Affordable Care Act

For years, Republicans in Congress have promised to repeal and replace the Affordable Care Act, claiming that its requirement for nearly everyone to buy insurance or pay a fine is burdensome and costly, and it doesn't give people enough flexibility to get the coverage they need.

The Republican health care bill would not affect Americans equally. Older, poorer people would see big reductions in coverage and cost increases, according to a report from the nonpartisan Congressional Budget Office. This first step in the GOP plan to repeal and replace the Affordable Care Act, also known as Obamacare, would also create a modest deficit reduction.

The proposed American Health Care Act targets the health provider Planned Parenthood with a set of proposed limits on Medicaid payments to the organization.

Love In The Time Of Repeal And Replace

Mar 14, 2017

"This is a first for me," says Rabbi Andy Dubin, as he sits down on a collapsible chair opposite Ann Justi and Don Boyer.

The three of them are in the compact living room of Boyer's apartment in Yonkers, N.Y., standing between the sofa, TV and writing desk. Dubin is in his socks, having shed his snow-caked boots out in the hallway.

The debate over how many people would lose health insurance under the Republican health care overhaul and its impact on the budget deficit obscures one of the major and most far-reaching effects of the proposal: sweeping changes to Medicaid.

Hospitals Fret Over Caring For Newly Uninsured In GOP Plan

Mar 13, 2017
www.healthcare.gov

When Colorado expanded Medicaid coverage under former President Barack Obama's health care law, the largest provider in the Denver region hired more than 250 employees and built a $27 million primary care clinic and two new school-based clinics.

"This is the chance. This is a once-in-a-lifetime opportunity," said the speaker, roving the stage with a wireless mic, gesturing at both the audience in front of him and the PowerPoint presentation behind him.

TED Talk? Late-night infomercial? Nope — it was House Speaker Paul Ryan, making a hard pitch for his health care plan after a week of loud conservative criticism.

Kaiser Family Foundation

People in their 50s and 60s could be hit with higher health insurance premiums and less financial help paying for them under a proposed replacement for the Affordable Care Act.

Copyright 2017 NPR. To see more, visit http://www.npr.org/.

ARI SHAPIRO, HOST:

We're going to start this hour by talking about the Republican proposal to replace the Affordable Care Act, or Obamacare. In a moment, we'll hear from a group that has come out against the plan, the AARP.

ROBERT SIEGEL, HOST:

Over the strong objections of key conservatives and Democrats, House Republican leaders are forging ahead with a health care plan that scraps major parts of the Obama-era overhaul.

House Speaker Paul Ryan from Wisconsin has been complaining about the Affordable Care Act (aka Obamacare) for so long that his list of grievances sounds like a refrain of some pop song.

"Obamacare is collapsing," he said on Feb. 28. "The Democrats got too far ahead on their ideology and they gave us a system where government runs health care. They gave us a system where costs went up, not down. They gave us a system where choices went away. They gave us a system where people lost the plans they liked, they chose."

House Republicans unveiled their long-awaited replacement plan for the Affordable Care Act Monday night. They're calling it the American Health Care Act.

GOP Health Bill Jettisons Insurance Mandate, Much Of Medicaid Expansion

Mar 7, 2017
(Bill Clark/CQ Roll Call via Getty Images)

House Republicans unveiled their much anticipated health law replacement plan Monday, slashing the law’s Medicaid expansion and scrapping the requirement that individuals purchase coverage or pay a fine. 

As 'Trumpcare' Looms, Voters Wary Over Repeal Of ACA

Mar 6, 2017
Wikimedia Commons

As candidate Donald Trump hammered the Affordable Care Act last year as “a fraud,” “a total disaster” and “very bad health insurance,” more Americans than not seemed to agree with him.

President Trump's declaration during his speech to Congress Tuesday night that Obamacare is "collapsing" and must be replaced was cheered by Republicans.

But Republican lawmakers remain unable to coalesce behind an approach to their oft-stated goal of repeal and replace, and Democrats believe they hold the upper hand to the fate of the Affordable Care Act.

In an interview with Morning Edition host Steve Inskeep that aired Thursday, Senate Minority Leader Chuck Schumer said the odds "are much greater than half" that the ACA will remain in place.

Molina CEO: ACA Just Needs A Tuneup

Mar 2, 2017
Molina Healthcare

Some large health insurance companies have suffered losses under the Affordable Care Act, leading to a few high-profile exits from the online marketplaces. Humana is just the latest, announcing in January that it will stop offering health insurance on the ACA health exchanges at year’s end.

Next year is almost here for American insurance companies wanting to sell plans on Healthcare.gov in 2018, assuming it survives the Obamacare repeal-and-replace effort.

President Donald Trump and Republican governors met Monday and the top topic was the Affordable Care Act. The president and congressional Republican leaders have pledged to repeal and replace the federal health insurance law known as Obamacare.

Hospitals Fear Losing Ground With Health Law Appeal

Feb 28, 2017
Screenshot/PBS

Rural hospitals have long struggled to stay open. They have far fewer patients and thin profit margins. Dozens have closed across the country in recent years, mostly in states that didn’t expand Medicaid.

Republicans are looking to President Trump to use his address to Congress Tuesday evening to define the party's path forward on how to deliver on the long-promised pledge to repeal and replace Obamacare.

The White House has, so far, ceded the decision-making to congressional leaders who are trying to unify competing moderate and conservative lawmaker demands behind a plan that can pass with narrow majorities in both chambers.

WMFE

Supporters at an Orlando Town Hall want Democratic Congresswoman Val Demings to “fight like hell” for Obamacare.
Congress goes back in session Monday, ending a week of often contentious town hall meetings. The crowd at Demings’ town hall on health care reform in Orlando on Sunday was tame compared to some other events.

In recent days, several Republican lawmakers have faced crowds of constituents at town hall meetings around the country who are angry that they may be in danger of losing their health coverage.

GOP In Bind As Support For Health Law Grows

Feb 24, 2017
Kaiser Health News

Republican members of Congress are at home this week, with many of them getting an earful from anxious constituents about their plans to “repeal and replace” the Affordable Care Act. A poll out Friday gives those lawmakers something to be anxious about, too.

No matter where you stand on the political spectrum, health care under the Affordable Care Act is going to change in the next few years. The Republican-led Congress has vowed to "repeal and replace" the health law known as Obamacare.

That has left many people anxious and confused about what will happen and when. So NPR's Morning Edition asked listeners to post questions on Twitter and Facebook, and we will be answering some of them here and on the radio in the weeks ahead.

As Republicans look at ways to replace or repair the Affordable Care Act, many suggest that shrinking the list of services that insurers are required to offer in individual and small group plans would reduce costs and increase flexibility.

Catherine Welch

An angry crowd met Republican Congressman Dennis Ross at a town hall in Clermont Tuesday night. Rowdy town halls have become a familiar sight across the country since President Donald Trump took office.

Treating people for free or for very little money has been the role of community health centers across the U.S. for decades. In 2015, 1 in 12 Americans sought care at one of these clinics; nearly 6 in 10 were women, and hundreds of thousands were veterans.

Some Republicans looking to scrap the Affordable Care Act say monthly health insurance premiums need to be lower for the individuals who have to buy insurance on their own. One way to do that, GOP leaders say, would be to return to the use of what are called high-risk insurance pools.

House Republicans are debating a plan to replace the Affordable Care Act that would give consumers tax credits to buy insurance, cut back on Medicaid and allow people to save their own money to pay for health care costs.

The outline plan is likely to take away some of the financial help low-income families get through Obamacare subsidies, and also result in fewer people being covered under the Medicaid health care program for the poor.

President Trump has promised to repeal and replace the Affordable Care Act without taking insurance away from the millions of people who gained coverage under the law.

On Wednesday his Department of Health and Human Services made its first substantive proposals to change the marketplaces for individual coverage, commonly known as Obamacare.

Spending your own money on health care might mean that you'll be more frugal with it. That's the theory behind health savings accounts, a decades-old GOP concept that's sparking renewed interest on Capitol Hill as Republican lawmakers look for ways to replace the Affordable Care Act.

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