The Affordable Care Act turns 9 years old Saturday, and, in some respects, theprogram has never been more secure
The Affordable Care Act turns 9 years old Saturday, and, in some respects, the program has never been more secure.
The War On Pre-existing Condition ProtectionsThe GOP effort has two main parts, the first of which focuses on the Affordable Care Act’s reforms of the private insurance market. That is is a big reason the law caused so much anger and why most Democrats are now proposing further reforms, whether it’s as modest as offering more financial assistance or as ambitious as creating a large new government-run insurance program. The preferred GOP solution is simply to roll back the insurance regulations that made coverage so much more expensive.
And why are the plans exempt? Simply because the Legislature said so. Iowa got the idea from Tennessee, where the state has been allowing the sale of similar plans since the 1990s, and now Kansas GOP leaders are hoping to do the same thing. Just this past week, the state’s Senate passed legislation to allow Farm Bureau plans, despite warnings that the plans would expose unwitting consumers to big medical costs.
All of this, by the way, is in addition to a lawsuit making its way through the federal courts that seeks to invalidate the entire ACA over changes to a financial penalty. Despite a favorable ruling from a conservative judge in Texas and backing from the Trump administration, the lawsuit is so weak that even longtime critics of Obamacare think it’s baseless. Few expect it to advance, but the possibility remains.
States must get permission from the federal government to impose these requirements, and so far 15 have either gotten it or are in the process of applying, which means getting permission from Seema Verma, the Trump administration official in charge of Medicaid. She has praised the idea repeatedly, arguing that the requirements encourage people to find jobs.
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