Changes Required By The Affordable Care Act After 90 Days
- Some small businesses qualified for tax credits of up to 35% of premiums.
- Five billion dollars were allocated for individuals who could not qualify for insurance. These funds allowed them to buy insurance from the government instead.
- A temporary reinsurance program was established to reimburse participating employment-based plans for a portion of the cost of providing health insurance coverage to early retirees. ;
Medicare’s Uncapped Drug Costs Take A Big Bite From Already Tight Budgets
The president continues to pick a fight on Twitter and at political rallies with the late Sen. John McCain, R-Ariz., for his role in derailing the GOP’s repeal effort, but his attacks do not accurately reflect the reality that there was never an alternative health care bill to vote on that could have passed Congress. McCain, Collins and Sen. Lisa Murkowski, R-Alaska, were all deeply skeptical of a strategy that threatened to negatively affect health care for millions of Americans without a clear plan to fix the damage uprooting the law would cause in practical terms.
Health care is an issue the president still wants to pursue. Trump huddled privately with Senate Republicans this week and told them it’s an area in which the party has fallen short and he wants a win. “The Republican Party will soon be known as the party of health care,” Trump told reporters on Capitol Hill on Tuesday.
Who Voted For Affordable Care Act
Question: Who voted for Affordable Care Act?
Answer: The Affordable Care Act was signed into law by President Obama;on March 23, 2010. ;Before becoming the law, there were 219 House of Representatives that voted in favor of the Affordable Care Act. ; Below is a complete list of House of Representatives that voted in favor of Affordable Care Act: ;There was not a single Republican representative that was in favor of the Affordable Care Act.
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Obamacare Repeal Fails: Three Gop Senators Rebel In 49
WASHINGTON Obamacare stays. For now.
Senate Republicans failed to pass a pared-down Obamacare repeal bill early Friday on a vote of 49-51 that saw three of their own dramatically break ranks.
Three Republican senators John McCain, Susan Collins and Lisa Murkowski and all Democrats voted against the bill, dealing a stinging defeat to Republicans and President Donald Trump who made repeal of Obamacare a cornerstone their campaigns.
The late-night debate capped the GOPs months-long effort to fulfill a seven-year promise to repeal the Affordable Care Act.
3 Republicans and 48 Democrats let the American people down. As I said from the beginning, let ObamaCare implode, then deal. Watch!
Donald J. Trump
The Senate has tried to pass multiple versions of repeal: repeal and replace, a straight repeal and Fridays bare-bones repeal, but none garnered the support of 50 Republicans.
An emotional Senate Majority Leader Mitch McConnell, R-Ky., said after the 1:40 a.m. vote went down that Republicans remained committed to repealing the Obama-era health law.
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How Many Republicans Voted For Obamacare
The Affordable Care Act, also called Obamacare, received no Republican votes in either the Senate or the House of Representatives when it was passed in 2009. In the Senate, the bill was passed with a total of 60 votes, or 58 Democratic Party votes and 2 Independent Party votes. The House passed the legislation with 219 Democratic votes.
The Affordable Care Act received 39 votes against it in the Senate, all from Republicans. One senator abstained from voting. In the House, the ACA received 212 votes against it, with 34 coming from the Democratic Party and 178 from the Republican Party. There were enough votes for the ACA in the Senate to prevent an attempt to filibuster the bill, while the House vote required a simple majority.
The ACA originated in the Senate, though both the House and Senate were working on versions of a health care bill at the same time. Democrats in the House of Representatives were initially unhappy with the ACA, as they had expected some ability to negotiate additional changes before its passage. Since Republicans in the Senate were threatening to filibuster any bill they did not fully support, and Democrats no longer had enough seats to override the filibuster, no changes could be made. Since any changes to the legislation by the House would require it to be re-evaluated in the Senate, the original version was passed in 2009 on condition that it would be amended by a subsequent bill.
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Gutierrez Says ‘hundreds Of Republican Amendments’ Were A Part Of Obamacare
Republicans continue to sell their health care plan in an effort to deliver on a party-wide campaign promise to repeal and replace Obamacare. Yet during a roundtable discussion on State of the Union, Rep. Luis Gutierrez, D-Ill., pushed back on charges of Democratic obstructionism regarding health care legislation.
Anchor Jake Tapper asked if Gutierrez was involved, or if;Democrats were;”just sitting by the sidelines opposing everything.”
“Very different process,” Gutierrez replied. “2009-2010, let’s remember, hundreds of Republican amendments were adopted in the ACA.”
We decided to look into Gutierrezs claim that the final version of the Affordable Care Act incorporated hundreds of Republican amendments.
When the ACA was making its way through Congress, former President Barack Obama made a similar statement in September 2009. During a joint address to Congress, he said that his plan incorporated the ideas of both Republicans and Democrats. We rated that claim Mostly False, because many of the amendments Republicans introduced were technical in nature.
Republicans had several opportunities to introduce amendments to the Affordable Care Act, in both the Senate and House bills. Ultimately, for procedural reasons tied to the death of Sen. Ted Kennedy, D-Mass., the Senate version was the only one that moved forward. But Republicans offered changes in the committees that considered the bills before the whole chambers voted on them.
Lesson 1: Replacing Obamacare Will Remain A Struggle Without A Clear Replacement Plan Or Goal
On one of his last days in office, President Obama, in an interview with Vox, issued the Republican Party a clear challenge. Now is the time when Republicans have to go ahead and show their cards, he said. If in fact they have a program that would genuinely work better, and they want to call it whatever they want they can call it Trumpcare or McConnellcare or Ryancare if it actually works, I will be the first one to say, Great.
I suspect, Obama continued, that will not happen.
So far, the former presidents prediction has proven right. Republicans have struggled over the past six months because they never came up with a clear replacement plan that the public actually wanted.
The day before Obamacare was signed, Republicans decided they would not campaign only to repeal the new health care law. They would instead vow to repeal and replace it with a more conservative health policy.
The repeal and replace message was a concession that simply promising to return to the days before Obamacare was unrealistic. But it also committed them to coming up with a plan of their own and that part never happened.
After Republicans swept the House, the Senate, and, finally, the White House, they still had no clear replacement plan. The GOP had spent seven years running a scorched-earth campaign against Obamacare, while turning a blind eye to the deep divisions within their own party on the replace part of their pledge.
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Undermining Of Acas Risk Corridors
Risk corridors were a three-year program designed to keep the individual markets stable during the early years of ACA compliance. The idea was to take money from insurers that ended up with lower-than-expected claims, and send it to insurers that ended up with higher-than-expected claims.
And if insurers with higher-than-expected claims needed to be reimbursed more than the amount contributed by insurers with lower-than-expected claims, HHS was going to make up the difference. This was clarified in the 2014 Benefit and Payment Parameters, finalized in 2013. On the flip side, if insurers had done exceedingly well, HHS would have been able to keep the excess funding. Obviously that didnt happen.
Then in late 2014, Republican lawmakers, led by Senator Marco Rubio, added language to a must-pass budget bill that retroactively made the risk corridors program budget neutral. This was after 2014 coverage had been provided for nearly the full year, and after 2015 open enrollment was already underway, with rates long-since locked-in.
Senate Delivers Blow To Trump’s Promise To Repeal Obamacare
Three Republican senators, along with the Democrats, put the brakes on President Donald Trump’s promise to repeal Obamacare.
During the early morning hours of July 28, John McCain of Arizona, Susan Collins of Maine and Lisa Murkowski of Alaska voted along with the Democrats against repealing former President Barack Obama’s signature legislation.
Senate Majority Leader Mitch McConnell of Kentucky said in a Senate floor speech after the vote that “it’s time to move on,” but Trump has shown no signs of backing down from one of his signature campaign promises.
After the Senate vote, Trump urged senators to continue the quest for repeal:
“Unless the Republican Senators are total quitters, Repeal & Replace is not dead! Demand another vote before voting on any other bill!” he tweeted July 29.
Trump and threatened to end “bailouts” for insurers that are designed to help patients with modest incomes.
Trump senior advisor Kellyanne Conway said on Fox News Sunday the president would decide in the coming days whether to block subsidies in the health care law.
“He’s going to make that decision this week, and that’s a decision that only he can make,” she said on July 30.
There are some other possibilities beyond full repeal of the law, including some lawmakers’ hopes for a bipartisan solution. But it’s unclear if Congress will help Trump deliver on his promise to repeal the law at any point in the future, although Trump still has time.
For now this promise remains Stalled.
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Texas V Azar: Another Legal Challenge With Tenuous Logic And Significant Potential Ramifications
When GOP lawmakers passed the Tax Cuts and Jobs Act that prospectively repealed the individual mandate penalty, it triggered a new lawsuit filed by 20 Republican-led states .
The plaintiff states argument is essentially this: The Supreme Court ruled in 2012 that the individual mandate was constitutional because the fine for non-compliance was deemed a tax rather than a penalty. Now that the tax for non-compliance with the individual mandate has been set at $0, plaintiffs in Texas v. Azar are arguing that the entire ACA is unconstitutional and should be struck down.
Legal scholars on both sides of the issue believe that this is an absurd argument, but Judge Reed OConner sided with the plaintiffs in December 2018, ruling that the ACA should be invalidated. And a few months later, the Trump administration agreed that the ACA should be overturned.
Oral arguments were held in the Fifth Circuit Court of Appeals in July 2019, with Democratic-led states stepping in to defend the ACA since the Department of Justice has agreed with the plaintiffs in the case.
A group of Democratic-led states subsequently asked the Supreme Court to step in and hear the case during the 2020 term, instead of waiting for it to make its way back through the lower court. But the Supreme Court declined to do so. So for the time being, the Appeals Court is awaiting a decision from the lower court in terms of which provisions of the ACA should be overturned.
Timeline: The Gop’s Failed Effort To Repeal Obamacare
For months, Republicans agonized over their ObamaCare repeal-and-replace effort.
It was declared dead in the spring. Then revived and passed in the House. It appeared dead in the Senate this summer, but came back to life.
But this week it met its demise at least in the immediate future. The vehicle they were using to avoid a Democratic filibuster expires at the end of the month, and Republicans wont be voting on another ObamaCare repeal bill this week.
Heres a look back at the GOP effort:
After midnight on Nov. 9: Donald Trump is declared the winner of the presidential election. Republicans retain control of both the House and the Senate.;
At a press conference, Senate Majority Leader Mitch McConnell
Donald TrumpThe Memo: Biden comes out punching on COVID-19Ex-Kansas state rep charged with fraud of more than 0K in COVID-19 relief money Medicare trustees sound alarm, but progressives press ahead with irresponsible Medicare expansionMORE coming who is asking us to do this.
During Trumps first television interview since the election, he said repeal and replace would be done simultaneously.
Republicans will repeal and replace parts of ObamaCare by spring, Ryan said at the GOPs annual policy retreat in Philadelphia.
The goal: Mark up a bill in the coming weeks and bring the final package to the floor by late February or early March.
Lacking the votes, Ryan pulled the bill from the House floor.
The Senate rejects a repeal-only bill.
Senate Gop Tries One Last Time To Repeal Obamacare
McConnell and his lieutenants will gauge support for the bill this week in private party meetings.
By BURGESS EVERETT and JOSH DAWSEY
09/17/2017 02:51 PM EDT
Republicans say Senate Majority Leader Mitch McConnell wont bring up the bill if there is any chance of failure, given the dramatic collapse in the summer. | john Shinkle/POLITICO
Obamacare repeal is on the brink of coming back from the dead.
Senate Majority Leader Mitch McConnell and his leadership team are seriously considering voting on a bill that would scale back the federal governments role in the health care system and instead provide block grants to states, congressional and Trump administration sources said.
It would be a last-ditch attempt to repeal Obamacare before the GOPs power to pass health care legislation through a party-line vote in the Senate expires on Sept. 30.
No final decision has been made, but the GOP leader has told his caucus that if the bill written by Sens. Lindsey Graham and Bill Cassidy has the support of at least 50 of the 52 GOP senators, he will bring it to the floor, Graham and Cassidy say. That would give Republicans one more crack at repealing the Affordable Care Act, a longtime party pledge.
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Some Republicans believe that if the bill were put on the floor Monday, it would have the support of 49 senators.
Directive Ending Key Subsidy Threatens Obamacare’s Viability
After failing in several attempts to pass legislation overturning the Affordable Care Act, the Trump administration took a big step toward undercutting the law Oct. 12 when it said it would no longer continue funding a class of widely used subsidies without congressional appropriations.
The payments in question are known as “cost-sharing reductions.” They were intended to ease copayments and deductible costs for millions of low-income Americans who have purchased insurance coverage on the Affordable Care Act online marketplaces. The estimated cost of the payments was $9 billion next year and nearly $100 billion over the next decade.
The payments have been subject to a legal dispute since House Republicans sued in 2014, arguing that the Obama administration was improperly paying the subsidies when no money had been appropriated for that purpose by Congress. The House Republicans’ lawsuit was initially upheld in federal district court, but the case has continued to work its way through the courts.
In its announcement, the White House specifically cited the legal case as the reason for ending the payments. Insurers had been expecting a new round of payments on Oct. 18.
Health policy specialists agreed that the impact could be serious.
Experts said that lower-income Americans would be hurt the most by the change.
But ending the subsidies could have other indirect impacts, experts said.
Tillis A Trump Ally And Aca Critic Is Risking Coverage For North Carolinians With Pre
In two seconds, my entire life changed.
Montica Talmadge, a 34-year-old North Carolinian, is recalling the day in December 2013 when a driver plowed into the back of her stopped car in Raleigh.;
She remembers the adrenaline, the way she tensed up before the collision. And she remembers pulling the parking brake up.
That was Dec. 5. By Dec. 20, Talmadge, an avid runner training for a Raleigh marathon, was on oxygen at Raleighs Rex Hospital with more than 60 blood clots in her lungs.;
I went from taking vitamins to taking a blood thinner every day, she said Wednesday, speaking in a virtual meet hosted by progressive healthcare advocates.;
The focus was the conservative healthcare record of North Carolinas junior US senator, Republican Thom Tillis, whos voted seven times since his election in 2014 to repeal the Affordable Care Act .;
When she lost her job and health insurance months later, the price for her medicine went from about $30 a month to $840. Her hospital bills exceeded $85,000.
Talmadge applied and received insurance through the ACA, the massive 2010 healthcare reform law that created an affordable insurance marketplace, boosted protections for people with pre-existing conditions, and expanded access to insurance for the poor.;
Tillis also voted in 2017 for a Trump administration tax reform bill that repealed the laws individual mandate, a portion of the ACA that required every person to hold health insurance.