The American Healthcare Act - a few quick observations - Granite Grok

The American Healthcare Act – a few quick observations

  • Individual mandate – gone
  • Tanning tax – gone
  • Taxes on prescription drugs, over the counter meds, health insurance plans, net investment income – gone
  • Taxes on medical devices – gone
  • Increase of Medicare tax – repealed
  • The “Cadillac tax” is gone – I think (update – nope, but delayed until 2025.  I bet this will turn into another “Doc fix” – constantly pushed out)
  • Employer mandate – gone
  • Health Savings Accounts – much more important, the increased tax on them rolled back (from 20% back to 15%).  Amount that can be contributed is raised from $2250
  • Seriously – Politically Correct language in here – “GrandMOTHERED”???

a grandfathered health plan or a grandmothered health plan

‘(3) GRANDMOTHERED HEALTH PLAN.— 5‘‘(A) IN GENERAL.—The term ‘grandmothered health plan’ means health insurance coverage which is offered in the individual health insurance market as of January 1, 2013, and is permitted to be offered in such market after January 1, 2014, as a result of CCIIO guidance

  • Abortions – getting rolled back but I need to study this a lot better as it appears in several places.  If you want it, get a covering plan but it is NOT mandated.

  • Changes to how insurers can charge by age / income (widens what insurers can charge the young to the old from 3X to 5X – the table is in the bill).
  • Is this the Individual Mandate, sideways?  But pre-existing conditions still apply

  • Medicaid goes to a per capita basis
  • Medicaid Expansion dies after 2020 (with grandFATHERING for current enrollees)

 

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