Sen. Manchin: Only People Covered By Protect Act Are Senate Republicans
* * *
"For 10 years,
Background
Senator
* The proposal fails to provide an explanation for "treatments" for pre-existing condition exclusions. Meaning that while a consumer with pre-existing conditions can gain coverage, the bill could allow insurers to exclude certain types of care. For example, a patient with a history of cancer would gain insurance coverage, but the insurer would be able to exclude coverage for screenings or treatment for a reoccurrence of cancer.
* It poses no limit on how much more insurers in the individual market could charge a patient dependent on health status, age gender or occupation. Meaning a woman of childbearing age could be charged more because of her gender, as well as a 50 year old with heart disease, because of their age.
Current protections for patients with pre-existing conditions include:
- Guaranteed access to insurance in the individual market regardless of health. Previously, insurers typically used medical underwriting to deny coverage to people with pre-existing conditions, and also excluded coverage of any pre-existing conditions for people who were accepted.
- Community rating in the individual and small business markets, prohibiting insurers from varying premiums based on people's health, which was common before the ACA.
- Required coverage of essential benefits. Prior to the ACA, insurers in the individual market often excluded coverage of maternity, mental health, and substance abuse.



Sen. Booker Introduces Bill to Prohibit Use of Income Proxies to Determine Insurance Rates, Eligibility
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