7 key provisions of the Republican ACA replacement bill

Published
  • March 07 2017, 6:59am EST

Key provisions of the Republican ACA replacement bill

On Monday, the GOP released its plan to repeal and replace the Affordable Care Act. Much work lies ahead in navigating the bill through Congress—two House committees will begin work on the legislation to prepare it for consideration. Here are the details of the bill.

Tax credit proposed for health insurance

The bill includes an advanceable, refundable tax credit to assist those buying health insurance. The credit starts at $2,000 per person, and a family can qualify to receive as much as $14,000. Credits phase out for individuals making more than $75,000 a year, or at $150,000 for couples filing joint tax returns.

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Health savings accounts are expanded

The proposal expands the allowable size of healthcare savings accounts that can be coupled with high-deductible insurance plans. Those amounts now rise to as much as $6,550 for an individual or $13,100 for a family.

Popular provisions of ACA are maintained

The House Republicans’ bill aims to maintain coverage for people with pre-existing conditions and allow children to stay on their parents' health plans until the age of 26. While the plan would allow people with pre-existing conditions to buy insurance, it would require “continuous” coverage to discourage people from buying coverage only when they get sick. Individuals who don’t maintain health insurance for longer than a set period of time would face 30 percent higher premiums as a penalty.

Insurance requirement is eliminated

The proposal immediately ends a requirement that individuals have insurance coverage and another rule that requires some businesses to offer coverage to their workers.

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Medicaid expansion goes in reverse

The GOP plan winds down Obamacare’s expansion of Medicaid as a way to expand healthcare coverage. By contrast, it changes it to a per-capita system, where states are given a set amount for the number of people in categories, including the disabled, elderly, childless adults and pregnant mothers.

Insurance support provisions added

The plan would gives states a $100 billion fund over a decade to help people with lower-income people afford insurance, and to help stabilize state insurance markets. The fund could be used to help lower patients’ out of pocket costs or to promote access to preventive services.

Delays tax on high-cost insurance plans

The proposal would delay until 2025, instead of permanently repealing, a tax on high-cost health insurance plans.