CBO: 23M More Americans Uninsured Under AHCA

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In states that obtained both of those waivers, it would mean lower premiums for people buying individual insurance. In states that made moderate changes to their markets, representing about one-third of the US population, premiums would fall 20 percent on average. A 64-year-old making $26,500 would pay $1,700 in premiums annually under Obamacare.

About half the population lives in states that wouldn't request waivers. But it has been pushed by leading Republicans, including Trump, who have noted that many of their supporters have demanded that Obamacare be repealed.

The CBO says an estimated 51 million people under age 65 would be uninsured in 2026. House Speaker Paul Ryan (R-WI) in March was forced to yank a previous version that would have cost 24 million people, including 14 million Medicaid beneficiaries, their health insurance.

The projected decline in coverage is one of the main objections critics have to the GOP proposal. The CBO score raises the stakes for Republican senators now working on their own version of the legislation. "The AHCA does not", Cassidy said, a reference to a now-viral video clip when ABC host Jimmy Kimmel made an emotional plea for coverage of patients with pre-existing conditions following a health care with his child.

Meanwhile, the Trump administration released a report that found a doubling of average premiums for individually purchased coverage from 2013, just before Obama's statute took effect, to this year. Insurance payments will increase significantly for the elderly under the new version of the bill, thanks to the removal of regulations created to balance costs.

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In general, the analysis paints a picture of a country where the costs of insurance coverage on the individual market, and what such coverage includes, varies wildly from state to state, depending on individual states' decisions about waivers.

Republicans insisted in the days after AHCA's passage that the health care bill would not weaken protections for preexisting conditions, citing the plan's high-risk pools for sick people. This provision has raised the ire of the influential AARP and sparked concerns among many lawmakers. The CBO did not calculate an average change in premiums.

The CBO also found that the GOP bill will cause out-of-pocket premium costs to spike to almost 10 times current levels for some people.

Hospitals could lose significant revenue because far fewer people will have insurance and insurers are anxious about the affordability of the tax structure and proposed major changes in Medicaid financing.

In their analysis, the CBO indicated 23 more Americans would be uninsured if the Senate were to pass the AHCA. Much of the criticism of the bill when it passed involves possible higher costs for less healthy and older Americans.

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"We can expect today's CBO analysis will likely show numerous same grave consequences", he said.

The CBO issued two reports on earlier versions of the Republican legislation, the American Health Care Act, in March. "It is another positive step toward keeping our promise to repeal and replace Obamacare", he said in a statement.

ObamaCare requires insurers cover ten essential health benefits, like prescription drugs and maternity care. The law would allow states to waive that federal mandate and replace it with their own set of required benefits.

"In particular, out-of-pocket spending on maternity care and mental health and substance abuse services could increase by thousands of dollars in a given year for the nongroup enrollees who would use those services", the report says of people living in those states. Moreover, the ACA's ban on annual and lifetime limits on covered benefits would no longer apply to health benefits not defined as essential in a state.

The CBO does project that the legislation will reduce the federal deficit by $119 billion over the next 10 years.

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