And the amount states would get for the people signed up under the Obamacare expansion would be substantially reduced, by more than a third in some states, except in the case of
people who stay continuously enrolled in Medicaid, a somewhat rare circumstance in a program in which people tend to cycle in and out of eligibility as their incomes change.
Poor, older adults would face the largest crunch: The magnitude of their tax credits shrinks, even as a separate provision in
the bill allows insurers to charge older people substantially higher prices than are allowed under the Affordable Care Act.
Legislative language for what House leaders call the American Health Care Act, released Monday evening, would substantially cut back funding to states
that cover poor adults through their Medicaid program.
And the law would allow people to save more money each year in tax-free health savings and flexible spending accounts — accounts
that are most valuable to people who pay high income tax rates and have money to save.
But they would still mean that the Americans who have benefited most from the tax subsidies in the Affordable
Care Act — individuals earning less than about $30,000 — would get substantially less help.
The bill keeps some of Obamacare’s most popular provisions: Insurers have to offer health plans to people regardless of their health history.
Repeal Bill Would Cut Funding for Poor and Taxes on Rich -
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Republicans in the House have performed major surgery on the Obamacare replacement plan they circulated a few weeks ago.