1 1. Executive Order 2. Trumpcare 3. CBO Estimate 4. - - PDF document

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1. Executive Order 2. Trumpcare 3. CBO Estimate 4. Amendments 5. AHCA Pulled 6. AHCA Re-introduced 7. McArthur Amendment 8. AHCA Passed 9. CBO Estimate

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https://www.govtrack.us/congress/votes/115-2017/h256

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https://www.govtrack.us/congress/committees/HSBU#activity

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• Individual – 2.5% penalty or $695
• Employer - $2,000 or $3,000 (indexed annually)

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Premium subsidy completely repealed and replaced by refundable credit Stability Fund

• High risk individuals who do not have employer provided coverage
• Providing incentives to “entities” to help stabilize premiums for health insurance coverage in the

individual market

• Reduce cost of premiums in small or individual market
• Promoting participation in the state and increasing health insurance options in the market
• Promoting access to preventive services, dental care, vision care, or other combination
• Maternity coverage and newborn care
• Prevention, treatment, or recovery support for those w/ mental or substance abuse
• Direct payment to providers for medical care
• Reduction of out-of-pocket costs

Abortion

• May permit abortion to save the life of the mother, or if the child is a result of rape or incest
• May purchase separate plan to cover abortion services, but cannot use credit to pay for those

services Penalty for improper credit

• 25% penalty (1/1/2020)

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2019 – applicable surcharge

• Surcharge applies in 2018 only if individual enrolls due to special enrollment
• Look-back begins in 2019
• Surcharge applicable on a monthly basis

State Waivers:

• Permitted to encourage fair health insurance premiums
• 1/1/2018 – ratio specifications
• 1/1/2020 – re-define EHBs for the state

The following is not permitted:

• Gender rating
• Limiting access to individuals with pre-existing conditions

Section 135

• 5 to 1 ratio or as the Secretary implements through final regulation

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Section 117 – work requirement Section 121 – per capita allotment

• Each year, an excess aggregate amount of ¼ will be reduced

Block Grants – 10 year periods

• Must provide assistance for: 1) hospital care; 2) surgical care and treatment; 3) medical care and

treatment; 4) obstetrical and prenatal care and treatment; 5) prescribed drugs, medicines, and prosthetic devices; 6) other medical supplies; 7) health care for children under 18

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