![]() But when confronted with insurer exits and big price hikes, many states with the best of intentions may feel they have little choice but to get a waiver,” Corlette said. “Certainly the Californias and New Yorks of the world will do what they can to hold onto the ACA protections. ![]() These opt-out provisions could accelerate the unraveling of Obamacare, even in places that fully embraced the landmark law. “With the skimpier subsidies, states are going to be under enormous pressure to apply for these waivers,” said Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reforms. The new GOP health care bill would allow such waivers. To keep insurers in the market and bring costs down, state leaders might feel compelled to seek exemptions from rules that require health plans to provide 10 “essential health benefits” and prohibit them from charging higher rates for sicker consumers. Unless the legislation fails or changes substantially, many consumers across the country could see the amount they pay every year for premiums increase by thousands of dollars, making coverage effectively unaffordable.įew, if any, states would be able to fund subsidies on their own. The American Health Care Act, which narrowly passed the House on Thursday and now heads to the Senate, would significantly cut the federal subsidies on which many Americans rely to buy coverage. Red, or GOP-leaning, states are sure to be interested in rolling back the law’s coverage requirements and freeing insurers to charge people more when they have preexisting conditions.Īs strange as it sounds, deep-blue, heavily Democratic states supportive of Obamacare, including California and New York, may be forced to do the same, according to experts, regulators and consumer advocates. ![]() Under the Republican health bill, it’s up to states whether to dismantle key parts of the Affordable Care Act. Capitol Desk delivers the latest in health care policy and politics from Sacramento and around the state.
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