Megabill Republican will mean higher health costs for many Americans

The “beautiful, beautiful draft law” for the president reduces federal spending on the markets of the Medical Welfare and Care Law at about $ 1 trillion over a decade of time, according to the non -party budget budget office, and threatens the material and financial health of millions of millions of Americans.

DraftAnd, which was approved by the Senate on Tuesday, would reflect many of the health coverage gains of the Biden and Obama administration, which made its policies easier for millions of people to reach health care and reduce the rate of non -securing the United States.

The Senate Plan can reduce Medicaid and ACA MARKETPLACE financing to approximately 12 million people without insurance by 2034, according to the estimates of the Central Bank of Oman. This, in turn, will harm the financial affairs of hospitals, the homes of the elderly, and community health centers – which will have to absorb more cost of treating unbelievable persons – and may force them to reduce services and employees, as well as nearby facilities.

Legislation is close to the Trump office, although the Senate and the Council must agree to the same issue. The House of Representatives approved its own version in May, and it is expected to be considered in the Senate version today, according to the House of Representatives Tom Amir.

Here are five ways that the Republican Party’s plans may affect health care.

Do you need medicaid? Then get a job

The deepest discounts in spending on health care comes from the proposed Medicaid work requirements, which would cut coverage of millions of registrants who do not meet new employment or reporting standards.

In 40 states and DC, all of them expanded Medicaid under reasonable prices, some registered in Medicaid will have to provide paperwork regularly that they work, volunteer or enroll in the school at least 80 hours per month, or that they are eligible for exemption, such as caring for a small child.

The requirements of the draft law will not apply to people in the ten countries led by the Republican Party to a large extent that did not expand Medicaid.

Health researchers say policy will not have a little impact on employment. Most of those registered at work age who do not receive disability benefits are already working or looking for work, or are unable to do so because of They have a disabilityOr attend the school or take care of a family member, According to KFF.

State experiences With the requirements of work, it was afflicted with administrative problems, such as the qualifying coverage of the losers of those registered on the problems of the leaves and the transgressions of the budget. The cost of Georgia’s work requirements, which was officially launched in July 2023, is more than $ 90 million Only 26 million dollars This is what was spent on health benefits, according to Budget and Policy Institute in GeorgiaNon -party research organization.

“Hidden Astronomical Costs,” said Chima Ndumele, a professor at Yale College of Public Health.

Less cash means less care in rural societies

The belt light that would target countries can translate into fewer health services, medical professionals, and even hospitals, especially in rural societies.

The Republican Party plan will reduce practice, known as the name SupplierAlmost every state has been used for decades to increase Medicaid payments for hospitals, elderly care homes and other service providers and special managed care companies.

The states often use federal funds created through taxes to pay institutions more than payicaid. (Medicaid generally pays the lowest care fee, compared to medical care, and the program for over the age of 65 and some with disabilities, and private insurance.)

Hospitals and nursing houses say they use these additional dollars to expand or add new services and improve care for all patients.

Rural hospitals usually work on thin profit margins and depend on medical aid tax payments to preserve them. Researchers from Cecil G. Sheps Center for Health Services Research Who studied the draft law of the House of Representatives that he will pay more than 300 rural hospitals – many of them in Kentucky, Louisiana, California and Akllahoma – Towards service discounts or closure.

Republican Senate members dealt with a $ 50 billion fund on their copy of the bill to expand a strike for rural hospitals.

It is difficult to obtain and preserve ACA coverage

For those who have an ACA market coverage, the Republican Party plan will make it difficult to register and keep their plans.

Document holders on the market will be asked to update their income and the state of immigration and other information every year, instead of allowing him to automatically return – something more than 10 million people they did this year. They will also have less time to register. The draft law reduces the annual enrollment period for about a month.

People who apply for coverage outside that period – for example because they lose a job or another insurance or need to add a baby or a pair to a current policy – they will have to wait for all their documents to be handled before receiving government subsidies to help pay their monthly installments. Today, they get up to 90 days of distinguished assistance during the application process, which may take weeks.

Republican lawmakers and some intellectual tanks of conservative policy, including Paraguce Institute for HealthSay that the changes are necessary to reduce fraudulent records, while opponents say they are The last attempt to back down from obamacare.

Also, the legislation does not call for the extension of more generous benefits that are placed during the roaming epidemic. If Congress does not behave, these enhanced subsidies will end at the end of the year, which leads to insurance premiums 75 % increase on average Next year, according to KFF.

On medicaid? Pay more to see doctors

Many Medicaid registrants can expect more pocket to determine the appointments.

The draft law will require Medicaid states to impose fees on a recorder of $ 35 for some services if their income between the level of federal poverty (this year, $ 15,650 per person) and 138 % of this amount (21,597 dollars).

Medicaid registrar often does not push anything when searching for medical services because studies have shown that imposing fees on small payments pays low -income people to give up the necessary care. In recent years, some states have added fees less than $ 10 to some services.

Politics will not apply to people looking for primary care, mental health care, or drug use treatment. The Senate Bill will allow the states to have a higher cost in costs for registrants looking to care for the emergency room for non -convergence. But if Medicaid patients fail to pay, hospitals and other service providers can be left for the bill.

Discounts for immigrants present legally

The Republican Party’s plan can cause at least hundreds of thousands of immigrants who are legally exist-including asylum seekers, trafficking victims, and refugees-by losing the coverage of the ACA market by pieces of benefits that make cutting installments cost. The restriction will not apply to green cards.

Since immigrants who will lose their benefits under this plan tend to be smaller than the total number of American population, their exit will leave their largest population, the disease and the most important in the market, and increase the payment of market installments, according to market managers in California, Maryland, Massachusetts and health analysts.

John behavior, Executive Director of the Council of Refugees, the United States of America, which is the invitation group, which is the Da`wah Group, which is the Da`wah Group, which is the Da`wah group, which is the Da`wah group, which is the Da`wah group, which is the Da`wah Group, which is the Da`wah group, which is the Da`wah group, which is the Da`wah group, which is the Da`wah group, which is the Da`wah group, that avoiding accessing health care away from the immigrants who live in the country legally “will perform harm that cannot be repaired by the individuals who promised us By protecting and imposing unnecessary costs on local systems already. In a statement.

Each of the Parliament and Senate’s publications from the draft law reflects the restrictions of the Trump Immigration Administration. But since it has been exposed to the rules of the Senate, the legislation will not include a proposal that would reduce Medicaid’s federal payments to states such as California, which uses its own money to cover migrants without legal status.

Jolly Rovnar, head of KFF Health News, has prepared reports.