Health Reform Hub

After recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]

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  • State Health Policy Blog

    BCRA and the Byrd Rule

    The Better Care Reconciliation Act (BCRA) is being considered under a special legislative process known as budget reconciliation, which limits debate and allows a bill to pass with a simple majority. Reconciliation rules include the Byrd Rule requiring that bills passed through this process only include changes that directly affect the federal budget. On July […]

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  • What the House and Senate Health Care Bills Mean for States

    What the House and Senate Health Care Bills Mean for States

    July 25, 2017 House and Senate Bills, ACA Comparison Chart (Updated) Blog: BCRA and the Byrd Rule Today, the Senate is expected to vote on a motion to bring a health care bill to the floor for debate. While it is yet uncertain which bill will be brought forward (the American Health Care Act, the […]

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  • State Health Policy Blog

    Latest Update on Congressional Health Reform Activity

    This week, the Senate released two bills as part of its efforts to repeal the Affordable Care Act (ACA): A revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals (see our revised chart) and; The Obamacare Repeal Reconciliation Act (ORRA), a […]

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  • State Health Policy Blog

    State Budgets Under Pressure: Is this the New Normal?

    As Congress debates the future of the ACA and Medicaid funding, one question looms large: What will proposed changes mean to state budgets that are already under significant pressure? On July 6th, after protracted wrangling, Illinois enacted its first budget in two years. Maine and New Jersey experienced brief shut downs and Washington narrowly avoided […]

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  • Comparison of Estimated Annual Consumer Premiums: In Single County in a State

    Comparison of Estimated Annual Consumer Premiums: In Single County in a State

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  • Drop in Benchmark Benefits and Tax Credit Support Highlighted in New Report that Compares Costs and Comprehensiveness of BCRA

    The National Academy for State Health Policy (NASHP) in collaboration with Covered California today released a new report, Barely Covered: Initial Analysis of Coverage and Affordability Impacts to Consumers Under the Proposed Better Care Reconciliation Act, and 50-state interactive tool that compare the costs and comprehensiveness of coverage under the Better Care Reconciliation Act (BCRA) […]

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  • Comparison of Estimated Annual Consumer Premiums: Low and High Cost County

    Comparison of Estimated Annual Consumer Premiums: Low and High Cost County

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  • Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties

    These sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]

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  • How might premium costs differ within states under the ACA and AHCA ?

    Accounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]

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