How the House GOP health care bill compares to Obama-era law
Some elements of the Obama-era law are maintained in the
How the House bill, called the American Health Care Act, compares with the ACA:
COVERAGE
ACA: About 11 million people are covered by expanded
OLDER ADULTS
ACA: Insurers can charge their oldest customers no more than 3 times what they charge young adults. That benefits older adults more prone to illness but has made coverage costly for young people, who maybe just need a prescription for allergy medicine. ACA tax credits to help pay premiums are keyed to income and the cost of insurance in local communities. Obama's law also offers cost-sharing subsidies that help low-to-moderate income people with out-of-pocket medical expenses, cutting deductibles from several thousand dollars to several hundred.
ACA: States that accept expanded
Of much greater significance, the bill would overhaul the underlying framework of
States would also be able to select a block grant to finance their
The budget office says the bill would reduce projected federal
ESSENTIAL HEALTH BENEFITS
ACA: Requires insurers to cover "essential benefits," including outpatient care, emergency services, hospitalization, pregnancy, maternity and newborn care, mental health and substance abuse treatment, prescription drugs, rehabilitation, laboratory and diagnostic tests, preventive and wellness services, and pediatric care, including dental and vision services for kids. The benefits are considered especially important for women, since birth control and other routine services are now covered as preventive care, at no charge.
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