The House bill was released, to very weak fanfare. GOP hardliners are calling it, "ObamaCare 2.0" and "ObamaCare Lite". Meanwhile, Dems are panning it for cutting Medicaid recipients.
Remember, to pass it, the GOP can only give up 2 senate votes. Right now Murkowski (R-AK), Portman (R-OH), Cory Gardner (R-CO) and Shelley Moore Capito (R-WV) are "raising concerns" as they all have states that took the Medicaid money.
Some more details:
- No individual mandate, but insurers can apply a 30% penalty for people that go off insurance for more than 2 months and then try to get back on.
- Old customers can be charged up to 5 times as much as young customers (under ObamaCare, the limit is 3x). I'm not sure how this helps the GOP in 2018, old people tend to vote and don't like paying for anything beyond the early bird special at Denny's.
- As stated before, refundable tax credits (i.e. the government gives you money) to help with premiums if you are buying your own insurance (that is, if your employer is not buying it for you). Start at $2000/year at age 30, go up to $6000/year at age 60.
- States that opted in for Medicaid will continue to get money until 2019, but then it would be phased out.
- As stated before, preexisting conditions still covered (formally known as "guaranteed issue").
- Selling across state lines is *not* in this.
I'll be honest, I just don't see how this is going to work, even if it does somehow get passed by some miracle.
First of all, the hardline right is going to at least complain about it, if not directly oppose it. And you still need enough senators from the Medicaid states to get on board, too.
Finally, if it does pass, tons of people will probably just drop coverage, since there's no penalty. Old people will get charged more in premiums. So now you have bankrupt insurance companies, angry poor people, angry old people... say hello to a Democratic congress in 2018!