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Here is an overview of the details of the House Obamacare repeal bill.
How it resembles Obamacare:
It still has pre-existing condition coverage.
It still has a fully refundable tax credit to help people buy health insurance.
It still has a small penalty if people don’t stay insured.
It still has Medicaid expansion but puts per-capita limits in place.
It still limits how much people must pay based on age.
It still allows people to stay on Obamacare until 2020.
It still phases end singles above $75K and families above $150K.
How it differs from Obamacare:
It repeals all Obamacare taxes on high income taxpayers.
It repeals cadillac insurance plan tax.
It repeals all limits on tax breaks for employer-sponsored health coverage.
It repeals payments to insurers for cost-sharing reductions
Congressional conservatives are not happy.
Some House Freedom Caucus members dismissed the bill as creating a new “entitlement program” by offering health care tax credits to low-income Americans. A Republican Study Committee memo sent to chiefs of staff, obtained by POLITICO, echoed those comments and blasted the bill’s continuation of the Medicaid expansion for three years.
“This is Obamacare by a different form,” former Freedom Caucus chairman Jim Jordan (R-Ohio) told POLITICO. “They’re still keeping the taxes in place and Medicaid expansion, and they’re starting a new entitlement.”
Freedom Caucus member Dave Brat (R-Va.) piled on, telling POLITICO he’d vote against it in its current form because “the bill maintains many of the federal features including a new entitlement program as well as most of the insurance regulations.”
“Now [they] are saying we’re going to do repeal and replace but the bill does nothing of the sort,” he said. “[Speaker] Paul Ryan has always said the entire rationale for this bill is to bend the cost curve down, and so far I have seen no evidence that this bill will bring the cost curve down.”