1. The GOP needs 50 votes to pass the AHCA in the Senate. The GOP is the Senate majority 52:48.
2. If the bill passes the Senate it will be reconciled with the bill passed by the House.
3. There are 4 GOP senators who have announced that they oppose the current version of the bill as written describing it as Obamacare light.
4. The AHCA proposes major changes to the Medicaid program. The ACA dramatically expanded Medicaid as the basis for the coverage of the poorest Americans. The AHCA continues the expansion until 2021 when Medicaid begins to be scaled back in terms of federal support.
In 2024, the AHCA turns the federal role in funding Medicaid to block grants that cap total federal Medicaid spending; and because Medicaid increases will be indexed to the standard rate of inflation (1.7%) rather than the medical rate of inflation (4.4%-8.0%) as is the case in the ACA.
As a final indignation the states are allowed to waiver out of the key component to pre-existing conditions coverage in the ACA, the essential benefits mandate defining the meaning of treatment for all of the pre-existing conditions covered. The AHCA prohibits insurers discriminating on the basis of pre-existing conditions but it may not pay for the treatment of them rendering it a meaningless benefit.
5. The Senate version of the AHCA like the House version denies Title X funds to any center that provides abortions and targets Planned Parenthood for at least 1 year.
6. The CBO will score the Senate version of the AHCA for the years 2016–2026. All of the negative effects are back loaded in order to get the best CBO score possible.
7. The bill reduces the income range of Americans eligible for federal subsidies from 400% of the federal poverty level to 350% of that level, a reduction of a little more than $6000 per eligible american.
The purpose of the AHCA is to take healthcare money from people who make $56,000* per year and less and give it to people who make $200,000 per year or more and call THAT
* single income eligible for a federal subsidy in 2017.
Arise arise he cried so loud with a voice without restraint/come out ye gifted kings and queens and hear my sad complaint/no martyr is amongst ye now whom you can call your own/but go on your way accordingly and know you're not alone