Why
I
supported
the
AHCA
Recently,
House
Republicans
passed
the
first
phase
in
our
plan
to
repeal
and
replace
the
disastrous
Affordable
Care
Act.
Since
taking
this
office,
I
have
made
a
promise
to
all
my
constituents
to
combat
the
federal
government’s
central-planning
of
our
healthcare
market.
If
we
want
to
drive
down
costs,
we
need
to
get
Big
Government
out
of
the
way,
and
I
believe
the American
Health
Care
Act to
be
that
first
step.
Since
this
plan
is
being
implemented
through
a
budget
reconciliation,
there
are
several
key
provisions
of
which,
unfortunately,
cannot
be
included.
Policies
such
as
allowing
for
competition
across
states
lines,
allowing
small-business
to
band
together
to
purchase
group
plans,
and
FDA
reform
must
be
handled
through
separate
pieces
of
legislation,
and
I
can
assure
you
that
we
will.
Alongside
my
colleagues
in
the
House,
we
will
be
engaging
in
robust
and
open
debate
regarding
this
plan
and
will
address
concerns
with
the
current
bill
to
drive
down
prices
for
all
Americans.
Within
the
proposed
legislation,
I
support
the
refundable,
advanceable,
age-based
tax
credits;
the
repealing
of
numerous,
burdensome
taxes,
including
the
individual
and
employer
mandates;
the
reassurance
that
those
with
pre-existing
conditions
will
still
have
access
to
coverage;
the
absence
of
lifetime
caps;
allowing
young
adults
under
26
to
stay
on
their
parent’s
plans;
and
the
two-year
extension
that
we
promised,
to
ensure
a
smooth
transition
to
our
patient-centered
system.
Despite
the
claims
of
many
in
the
media,
recent
Amendments
to
the
AHCA
strengthened
coverage
for
those
with
preexisting
conditions.
The
MacArthur
amendment
allows
each
state
to
request
waivers
on
how
they
will
support
essential
health
benefits,
but
the
only
way
to
do
so
is
for
each
state
to
provide
evidence
that
they
can
handle
these
provisions
better
than
the
federal
government.
In
section
136
of
the
AHCA,
the
amendment
clearly
states
that
no
state
can
opt-out
of
ensuring
coverage
for
those
with
preexisting
conditions.
The
Department
of
Health
and
Human
Services
have
60
days
to
approve
or
deny
the
waiver.
Many
worry
that
those
with
pre-existing
conditions,
while
having
access
to
coverage,
will
not
be
able
to
afford
their
coverage.
That
is
where
the
tax-credits,
State
Stability
Funds,
and
Invisible
Risk
Sharing
programs
come
in
to
play.
There
is
$115
billion,
over
10
years,
allotted
through
the
State
Stability
Funds
to
allow
states
the
flexibility
to
lower
costs
for
those
who
have
pre-existing
conditions.
Additionally,
the
Upton-Long
Amendment
adds
another
$8
billion
dedicated
solely
to
help
lower
premiums
and
deductibles
for
those
with
pre-existing
conditions.
The
Palmer-Schweikert
amendment
continued
this
trend
and
allotted
$15
billion
over
10
years
to
allow
states
to
incorporate
Invisible
Risk
Sharing
programs.
This
program
is
modeled
after
Maine’s
healthcare
system,
and
effectively
masks
those
with
pre-existing
conditions,
and
adds
federal
dollars,
to
push
down
prices.
The
result
is
those
with
pre-existing
conditions
will
pay
roughly
the
same
price
as
those
without
pre-existing
conditions
for
the
same
plans.
The
last
amendment
presented
to
the
AHCA
was
done
so
by
Rep.
Fred
Upton,
in
conjunction
with
Rep.
Billy
Long.
The
amendment
allotted
an
extra
$8
billion
to
help
cover
those
with
pre-existing
conditions.
Couple
with
this
programs,
the
AHCA’s
advanceable,
refundable,
age-based
tax
credit
will
provide
another
level
of
assistance
to
those
who
need
help
ensuring
they
can
afford
their
insurance
premiums.
We
are
committed
to
ensuring
coverage
for
those
who
need
it
most.
That
is
why
we
have
put
such
an
emphasis
on
providing
for
those
with
pre-existing
conditions.
It
is
also
why
we
have
made
such
great
reforms
to
Medicaid.
The
program
is
on
a
collision
course
and
will
eventually
get
to
the
point
where
we
cannot
afford
to
fund
it.
We
must
ensure
that
it
is
on
a
practical
budget
to
ensure
that
is
will
always
be
there
for
those
who
depend
on
it
most.
As
of
now,
a
third
of
all
counties
in
the
United
States
only
have
a
single
health
insurance
plan.
This
lack
of
competition
is
why
we
have
seen
a
trend
of
ever-increasing
premiums.
Last
year,
Nebraskans
saw
a
51
percent
increase
in
premiums.
This
path
is
unsustainable
and
we
must
act
now.
However,
this
process
has
still
only
just
begun.
Our
friends
in
the
Senate
must
engage
in
the
same
process.
I
look
forward
to
and
encourage
ongoing
debate
on
this
issue.
When
signed
into
law,
the
final
product,
will
be
a
significant
improvement
to
the
unaffordable
ACA. |