Thursday, April 20, 2017

Repeal Deal Two

Another deal in the works:
The agreement, brokered by House Freedom Caucus chairman Mark Meadows (R-NC) and Tuesday Group co-chairman Tom MacArthur (R-NJ), would allow states to eliminate Obamacare’s community rating system, a rule that prohibits health insurers from pricing health care plans based on age, gender, or health status. States that repeal Obamacare’s community rating rules would have to join a federal high-risk pool or establish a local high-risk pool to obtain the waiver.

The deal, known as the MacArthur amendment, would also reinstate Obamacare’s Essential Health Benefits, although states could waive Obamacare’s Essential Health Benefits if they were to prove that eliminating those regulations would lower premiums, increase the number of people insured, or “advance another benefit to the public interest in the state.”

Essential Health Benefits require that health insurance plans must cover certain services such as doctors’ services, inpatient or outpatient hospital care, prescription drugs, pregnancy, childbirth, and mental health.
The essentials of reform, or saving the status quo?

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