February 06, 2017 at 6:10 PM | WaPo
Legislation to repeal the health-care law, drafts of which are expected to emerge as early as Monday evening, will propose refundable tax credits that would hinge on earnings as well as age.
The goal of lessening the government’s role also is behind another major change from the ACA that the Republican plans envision: getting rid of the federal requirement on insurers to include a minimum set of “essential benefits” in health plans sold to individuals and small businesses.
The member of Congress who was briefed on changes to the proposal over the weekend said that drafters were not only moving toward capping the tax credit, but were also exploring how to avoid taxing employer-provided plans for the first time — something that could provoke a fierce response from conservatives. Instead, the member said, the cost of the scaled-back tax credits could be offset by savings gained by rolling back the ACA’s Medicaid expansion over the coming years.
Four key Republican senators said they would oppose any new plan that would leave millions of Americans uninsured.
Sens. Rob Portman (R-Ohio), Shelley Moore Capito (R. W.Va.), Cory Gardner (R-Colo.) and Lisa Murkowski (R-Alaska) said they would vote against any reform bill that fails to protect Americans who became eligible for coverage under the ACA’s expansion of Medicaid, the government-run health program for the poor and disabled.
All four senators represent states that opted to expand their Medicaid program under the ACA.
With 52 Republicans, McConnell would not have enough votes to pass repeal without the support of at least two of those senators.