At the moment, the bill doesn’t have the support of any Democrat. Others from both ends of the party’s spectrum have expressed concerns, complicating McConnell’s task because edging the bill in one direction risks alienating GOP lawmakers from the other side.
In its report, the CBO said 22 million fewer people would have health care coverage by 2026 under the bill.
An estimated 22 million more people would lose health coverage through 2026, which is 1 million less than the 23 million estimated under the American Health Care Act (AHCA) that passed the House May 4, 2017, and 2 million less than the 24 million foreseen under the original version of the House bill. The Senate bill caps Medicaid spending, meaning that each year as health-care costs get higher, states are going to have to make more cuts to their programs.
According to the CBO, the biggest drop in coverage would come next year, when “15 million more people would be uninsured”.
“Throwing 22 million Americans off of health insurance, raising premiums for older Americans, defunding Planned Parenthood and giving $231 billion in tax breaks to the top 2 percent is a cynical and immoral proposal”, said Independent Senator Bernie Sander, who caucuses with the Democrats.
The White House quickly dismissed the CBO report, citing what it called its “history of inaccuracy”. On the other hand, four conservatives have said they oppose the current version of the bill for not doing enough to reduce premiums. Five GOP senators have pledged not to vote for the bill without significant changes, though it’s widely expected that some will defect to a “yes” as negotiations continue. And then there are a set of trade-offs in between how we think about taxes and how we think about coverage, especially in the Medicaid program, that are not the trade-offs that I would make. The cuts are phased in, so their full impact won’t be felt until after 2026, which is beyond the timeframe of the CBO’s analysis. “I will vote no on mtp (motion to proceed)”.
They have only a 52-seat majority in the 100-seat Senate. In the event of a 50-50 tie, Vice President Mike Pence would cast the deciding vote. One in 5 Mainers are on Medicaid. Ted Cruz of Texas and Sen.
But frustration with the legislation was clear.
“It’s a bad bill”, said Paul. It also would eliminate $700 billion worth of taxes over a decade, largely on wealthier people and medical companies – money that Obama’s law used to expand coverage.
In undermining the ACA, the Senate bill eliminates enforcement of the health care mandate, and replaces federal subsidies with smaller tax credits that will make it more hard for older populations to access insurance.
Republicans have introduced slight changes to the legislation, including a provision that penalizes those who let their insurance lapse for 63 days or more.
The six-month “lockout” is aimed at nudging people into maintaining insurance at all times. “Florida didn’t expand Medicaid, and Florida is already operating on a waiver”, he said.
That’s only slightly fewer uninsured than a version passed by the House in May.