Western North Carolina Congressman Mark Meadows was instrumental in the passage his past week in the U.S. House of Representatives of the new American Health Care Act, which repeals and replaces Obamacare.
The change helped get through the House of Representatives in a tight vote Thursday, but experts say it may make little difference in the hunt for affordable coverage for these patients. Following weeks of in-party feuding and mounting pressure from the White House, lawmakers voted 217 to 213 to pass a bill dismantling much of Barack Obama's Affordable Care Act and allowing US states to opt out of numerous law's key health benefit guarantees. That's on top of about $100 billion over a decade for states to help people afford coverage and stabilize insurance markets. But in some circumstances, they could be charged higher premiums, especially for things that mainly women have to deal with. The report also found that insurers could refuse to cover survivors of sexual assault or domestic violence by characterizing their past trauma as a "pre-existing condition". The bill is now headed to the Senate, where it is expected to undergo some serious changes.
According to the foundation's map, a Madison County resident making $20,000 a year pays a premium of $960, or about 5 percent of annual income under the Affordable Care Act.
John S. Williams, an attorney in New Orleans whose multiple sclerosis medication costs $70,000 a year, buys insurance through the Affordable Care Act's marketplace.
If the House proposal allowing insurers to make coverage for pre-existing conditions unaffordable takes hold, he fears his cancer history will make him uninsurable if he would lose his current job as a retirement financial adviser. "We should be compassionate by lowering our Medicaid population through economic growth, personal responsibility, and providing more access to private sector health care", Bryant said during his 2015 re-election campaign.
The guarantee of health care coverage to people with pre-existing conditions has been one of the ACA's most popular features.
The House bill also converts Medicaid from an entitlement program, in which the government pays all the health-related costs for those who qualify, to a grant program.
How Do These Pools Operate? Eliminate required coverage, called essential health benefits, including maternity care, mental health and prescription drugs, that were required under the Affordable Care Act; and 3.
These states would also be able to set up high-risk pools to help reimburse the cost for insurers covering these consumers. The federal government would give states either a set amount of money for each Medicaid enrollee or let them choose to receive a fixed-dollar block grant.
But Perkins said Kentucky's previous high risk pool had a 12-month waiting period and was too expensive for her.
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Shortly after being diagnosed with type I diabetes, Amanda Perkins learned about the perils of pre-existing conditions when she starting trying to buy health insurance.
Avalere estimates that 2.2 million people with individual coverage have pre-existing conditions.
What Might This Mean for Patients?
"We expect there to be some changes, but we expect the principles and the main pillars of the health care bill as it exists now to remain the same", deputy White House press secretary Sarah Huckabee Sanders told reporters at the daily briefing Friday.
In rural areas that do not favor federal control, lawmakers say the Republican plan is just what the voters wanted.
But he said the way the employer plan provision is structured might make it hard for states to do anything about, even if the legislature and governor want to preserve a ban on coverage limits and other benefits.
"We're experiencing a huge problem, but we're seeing a lot of people get well because they're able to access services", said Matt Boggs, executive director of Recovery Point West Virginia, which runs four residential treatment centers where almost all clients are enrolled in Medicaid.
The 29-year-old operations director at a start-up apparel business in Philadelphia also has asthma and attention deficit disorder.
In addition to the 24 million individuals now insured under the ACA, Nicole Lamoureux, CEO of the National Association of Free and Charitable Clinics (NAFC), said that she would like to see Senate revisions address how to provide access to healthcare to the 29 million Americans who have not received coverage since the ACA passed.
That helps explain why the American Medical Association and other medical organizations are anxious that many people will lose their coverage under the House bill.
