problems in favor of a party who is raping you everyday. You have been gas lighted. You don’t even believe that you deserve better because you have been manipulated. Assholes🖕
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    It's so funny reading the opinions against this. The Republicans have never come up with an alternative health care system. If they did, Mocow Mitch would be pushing it instead of stalling on every bill. You do know they don't know how to begin to create anything that does not offer big profits to the already rich. right? It is really essential that people have the opportunity to continue using The Affordable Care option.
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    The ACA helps many people. We need to expand benefits to be more inclusive
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