{"bills":[{"photos":{"featured":"https://assets.causes.com/bill/photo/s16280-115/featured_-1498511931.jpg","featured_large":"https://assets.causes.com/bill/photo/s16280-115/featured_large_-1498511931.jpg","shareable":"https://n.causes.com/share-images/bills/s16280-115.png"},"introduced_on":"2017-06-22","title_override":"New Republican Healthcare Bill: Senate Version","summary_override":"This bill page represents Senate Republicans' proposed amendment to the House-passed American Health Care Act, which could receive a vote this week. After releasing a 142 page draft bill they're calling the Better Care Reconciliation last week, GOP senators have announced changes and even more are likely to be made in the days leading up to a vote. You can read more about the evolving Senate's proposal and how it compares to the House-passed bill below:

What’s different from the House bill

States couldn’t allow insurers to increase a person’s health insurance premiums because of pre-existing conditions if they had a lapse in their coverage, as was permitted under the House bill.
A provision allowing insurers to impose a 30 percent surcharge on health insurance premiums for consumers who allowed their coverage to lapse that was in the House-passed bill isn’t included in the Senate’s draft.
States that expand Medicaid would start receiving a smaller share of the program’s cost from the federal government starting in 2021, rather than in 2019 as under the House bill, and by 2024 federal support would be returned to its pre-Obamacare levels.
Tax credits to help people pay for insurance would be based on age and income, as opposed to solely being based on age under the House bill.
An additional $45 billion in funding for states to support substance use disorder treatment and recovery services would be made available for fiscal year 2018.

The Patient and State Stability Fund that was to disburse $15 billion in 2018 and 2019, and $10 billion annually thereafter through 2026 to offset premium hikes, plus $8 billion annually from 2018-2023 to help people with pre-existing conditions who had coverage lapses under the House bill would be modified. The Senate’s draft keeps the $15 billion and $10 billion payments in place through 2021, but starting in 2019 long-term state stability and innovation payments would be made, totalling $8 billion in 2019, $14 billion in 2020-21, $6 billion in 2022-23, $5 billion in 2024-25, and $4 billion in 2026.
Individuals who have a lapse in their coverage for 63 days or more in the prior year will be subject to a six month waiting period before their new coverage takes effect, during which they wouldn't have to pay premiums.

What’s the same as in the House bill

The individual and employer mandates to purchase health insurance are repealed.

Taxes on health insurance, prescription drugs, and medical devices are repealed, as is the tax on higher cost so-called “Cadillac plans” offered by employers.
Individuals can remain on their parents’ health insurance plan until they’re 26.
People with pre-existing conditions couldn’t be denied coverage.
Refundable, advanceable tax credits will be made available to help eligible people pay for health insurance premiums.
States will be allowed to set their own definitions of what qualifies as an essential health benefit that insurance providers must offer coverage for.
Medicaid would be transitioned from an open-ended entitlement, under which the federal government matches state spending dollar-for-dollar, to providing funding on a per capita basis or through a block grant based on current spending. This change would take effect in 2020.
The age band ratio would be increased, allowing insurers to charge older consumers up to five times more than they charge younger consumers.
Health insurance plans that include coverage for abortions that aren’t necessary to save the life of the mother or end a pregnancy resulting from rape or incest wouldn’t be eligible for premium assistance tax credits.
Tax-exempt entities (like Planned Parenthood) that provide abortions other than in cases of rape, incest, or to save the life of the mother would be prohibited from receiving federal funds through Medicaid for one year after the bill’s enactment.

","official_title":"Better Care Reconciliation Act of 2017 (Draft)","short_title":"","popular_title":"","short_summary":"","summarized":true,"cost":null,"cost_commentary":"A CBO cost estimate is unavailable.","impact":"The American public, especially consumers of health insurance; businesses; health insurers; states; and federal agencies.","argument_for":"Obamacare has failed to fulfill its main promises to the American people — that health insurance would be affordable for all and that consumers would have the choice of keeping their doctor. This bill repeals and replaces Obamacare with a patient-centered system that will create more options for consumers at an affordable price, while assisting those who need help paying for their insurance and cutting taxes that inhibits economic growth and healthcare innovation.","argument_against":"Obamacare isn’t perfect, but Congress should focus its efforts on fixing its flaws rather than repealing it and replacing it with a solution that undoes the progress it made in expanding access to affordable healthcare. Millions of Americans would lose their health insurance coverage if this bill were to become law, and it’s expected that it would increase the cost premiums between now and 2020. That’s not an acceptable solution for the American people.","bill_type":"s","published":true,"type":"FederalBill","id":"s16280-115","bill_id":"s16280-115","formal_id":"S. 16280","chamber":"senate","congress":115,"last_action_at":null,"active":true,"enacted":false,"enacted_at":null,"vetoed":false,"last_vote_at":null,"debated_on":null,"congress_url":null,"plain_text_url":null,"shareable_image_url":"https://n.causes.com/share-images/bills/s16280-115.png","congress_full_text_url":"http://beta.congress.gov/bill/115th/senate-bill/16280","is_current_congress":false,"last_version_on":null,"related_bill_ids":null,"progress":"Introduced","house_passage_result":false,"senate_passage_result":false,"position_count":1882,"committees":[],"links":{"rollCalls":"/api/roll_calls?bill_id=s16280-115","details":"/api/bills/s16280-115/details","sharingMessage":"/api/sharing_messages/s16280-115","positionsFor":"/api/bills/s16280-115/positions/for","positionsAgainst":"/api/bills/s16280-115/positions/against"},"upcoming":false,"cosponsors_count":0,"slug":"s16280-115","latest_chamber_votes_id":null,"official_url":null,"target_video":false,"following":false,"vote_count":6953,"yea_vote_count":409,"nay_vote_count":6529,"passed_house":false,"passed_senate":false,"vote_id":null,"my_position_id":null,"topic_ids":[],"issue_ids":["insurance","history","states"],"sponsor_id":573}],"votes":[],"issues":[{"id":"insurance","name":"Insurance","slug":"insurance","description":"Vote on the latest federal legislation regarding Insurance. Make your voice heard about the issues you care about. \r\n","page_title":"Insurance Legislation - Vote on Bills, Stay informed, Hold Your Reps Accountable","icons":{"black":"https://assets.causes.com/issue/icon/insurance/black_insurance-1429042051.svg","grey":"https://assets.causes.com/issue/icon/insurance/grey_insurance-1429042051.svg","white":"https://assets.causes.com/issue/icon/insurance/white_insurance-1429042051.svg"},"cover_image_url":null,"is_following":false},{"id":"history","name":"History","slug":"history","description":"Vote on the latest federal legislation regarding History. Make your voice heard about the issues you care about. \r\n","page_title":"History Legislation - Vote on Bills, Stay informed, Hold Your Reps Accountable","icons":{"black":"https://assets.causes.com/issue/icon/history/black_history-1429042068.svg","grey":"https://assets.causes.com/issue/icon/history/grey_history-1429042068.svg","white":"https://assets.causes.com/issue/icon/history/white_history-1429042068.svg"},"cover_image_url":null,"is_following":false},{"id":"states","name":"States","slug":"states","description":"Vote on the latest federal legislation regarding States. Make your voice heard about the issues you care about. \r\n","page_title":"States Legislation - Vote on Bills, Stay informed, Hold Your Reps Accountable","icons":{"black":"https://assets.causes.com/issue/icon/states/black_states-1453508817.svg","grey":"https://assets.causes.com/issue/icon/states/grey_states-1453508817.svg","white":"https://assets.causes.com/issue/icon/states/white_states-1453508817.svg"},"cover_image_url":null,"is_following":false}],"users":[{"name":"Hend","vote_count":106,"photos":{"large":"https://graph.facebook.com/10155066039859577/picture?width=150&height=150","small":"https://graph.facebook.com/10155066039859577/picture?width=75&height=75","tiny":"https://graph.facebook.com/10155066039859577/picture?width=20&height=20","facebook":"https://graph.facebook.com/10155066039859577/picture"},"links":{"following":"/api/users/Lm40Y8Mm/following","followers":"/api/users/Lm40Y8Mm/followers"},"about_me":null,"twitter_id":null,"facebook_id":null,"youtube_id":null,"google_plus_id":null,"website":null,"slug":null,"issue_count":19,"is_following":null,"influence_score":0,"influence_level":0,"follower_count":0,"following_count":8,"position_count":11,"id":"Lm40Y8Mm","partner_id":null}],"bill_position":{"flagged":false,"id":"1b362b88-71c6-4d53-b5d8-f9eae5256e34","argument_for":null,"argument_against":"Vote no on this cruel bill and work with democrats to fix obamacare. This isnt just abt how it affects medicaid in florida. Its abt no caps on lifetime coverage and pre-existing conditions for employees getting ins in the private sector. This is a bipartisan issue that affects every america. It shouldnt pass with 51 votes in the Senates. Vote no and start over","show_argument_for":false,"show_argument_against":true,"upvote_count":0,"upvotes_for_count":null,"upvotes_against_count":0,"has_upvoted":false,"endorsement_count":0,"links":{"self":"https://www.causes.com/positions/1b362b88-71c6-4d53-b5d8-f9eae5256e34"},"body":"Vote no on this cruel bill and work with democrats to fix obamacare. This isnt just abt how it affects medicaid in florida. Its abt no caps on lifetime coverage and pre-existing conditions for employees getting ins in the private sector. This is a bipartisan issue that affects every america. It shouldnt pass with 51 votes in the Senates. Vote no and start over","stance":"nay","created_at":"2017-06-29T02:23:58.524Z","shareable_image_url":"https://n.causes.com/share-images/positions/1b362b88-71c6-4d53-b5d8-f9eae5256e34.png","note_color":null,"note_text":null,"bill_id":"s16280-115","user_id":"Lm40Y8Mm","endorser_ids":[]}}

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New Republican Healthcare Bill: Senate Version