They predict that:
-- Most of the 1.74 million Floridians signed up for coverage through the Affordable Care Act exchange at healthcare.gov will be unable to afford their plans under the Republican proposal.
-- An estimated 4.3 million children, pregnant women, low-income elderly and disabled Floridians covered by
-- Hospitals with high numbers of uninsured and
"There are significant consequences for
The CBO score released this week predicts that 14 million Americans -- many of whom earn low incomes -- will lose their coverage if the
The nonpartisan agency's estimate for the Republican bill also predicts that health insurance premiums for those who buy their own coverage outside of work will drop on average after 2020 -- but mostly for younger people, and only after a dramatic price spike of as much as 20 percent in the interim.
Health and Human Services Sec.
"For there to be the reductions in coverage they project in just the first year, they assume five million Americans on
Health experts said the biggest impact to
"You will see large numbers of people -- I would say hundreds of thousands in
Of the 1.63 million Floridians with coverage through healthcare.gov in 2016, more than 50 percent had an annual household income that was less than
"With that many people in the marketplace with very low incomes, I think you will see a spike in the uninsured rate under the
But not all Floridians will feel changes in the same way. Younger people with moderate incomes and higher are likely to get some relief under the Republican plan.
The CBO report says that a 21-year-old person earning
But a 64-year-old person with the same annual income would pay much more -- from
"The sticker price is fine for people who can afford to pay the whole amount," Solomon said. "But it doesn't do the people who need a subsidy a lot of good, particularly older people."
With such high prices for health insurance, said Ullmann, the UM health policy expert, the
"What happens is that the people who will be buying insurance will be people who will tend to be more prone to illness, perhaps a little higher in age, and as a result because those are higher-cost users, premiums will go up," Ullmann explained.
"To go back to that," Rueben said, "at the very time that the federal government would also cut funding to the states for
Hardest hit will be hospitals with high numbers of
"They'll cut a program like a maternal care program or something like that," he said. "But when they cut it, they can't just cut it to
Harmatz said that a
"That's the really horrible rationing scenario that we'll be faced with if the
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