Update on the American Health Care Act Post Mark Up

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By Rachel Hammon, RN, BSN posted Mar 10,2017 03:09 PM

  

As previously reported, TAHC&Hs March on Washington, could not have been better timed.  Since the health care bill, the American Health Care Act, was released on March 6th, the committees of jurisdiction met non-stop to make changes through the mark up process.  That process concluded on March 8th

Please click here to see a very detailed summary, prepared exclusively for TAHC&H members.  This is a summary of the bill status as of today, March 10th, 2017, post mark up. 

In addition to the detailed summary above, the table below is a quick reference to the major changes in the bill. 

Brief Summary of Major Provision Changes

Provision

Repeal/Change/Keep

Effective Date

Individual and Employer Mandates

Repeal and Replaced with incentives to maintain “continuous coverage”

On Enactment

Individual premium and small business tax credits

Changed to age-adjusted fixed dollar credits with income limitations

December 31, 2019

Taxes (incl. HIT, medical device, drug manufactures)

Repeal 

December 31, 2017 and some in 2018

Cost-sharing reduction payments

Repeal

2020

Medicaid Coverage Expansion

Repeal’s state option to expand Medicaid

Dec. 31, 2019

Enhanced match funding to states that expanded Medicaid

Repeals and changes funding to a per captia cap structure

2020

Limits on HSAs

Change by expanding flexibility

December 31, 2017

“Cadillac Tax”

Keep

Delay implementation until 2025

Essential Health Benefits

Keep (except for Medicaid population)

For Medicaid population, sunset in 2019

Dependent coverage until 26

Keep

 

Insurance Protections (prohibition on annual and lifetime limits, pre-existing conditions, and discrimination)

Keep

 


As always, TAHC&H will continue to keep members updated on the status of DC issues.
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