There's one group that would get slammed by the GOP's healthcare bill

What are the Republicans thinking?" said Durbin, "Do they really believe that we're a better, stronger nation with 23 million people losing their health insurance? "It is a damning indictment of congressional Republicans' and President Trump's reassurances that the bill guarantees protection for people with pre-existing conditions", said Emily Gee, health economist at CAP. "Millions of Americans will become uninsured - with low-income families on Medicaid being hit the hardest".

The AHCA would reduce projected spending on Medicaid by $834 billion over 10 years, and 14 million fewer people would be covered by Medicaid in 2026 - a reduction of about 17 percent from the enrollment expected under the ACA. It also would replace the ACA's income-based tax credits and subsidies with age-based credits that most analysts say are less generous.

Public opposition to the American Health Care Act is growing, with the latest Quinnipiac University poll showing 57 percent of voters disapprove of the GOP-crafted bill, which passed in the House by the slimmest of margins.

The bill faces a tough slog there, with even Senate Majority Leader Mitch McConnell of Kentucky acknowledging he's not sure how the legislation will get the votes needed to pass. States also would get permission to allow insurers to charge higher premiums for older people.

Erasing former President Barack Obama's health care law was a top promise of Donald Trump during his presidential campaign, and by congressional GOP candidates since its 2010 enactment.

Hoping to make Republicans vulnerable on the issue, Democrats have attacked those changes as victimizing people with serious and costly-to-treat medical problems.

"This CBO report again confirms that the American Health Care Act achieves our mission: lowering premiums and lowering the deficit". The AHCA, as passed by the House, would tend to increase such premiums before 2020 compared with those under the PPACA--by an average of approximately 20% in 2018 and 5% in 2019 as the funding provided by the AHCA to reduce premiums had a larger effect on pricing.

Prior to the changes, the CBO estimated that the bill would result in savings of $150 billion over the next decade and grow the number of uninsured Americans by 24 million.

The new provisions would allow states to permit insurance companies to increase premiums on some people with pre-existing conditions and waive the federal "essential health benefits" requirement. The CBO estimates that about half the population resides in states that would not request waivers, about one-third of the population resides in states that would make moderate changes to market regulations, and about one-sixth of the population resides in states that would obtain waivers.

The budget office projected that premiums in those states would be lower for healthy people than under current law because their coverage would be narrower, but did not estimate an amount.

"A state has to have a risk system in place" to get a waiver, "and that risk system is specifically created to make sure that people with a catastrophic illness, who has a preexisting condition, also gets access to affordable healthcare", Ryan said. But lawmakers remained quiet after Thursday meetings about what would actually be in the bill, and significant disagreements remain, on everything from Medicaid and tax credits to how to help people with existing health conditions.

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