Many of these companies lost millions under Obamacare, so the new plan is expected to help them as much as it is to help Americans. According to the Center on Budget and Policy Priorities' Edwin Park, "both would radically restructure Medicaid's financing and have similar, deleterious effects on states and beneficiaries".
Uncertainty now about an Obamacare replacement could cause insurers to charge more or withdraw from the market, leaving consumers with fewer - and perhaps no - choices. But, he says "sticking points remain on Medicaid reform" and the expansion lives in the states that increased eligibility under the ACA. Of note, in a February 21 brief to clients, Ralph Giacobbe, a securities analyst for Citi, pointed out that eight states that expanded Medicaid under the ACA also included statutory triggers to cease their expansion programs should Congress reduce the enhanced federal match below levels guaranteed by the ACA. Even former House Speaker John Boehner said Thursday that Congress is more likely to tinker with the healthcare law than get rid of it.
What's more, Pew finds that 65 percent of adults under 30 approve of Obamacare, a significant change since October when only 51 percent of young people expressed approval.
The reality, though, is that there is a base of people in each state who rely on Medicaid funding, he observed, and slashing spending in Washington would just mean putting more of that burden on state governments.
A new poll released Wednesday adds a new element for congressional Republicans to consider about their repeal-and-replace approach to former-President Obama's cornerstone legislation: more American voters appear to be support the law.
Supreme Court Asks Parties' Views on Trump Shift in Transgender Policy
The Obama administration's "Dear Colleague" letter - from the Justice and Education departments - does not carry the force of law. Grimm's case is scheduled for oral arguments at the Supreme Court in Washington , D.C., on March 28.
The plan, leaked to reporters Friday, largely mirrors previous blueprints proposed by Republican lawmakers.
The bill would repeal Obamacare's income-based tax subsidies and replace them with refundable tax credits that vary by age. Respondents also overwhelmingly support keeping funds for Medicaid expansion.
Kentucky Gov. Matt Bevin, in a letter to House Majority Leader Kevin McCarthy, R-Calif., last month estimated the state's portion of Medicaid expansion will amount to $1.2 billion over the next five years.
With no concrete moves yet in Washington, D.C., it's unknown right now when - or if - the Affordable Care Act might be repealed, whether the state would continue the expanded Medi-Cal program and pay for it, or whether those costs would be passed on to counties, Buckshi said. Lamar Alexander and Bob Corker, verbally and in writing stress that the bill must fully repeal Obamacare instead of saying it must fully support repealing Obamacare.
The draft bill includes provisions repealing large swaths of the ACA, from Medicaid expansion to the penalty for Americans that don't purchase health insurance. And it would still be possible to refuse coverage to people with pre-existing conditions.