Obamacare

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.

Many Republican leaders have promoted the idea that consumers should have a "health care backpack," which would make it possible to take insurance from job to job or when moving, starting a business or retiring.

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.

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.

Daylina Miller/WUSF

U.S. Rep. Gus Bilirakis held his third public listening session on health care reform in Wesley Chapel on Wednesday night.

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.

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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As Republicans move to overhaul the health law, should people bother paying the penalty for not having health insurance when they file their taxes this year? Or will they be able to sign up on the exchange for 2018 after their COBRA benefits end?

Here are some answers to recent questions from readers.

I didn't have health insurance for part of last year and thought I'd get stuck paying a penalty. Now the new administration is talking about not enforcing the insurance requirement. Could I really be off the hook at tax time?

Lynn Hatter, WFSU

Florida leads the nation in signups through the Affordable Care Act, and Orlando alone had more signups that 32 entire states.

With Repeal Of Obamacare, Do Uninsured Still Face Penalties?

Feb 7, 2017

In some recent emails, readers asked about what to expect as Republicans move to overhaul the health law. Should people bother paying the penalty for not having health insurance when they file their taxes this year? Will they be able to sign up on the exchange for 2018 after their COBRA benefits end? Here are some answers.

Everyone expects Congress to change the Affordable Care Act, but no one knows exactly how.

The uncertainty has one group of people, the homeless, especially concerned. Many received health coverage for the first time under Obamacare; now they're worried it will disappear.

Joseph Funn, homeless for almost 20 years, says his body took a beating while he lived on the street.

Now, he sees nurse practitioner Amber Richert fairly regularly at the Health Care for the Homeless clinic in Baltimore.

There's a moment in the Broadway musical Hamilton where George Washington says to an exasperated Alexander Hamilton: "Winning is easy, young man. Governing's harder."

When it comes to health care, it seems that President Trump is learning that same lesson. Trump and Republicans in Congress are struggling with how to keep their double-edged campaign promise — to repeal Obamacare without leaving millions of people without health insurance.

Republican Rep. Gus Bilirakis held a town hall Saturday, to hear ideas about replacing the Affordable Care Act. 

But he was met with opposition as about every one of the 200 people gathered at The Centre of Palm Harbor were in support of Obamacare. Many came to voice their concerns with the law's potential repeal. 

Lynn Hatter, WFSU

Republicans are increasingly talking about repairing former President Barack Obama's health care overhaul, a softening of tone that comes as their drive to fulfill a keystone campaign promise that encounters disunity, drooping momentum and uneasy voters.

Eight female activists from Jacksonville are calling on state and federal officials to keep the Affordable Care Act intact. That’s as Republicans in Washington are talking about repealing and replacing the health care law.


Copyright 2018 NPR. To see more, visit http://www.npr.org/.

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We've been looking this week at what we know of plans to replace Obamacare, and one of them aims to spread the burden of caring for the very sick. Here's Speaker Paul Ryan on public TV's "Charlie Rose" show.

President Donald Trump and other Republican leaders have been working to repeal and replace the Affordable Care Act. And the millions of Americans who have health insurance through the Obamacare marketplaces aren't the only ones wondering about their fate. Leaders of insurance companies are, too.

Through years of acrimony over the relative merits of Obamacare, one kind of health insurance has remained steady, widespread and relatively affordable: Employer-sponsored plans.

Job-based medical plans still cover more Americans than any other type, typically with greater benefits and lower out-of-pocket expense. Recent cost increases for this sort of coverage have been a tiny fraction of those for Obamacare plans for individuals.

They are just three little words — "health savings accounts" — but they are generating a lot of buzz as Republicans contemplate plans to repeal and replace the Affordable Care Act.

Expanding the use of these accounts, based on a long-held conservative view that consumers should be more responsible for their health care spending, is a part of almost every GOP replacement plan under consideration on Capitol Hill.

Tuesday is the last day of open enrollment for health coverage for 2017 under the Affordable Care Act. And while Republicans in Congress are working to repeal the law, it's not at all clear what might replace it.

During the campaign, President Trump suggested a nationwide insurance market that would allow insurance plans to be sold across state lines.

It's the last day to sign up for health insurance under the Affordable Care Act.

And at Whitman-Walker Health, a community health center near downtown Washington, D.C., people have been streaming in looking for help choosing an insurance plan.

Katie Nicol is a senior manager who oversees the five so-called navigators whose sole job is to help people sign up for insurance coverage.

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