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.