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senate Bill S. 16280

New Republican Healthcare Bill: Senate Version

Argument in favor

Obamacare has failed to fulfill its main promises to the American people — that health insurance would be affordable for all and that consumers would have the choice of keeping their doctor. This bill repeals and replaces Obamacare with a patient-centered system that will create more options for consumers at an affordable price, while assisting those who need help paying for their insurance and cutting taxes that inhibits economic growth and healthcare innovation.

Sharon's Opinion
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06/26/2017
Why don't we look at making healthcare a not for profit and develop a single payer plan? The current system allows insurance companies to keep 20% of the premiums for administrative costs. Medicare has about 5% for administrative costs. If the insurance costs are 1 trillion and we could save even 10% of that in administrative costs, we could save 100 billion dollars. I think that is more than enough to cover those that cannot afford insurance. Of course the CEO's and upper management would loose their multimillion dollar annual salaries. This still would not make everyone happy but they aren't happy now.
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Mark's Opinion
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06/26/2017
Government has no business being in the Health Care Business!!!!!!
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Gerald's Opinion
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06/26/2017
Is is not the Governments job to provide the population with. Health care. On top of that the government does not tell me I have to buy anything that includes health insurance
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Argument opposed

Obamacare isn’t perfect, but Congress should focus its efforts on fixing its flaws rather than repealing it and replacing it with a solution that undoes the progress it made in expanding access to affordable healthcare. Millions of Americans would lose their health insurance coverage if this bill were to become law, and it’s expected that it would increase the cost premiums between now and 2020. That’s not an acceptable solution for the American people.

Dave's Opinion
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06/26/2017
To lose coverage for 22 million Americans is not acceptable at all. It's morally inexcusable and I would feel so violated if the senators I helped elect would allow such a bill to pass. Please do not pass this bill.
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Michael's Opinion
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06/26/2017
This is not a healthcare bill! This is a giveaway to the rich! This should be labeled a tax bill or repeal of a tax bill. Obama care is not perfect but go back and fix what you do not like.
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Susannah's Opinion
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06/26/2017
There needs to be transparency in ALL bill making. There needs to be an emphasis on what is best for the American people, the majority of whom are not rich. There needs to be some shouting that a bill that hurts the elderly, the disabled and children and helps the wealthy is EVIL.
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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
    IntroducedJune 22nd, 2017

What is Senate Bill S. 16280?

This bill page represents Senate Republicans' proposed amendment to the House-passed American Health Care Act, which could receive a vote this week. After releasing a 142 page draft bill they're calling the Better Care Reconciliation last week, GOP senators have announced changes and even more are likely to be made in the days leading up to a vote. You can read more about the evolving Senate's proposal and how it compares to the House-passed bill below:

What’s different from the House bill

  • States couldn’t allow insurers to increase a person’s health insurance premiums because of pre-existing conditions if they had a lapse in their coverage, as was permitted under the House bill.

  • A provision allowing insurers to impose a 30 percent surcharge on health insurance premiums for consumers who allowed their coverage to lapse that was in the House-passed bill isn’t included in the Senate’s draft.

  • States that expand Medicaid would start receiving a smaller share of the program’s cost from the federal government starting in 2021, rather than in 2019 as under the House bill, and by 2024 federal support would be returned to its pre-Obamacare levels.

  • Tax credits to help people pay for insurance would be based on age and income, as opposed to solely being based on age under the House bill.

  • An additional $45 billion in funding for states to support substance use disorder treatment and recovery services would be made available for fiscal year 2018.

  • The Patient and State Stability Fund that was to disburse $15 billion in 2018 and 2019, and $10 billion annually thereafter through 2026 to offset premium hikes, plus $8 billion annually from 2018-2023 to help people with pre-existing conditions who had coverage lapses under the House bill would be modified. The Senate’s draft keeps the $15 billion and $10 billion payments in place through 2021, but starting in 2019 long-term state stability and innovation payments would be made, totalling $8 billion in 2019, $14 billion in 2020-21, $6 billion in 2022-23, $5 billion in 2024-25, and $4 billion in 2026.

  • Individuals who have a lapse in their coverage for 63 days or more in the prior year will be subject to a six month waiting period before their new coverage takes effect, during which they wouldn't have to pay premiums.

 

What’s the same as in the House bill

  • The individual and employer mandates to purchase health insurance are repealed.

  • Taxes on health insurance, prescription drugs, and medical devices are repealed, as is the tax on higher cost so-called “Cadillac plans” offered by employers.

  • Individuals can remain on their parents’ health insurance plan until they’re 26.

  • People with pre-existing conditions couldn’t be denied coverage.

  • Refundable, advanceable tax credits will be made available to help eligible people pay for health insurance premiums.

  • States will be allowed to set their own definitions of what qualifies as an essential health benefit that insurance providers must offer coverage for.

  • Medicaid would be transitioned from an open-ended entitlement, under which the federal government matches state spending dollar-for-dollar, to providing funding on a per capita basis or through a block grant based on current spending. This change would take effect in 2020.

  • The age band ratio would be increased, allowing insurers to charge older consumers up to five times more than they charge younger consumers.

  • Health insurance plans that include coverage for abortions that aren’t necessary to save the life of the mother or end a pregnancy resulting from rape or incest wouldn’t be eligible for premium assistance tax credits.

  • Tax-exempt entities (like Planned Parenthood) that provide abortions other than in cases of rape, incest, or to save the life of the mother would be prohibited from receiving federal funds through Medicaid for one year after the bill’s enactment.

Impact

The American public, especially consumers of health insurance; businesses; health insurers; states; and federal agencies.

Cost of Senate Bill S. 16280

A CBO cost estimate is unavailable.

More Information

In-Depth: Senate Republican leadership have said they’d like to bring the bill up for a vote before they depart at week’s end for the Fourth of July recess, although no specific timeline has been announced. When it is brought up for a vote, the legislative text will be introduced as an amendment to the House-passed AHCA, and an unlimited number of subsequent amendments will be considered as the bill is debated on the Senate floor for 20 hours before a vote.

Summary by Eric Revell
(Photo Credit: agilemktg1 via Flickr / Creative Commons)

Official Title

Better Care Reconciliation Act of 2017 (Draft)

    Why don't we look at making healthcare a not for profit and develop a single payer plan? The current system allows insurance companies to keep 20% of the premiums for administrative costs. Medicare has about 5% for administrative costs. If the insurance costs are 1 trillion and we could save even 10% of that in administrative costs, we could save 100 billion dollars. I think that is more than enough to cover those that cannot afford insurance. Of course the CEO's and upper management would loose their multimillion dollar annual salaries. This still would not make everyone happy but they aren't happy now.
    Like (56)
    Follow
    Share
    To lose coverage for 22 million Americans is not acceptable at all. It's morally inexcusable and I would feel so violated if the senators I helped elect would allow such a bill to pass. Please do not pass this bill.
    Like (279)
    Follow
    Share
    This is not a healthcare bill! This is a giveaway to the rich! This should be labeled a tax bill or repeal of a tax bill. Obama care is not perfect but go back and fix what you do not like.
    Like (232)
    Follow
    Share
    There needs to be transparency in ALL bill making. There needs to be an emphasis on what is best for the American people, the majority of whom are not rich. There needs to be some shouting that a bill that hurts the elderly, the disabled and children and helps the wealthy is EVIL.
    Like (176)
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    Cutting Medicaid to give tax breaks to the wealthiest Americans is sickening! At least have the courage to meet with your constituency before voting on this travesty.
    Like (108)
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    I just cannot even begin to understand what is going through the mind of these elected officials who are supposed to represent and protect the American people. The ACA is not perfect but it can certainly be made better if the GOP would stop putting party above its citizens and work with Democrats and Independents. Our elected officials should have the very same insurance they expect to shove down our throats. Wonder how quickly they would want a vote?
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    This is not a healthcare bill. CBO estimates 22 million Americans will lose coverage. Healthcare should improve access and quality and we should never go back to the days where folks with pre-existing conditions didn't have blanket protections against being denied the care they deserve. We can do much better than this tax break for the wealthiest Americans. Vote against.
    Like (77)
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    This bill was created in secret by a group of rich white men who only care about rich white men. The absolutely undemocratic nature of this is despicable. How can taking away the healthcare of 22 million Americans be considered to be a good thing by anyone? But of course this isn't about healthcare for congressional Republicans. It's about their petty need to undo anything Obama did - and that's why this bill is being rushed to a vote with almost no debate. It will be the American people who suffer for this immaturity, especially women, the elderly, the poor, and those with medical issues. Something this important, that affects the lives of so many Americans should not be rushed through just to settle some awful vendetta.
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    Tax cut at the expense of 22 million people is unacceptable.
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    This bill needlessly hurts millions of Americans. We need a bipartisan bill for something this important . What we have in place can be improved. All stakeholders should be a part of the process.
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    I am a senior citizen on a fixed income. I already pay a lot for my health care and cannot afford the increases that will be assessed to the elderly. What in heck has this country come to. I think all of you congressman and senators should have the exact same healthcare that you want to impose on us. That would change a lot wouldn't it. Please do not vote for this atrocious bill.
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    I'm a 28 year old woman who uses insurance from the healthcare exchange as a graduate student. I oppose this legislation as it would raise my costs and make basic care inaccessible to millions of Americans.
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    Government has no business being in the Health Care Business!!!!!!
    Like (45)
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    This healthcare bill fundamentally wrong. Take the time to work with the ENTIRE Senate to develop a bill which will benefit ALL Americans not just the wealthy few.
    Like (39)
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    This will make quality health care inaccessible to the most vulnerable population while giving the wealthiest in this country another break.
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    THIS WILL KILL PEOPLE HAVE YOU NO FUCKING SHAME
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    To those who say it is not the governments responsibility to provide health care, it is absolutely the governments responsibility. This is why this issue is such a mess because in this country we cannot agree on the basic roles and functions of government. Until we settle that fundamental question we will continue down a very divisive and unfortunate path.
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    This is not a healthcare bill.
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    Cruel
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    This bill is bad for all Americans. It removes the essential protections for people like my son, who is living with Cystic Fibrosis. We rely on the protections of the ACA to ensure we have adequate accessible and affordable healthcare. Healthcare is personal, not political, please treat it with care as if it was your family.
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