Вторник, 12 Декабря, 2017


What Trump's new executive order means for the ACA and Covered CA

173863 full How Trump's executive order would weaken Obamacare
Orlondo Matamoros | Октября 13, 2017, 19:52

The move drew swift condemnation from Democrats and threats from state attorneys general in NY and California to fight back with lawsuits.

"We're taking a little different route than we had hoped because Congress - they forgot what their pledges were", Trump said, referring to the failure of the Republican-led Congress to pass an Obamacare repeal bill.

The legislation is widely known in the U.S. as Obamacare.

The president has chose to take a sledgehammer to Obama's signature policy by eliminating cost-sharing reduction payments (CSRs) that help some low-income Americans buy health insurance within the Obamacare marketplace.

'It is a spiteful act of vast, pointless sabotage leveled at working families and the middle class in every corner of America.

On Thursday, President Trump dropped an executive order on healthcare that wasn't entirely straightforward but may result in higher insurance premiums on polices that don't offer many consumer protections.

The CSRs help low-income people afford co-pays, deductibles and other out-of-pocket costs associated with health insurance policies. But he has repeatedly threatened to cut them off and disparaged them as a "bailout" for insurance companies.

Andrew Bremberg, director of the Domestic Policy Council at the White House told reporters during a briefing Thursday morning that the order was only the beginning to actions taken by the administration to assist "Obamacare's victims".

"Based on guidance from the Department of Justice, the Department of Health and Human Services has concluded that there is no appropriation for cost-sharing reduction payments to insurance companies under Obamacare", the White House press secretary said late Thursday. Patty Murray, D-Wash., have been trying to reach such a deal, which would ensure continuation of the so-called cost-sharing reduction payments. Such new insurance options, however, may not be available until 2019, and the order could face legal challenges from Democratic state attorneys general.

The latest tweeted comments come after moves by the president to dismantle the Affordable Care Act passed under his predecessor Barack Obama. A major small business group praised the president, while doctors, insurers, and state regulators said they have concerns and are waiting to details.

Anthem Inc, one of the largest remaining Obamacare insurers, in August scaled back its offerings in Nevada and Georgia and blamed the moves in part on uncertainty over the payments. The payments amounted to an estimated $7 billion in 2017, according to the Congressional Budget Office.

While senior congressional Republicans oppose the payments themselves - they sued the Obama administration to stop them and have tried for years to repeal the underlying law altogether - there's recognition of what ending them suddenly could do to the millions of Americans insured through the Obamacare exchanges. Last year, a federal judge agreed with them, though the order was suspended while the case was being appealed.

Basically Trump is looking to find ways to run insurance options that go around the requirements of the Affordable Care Act.