Discussion Draft – Senate Republican Health Care Bill

Released today, the Senate draft of the Health Care bill is a fairly easy-to-read document, available to everyone who has internet access.

Here’s the PDF:


Per the Senate Committee On The Budget, here is an overview:

  • Help stabilize collapsing insurance markets that have left millions of Americans with no options.

Short-Term Stabilization Fund: To help balance premium costs and promote more choice in insurance markets throughout the country, this stabilization fund would help address coverage and access disruption – providing $15 billion per year in 2018 and 2019; $10 billion per year in 2020 and 2021.

Cost-Sharing Reductions: Continues federal assistance – through 2019 – to help lower health care costs for low-income Americans in the individual market.

  • Free the American people from the onerous Obamacare mandates that require them to purchase insurance they don’t want or can’t afford.

Repeals the individual and employer mandates.

  • Improve the affordability of health insurance, which keeps getting more expensive under Obamacare.

Long-Term State Innovation Fund: Dedicates $62billion, over 8 years, to encourage states to assist high-cost and low-income individuals to purchase health insurance by making it more affordable.

Tax Credits: Targeted tax credits will help defray the cost of purchasing insurance; these advanceable and refundable credits – adjusted for income, age and geography – will help ensure those who truly need financial assistance can afford a health plan.

Health Savings Accounts: Expanded tax-free Health Savings Accounts to give Americans greater flexibility and control over medical costs; increased contribution limits to help pay for out-of-pocket health costs and to help pay for over-the-counter medications.

Repeals Obamacare Taxes: Repeal costly Obamacare taxes that contribute to premium increases and hurt life-saving health care innovation, like the taxes on health insurance, prescription drugs, medical devices, and “high-cost” employer sponsored plans.

Empowers states through state innovation waivers (Obamacare 1332 Waiver): Provide states additional flexibility to use waivers that exist in current law to decide the rules of insurance and ultimately better allow customers to buy the health insurance they want.  Allow the Department of Health and Human Services (HHS) to fast-track applications from states experiencing an Obamacare emergency.

  • Preserve access to care for Americans with pre-existing conditions, and allow children to stay on their parents’ health insurance through age 26. (There are no changes to current law as it applies to Veterans, Medicare, or Social Security benefits.) 
  • Strengthen Medicaid for those who need it most by giving states more flexibility while ensuring that those who rely on this program won’t have the rug pulled out from under them.

Targets Medicaid to Those Most in Need: In 2021, begins gradual reductions in the amount of federal Obamacare funds provided to expand Medicaid, restoring levels of federal support to preexisting law by 2024 while providing fairness for non-expansion states.

New Protection for the Most Vulnerable:  Guarantees children with medically complex disabilities will continue to be covered.

Provides additional state flexibility to address the substance abuse and mental health crisis.

Flexibilities for Governors:  Allows states to choose between block grant and per-capita support for their Medicaid population beginning in 2020, with a flexibility in the calculation of the base year.  Allows states to impose a work requirement on non-pregnant, non-disabled, non-elderly individuals receiving Medicaid.

New Protections for Taxpayers: Curbs Medicaid funding gimmicks that drive up federal costs.


GOP Three-Step Plan:

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8 Responses to Discussion Draft – Senate Republican Health Care Bill

  1. hocuspocus13 says:

    Reblogged this on hocuspocus13 and commented:


  2. shiloh1973 says:

    For being phase 1, it looks pretty good to me. We are never going to get full repeal. Price is already working on phase 2 to get rid of all the add on taxes and regulations. The house has passed 4 bills to take care of some of the others. I would have to put about four links to explain all of this.

    Liked by 3 people

    • Col.(R) Ken says:

      Shiloh, I’m really saddened by the turtles ‘ remarks today. The RINOs do not this to succeed. These RINOs will go quietly into the night, 2018.

      Liked by 2 people

      • shiloh1973 says:

        Well, our President can’t twist any arms yet until he sees the final draft and after all the posturing in the House and Senate again. Trust me, if he likes the plan the gloves will come off!

        Liked by 1 person

  3. shiloh1973 says:

    I was at the neighbors on the Health Care thread. WOWZER!! Hair on fire and exploding heads. I don’t think half of them even read it. Some saying it gives health care to illegals, cuts Medicare. Maybe I missed it, but on FOX they are saying somewhere in the bill it cuts capital gains taxes! Where the heck is that.

    Liked by 3 people

  4. shiloh1973 says:

    I have FOX on in the background on my computer (no TV) and even those idiots are screaming repeal it! What do they not get that it takes 60 votes in the Senate for a full repeal! There are two options, reconciliation or nuclear option. Senate will never go nuclear option on a bill.

    Liked by 2 people

  5. jeans2nd says:

    This is O/T, but related, perhaps. Is way too late tonight for anyone to read this, so will drop it here and walk (run). (or, better yet, will go to spam and Stella will ignore it)

    Ran across this article this afternoon, and it really bugged me.
    New VA secretary is already undermining veterans’ health
    June 13, 2017 | 8:52pm

    Reading through the Betsy Mc article, it seems Betsy Mc does not quite understand how VA Choice actually works.

    The “choice” in VA Choice is actually made by the VA, not the vet. The 40 mile requirement is 40 miles from a VA Clinic to the closest VA Hospital. The only choice to be made is if any VA Clinic or VA Hospital within 40 miles to your home is able to fit you in to their schedule within 30 days.

    Where I live, there are 4 VA Clinics that would be close enough to the VA Hospital. What they do is, they put you on a shuttle bus from one VA Clinic to the next VA Clinic, ad infinitum, until you reach a VA Clinic or VA Hospital that is able to perform the required procedure. The shuttle buses and drivers are arranged by the county Veterans Service (VSO) Organization. There is a VSO in each county.

    Ran into this a couple three weeks ago. Procedure had to be done at VA Hosp in Cleve (oh, how they luv luv luv to cut…). A personal driver picks you up at 4:30 a.m., takes you to Clinic A. Clinic A takes you to Clinic B. Clinic B takes you to VA Hospital. Where I used to live, required a Clinic C to complete the full run.

    But, bummer. Last shuttle bus from VA Hosp back to Clinic B leaves before the procedure is finished. Now, VA Hosp must put you up overnight (which is sometimes in the lobby), to catch earliest bus back to Clinic B in the a.m. Tough luck if your evil cat goes unfed for 36 hours. Or you, for that matter. You must feed yourself during all this time. And all those shuttle buses/drivers required coordination with four diff VSOs.

    Without VA Choice, if the VA Hospital or VA Clinic that does the required procedure cannot fit you in within 30 days, the VA automatically finds you a provider, usually in your own town, and pays for the entire thing locally.

    We advise all our guys to reject VA Choice. Betsy Mc is a very wise and well-versed lady, but in this case, imo, she is incorrect. I volunteer at both Clinic A and Clinic B. Clinic B pays for drivers. Clinic A are all volunteers, me included. Am my own personal volunteer driver lol.

    Bottom line is, our guys gave their best, they deserve the best. Whatever it takes. No matter what.


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