AHCA, pamodzi ndi Mabungwe ena a GOP omwe amalowetsa m'malo mwa Obamacare
Donald Trump atapambana chisankho cha pulezidenti mu 2016, tsogolo la Care Affordable Care Act (ACA, lomwe limatchedwanso Obamacare) linali mlengalenga . Mtsogoleri woyamba wa Trump, atangotsala maola angapo atangotsala pang'ono kutsegulira, adayang'ana " kuchepetsa kulemera kwachuma kwa a Affordable Care Act ," ndipo adawatsogolera mabungwe a federal-monga IRS ndi HHS-kukhala omvera monga momwe angathere pakukakamiza chilango cha ACA .
Poyambirira, mu November ndi December, malamulo akuwoneka ngati akutsutsa ACA mwamsanga mu 2017, pogwiritsa ntchito bwalo loyanjanitsa lomwe silingagwirizane ndi filibuster ndipo likhoza kudutsa ndi mavoti 51 ku Senate (mabungwe a chiyanjanano zilibe malire, komabe, chifukwa angathe kuthetsa ndalama zomwe boma limagwiritsa ntchito, kotero kuti ndalama zowonetsera chiyanjano kuti zichotse ACA zikhoza kuthetsa zomwe zimagwiritsidwa ntchito palamulo).
Lamuloli liyenera kuti lifanane ndi a HR3762 a 2015, omwe anavoteredwa kumayambiriro kwa chaka cha 2016 ndi Purezidenti Obama, koma akadapanda kugwiritsa ntchito njira zambiri zogwiritsira ntchito ndalama za ACA ndi zaka ziwiri zoyenera kukhazikitsa kuchepetsa (mwachitsanzo, lamulo likanakhazikitsidwa kumayambiriro kwa chaka cha 2016, koma zambiri zomwe zinabwereza zikanatha kugwira ntchito mpaka 2018). Lingaliro ndiloti zaka ziwiri zochitapo kanthu zowonjezereka zikhoza kupereka Congress nthawi yokonza gawo ndi kusintha kosasunthika.
Msonkhano wa 2017 utangoyamba kumene, Senator Mike Enzi (R, Wyoming) adayambitsa ndondomeko ya bajeti yomwe ikuwongolera makomiti anayi kuti ayambe kukonza lamulo loyanjanitsa ndalama kuti athetse ndalama za ACA. Chisankho chosagwirizana, S.Con.Res.3, chinapititsa zipinda zonse za Congress asanayambe kutsegulira Trump, ndipo makomiti anayamba kugwira ntchito pa ngongoleyi.
AHCA Inadutsa Nyumbayi pa May 4, 2017
Pa March 20, Nyumbayi inakhazikitsa American Health Care Act (AHCA), yomwe idakhazikitsidwa chifukwa cha ndondomeko ya bajeti ya Januwale (kulembedwa kwa lamuloli kunapezeka pa March 6, koma sikunayambe kufotokozedwa mpaka March 20 ). AHCA ndi bizinesi ya chiyanjanitso, kotero sizingathetse mavuto ambiri a ACA. Koma ndi zosiyana kwambiri ndi HR3762 m'njira zambiri. AHCA inalembedwa pamsonkhano womwewo pamsonkhano womwewo womwe unayambitsidwa, ndipo kusintha kwakukulu kunayikidwa pa sabata zisanu ndi chimodzi zotsatira, pasanakhale chiyero cha Nyumbayi pa May 4, ndi voti 217 mpaka 213.
Bungwe la Congressional Budget Office linanena kuti AHCA idzachepetsa malire a $ 337 biliyoni, koma izi zidzathandiza kuti anthu osatetezedwa akuwonjezeke ndi 24 miliyoni pazaka khumi zikubwerazi. Bungwe la CBO linapereka ndondomeko yatsopano ya malamulo atasinthidwa pa March 20, akuwona kuti kusintha kosintha malamulo kungachepetse ndalama za $ 150 biliyoni, komabe zidzakwaniritsabe anthu osalimbikitsidwa akukula ndi anthu 24 miliyoni. Kukonzekera kwina kunaphatikizidwanso mu April ndi May, koma Nyumbayi inavomereza payeso yomwe CBO isanafike nayo kuti iwonetsetse momwe zotsatirazi zakhudzidwira.
AHCA poyamba idakonzekera voti pa March 24, koma idakokedwa pambuyo pa maola angapo amatsutso tsiku lomwelo, pamene zinkawoneka kuti panalibe chithandizo chokwanira kuchipatsira. Zosintha zomwe zinayambika pa masabata otsatirawa zinali zoyesayesa kukweza thandizo la malamulo, ndipo potsirizira pake zinapangitsa kuti lifike pamtunda wochepa kwambiri pa May 4.
AHCA idatumizidwa ku Senate itadutsa Nyumbayi, koma Senate yanena kuti idzalembera kalata yawo, kuphatikizapo AHCA monga momwe zingathere. Zinyumba ziwirizi ziyenera kuyanjanitsa kusiyana kulikonse m'ma bili awo asanatumize pulezidenti womaliza kwa pulezidenti kuti atseke.
Apa pali zomwe ziri mu AHCA, monga momwe zidadutsa Nyumba:
- Icho chimasintha ndalama za ACA za msonkho pambuyo pa 2019, ndipo zimalowetseratu ndi malipiro a msonkho wapamwamba omwe amasinthidwa malingana ndi msinkhu, ndipo amapita kwa anthu omwe ali ndi ndalama zambiri. Malipiro a msonkho wa ACA ndi akuluakulu kwa anthu omwe ali ndi ndalama zochepa, ndipo amakhala akuluakulu m'madera omwe inshuwaransi yaumoyo ndi yokwera mtengo. Malipiro a msonkho wa AHCA angakhale ofanana ndi munthu amene amalandira $ 20,000 kapena $ 70,000, ndipo angangosintha mosiyana ndi msinkhu. Zonsezi zingakhale zazing'ono zowonjezereka. Ndipo kuchepetsa ndalama ndi anthu osauka zikhoza kuchepa kusiyana ndi zomwe zikupezeka pansi pa ACA, pamene achinyamata ndi omwe ali ndi ndalama zambiri angapeze zambiri.
- Kuwonjezeka kwa Medicaid kukanakhalabe kudutsa mu 2019, koma kungakhale mazira pambuyo pake. Olembetsa atsopano sangathe kujowina, ndipo anthu omwe ataya kukwanitsa sangathe kulembetsa. Mayiko omwe sanathe kuwonjezera Medicaid pa March 1, 2017, sakanatha kulandira Medicaid ndi ndalama zomwe boma likulipirira zomwe zikuwonjezeka pakali pano (makamaka, mayiko 19 omwe sanatulutse Medicaid sakanakhala nawo ndalama zolimbikitsa kuchita zimenezo ngati AHCA ikuyankhidwa monga-ndi). Medicaid idzasinthidwa kuchoka ku federal yotseguka yomwe ikugwirizanitsidwa ndi magawo omwe ali nawo kapena kupereka malipiro kuchokera ku boma la federal.
- Chilango cha munthu aliyense chidzachotsedwa, ndikuyambiranso kumayambiriro kwa chaka cha 2016. M'malo mwake, AHCA ikudalira "kupitirizabe kufalitsa": Pambuyo pa nthawi yolembera 2018 (yomwe idakonzedwa pa November 1, 2017, kupyolera mu December 15, 2017), aliyense amene amalembetsa ndondomeko yamsika pamsika pakadutsa mphindi zosachepera makumi asanu ndi limodzi (63) zikanakhala zoperekera ndalama zokwana 30 peresenti kuposa miyezo yoyenera, kwa miyezi 12. Mwinanso, monga mbali ya MacArthur Amendment yomwe yawonjezeredwa ku AHCA, ikuti idzatha kupeza zofuna zomwe zingalole kuti mabungwe owonjezera inshuwalansi aziwonjezera malipiro okhudzana ndi mbiri yachipatala (mosiyana ndi 30% peresenti mosasamala kanthu zaumoyo) kwa aliyense wogulitsa malonda amene anali ndi kusiyana kotereku. Monga momwe chiwerengero cha 30 peresenti chikuwonjezeka, ndalama zapamwamba zozikidwa pa mbiri yachipatala zikanakhalabe kwa chaka.
- Zambiri mwa zotetezera za ACA zidzasinthidwa, popeza AHCA ndi ndalama zoyanjanitsika zomwe zimangotengera zoyenera kugwiritsira ntchito ndalama (Olemba malamulo a GOP adanena kuti njira zina zidzakambidwenso panthawi yomwe adzalandira ndondomeko ya chisamaliro, koma ndalama zopanda kugwirizanitsa angafunike mavoti 60 mu Senate kukhala umboni wa filibus). Komabe, MacArthur Amendment imavomereza kuti kusinthika kwafuna kufunafuna zofuna kusintha kusintha kwa zomwe akuwona kuti ndizofunikira phindu la thanzi , ndikuonjezera malamulo a chiwerengero cha zaka zapakati pa 5: 1 chiwerengero cha AHCA (ACA) 3: 1 premium chiŵerengero cha okalamba kapena olembetsa achinyamata).
- Kuonjezera kudzatitsimikiziridwabe mosasamala kanthu za zachipatala, koma monga taonera pamwambapa, anthu amitundu ina omwe amagula ndondomeko pamsika wawo pamodzi pokhapokha kusiyana kulikonse kungathe kuwona ndalama zambiri zomwe zakhalapo kale . Zomwe zilipo kale, kuyembekezera nthawi ndi kuyembekezera kungakhale koletsedwa. Maximums opindulitsa pa moyo ndi pachaka adzapitirira kuletsedwa kuti apindule ndi thanzi labwino, ndipo miyeso yowonjezera ya mthumba idafunikiranso kuti ikhale yopindulitsa pazinthu zofunika za thanzi. Koma monga momwe taonera pamwambapa, akuti akhoza kusankha kuchepetsa kukula kwa ubwino wa thanzi, zomwe zingalepheretse chitetezo chomwe chimagwiritsidwa ntchito ku miyeso yopezeka m'thumba komanso nthawi zonse zapindula.
May 2017: Senate Idzayang'ana AHCA
AHCA inadutsa Nyumbayi pa May 4 ndikupita ku Senate. Koma kuyambira pachiyambi, lamuloli silinali kuthandizidwa kuchokera kwa anthu ogwira ntchito kapena ngakhale bungwe lonse la olemba GOP. American Medical Association, AARP, ndi American Hospital Association, pamodzi ndi mabungwe ena ambiri, adayankhula motsutsana ndi AHCA. Mademokero ku Congress adatsutsa AHCA, koma ngakhale Republican adagawanika. Anthu ena a Senate Republican amakhulupirira kuti AHCA sichipita mofulumira kwambiri pochotsa ziwalo za ACA kuti ziganizire kuti ziwerengero za msonkho zowonjezera zomwe zimabwereranso ndi kuwonjezereka kwa Medicaid, mwachitsanzo).
Ndipo pamapeto ena a masewerawa, a Republican Senators ena amatsutsana ndi kukana kwa ACA's Medicaid ndikukwaniritsa malamulo omwe angapangitse kuti anthu ambiri achikulire ndi a ku America apindule kwambiri.
Tsopano kuti muyeso uli ndi Senate, ikukumana ndi zovuta zambiri kuposa momwe zinaliri mnyumbamo. Ngakhale kugwiritsira ntchito chiyanjanitso (chomwe chimafuna kuti mavoti 51 apitirire, osati 60), Senate ikhoza kutaya boma Republican awiri ngati ndalamazo zidutsa. AHCA itangotha Nyumbayi, Senate inanena kuti iwo akhoza kulemba mndandanda wawo, kutengera malangizo kuchokera ku AHCA, osati kusintha AHCA. Kotero pangakhalebe ndondomeko yowonongeka ndi biliyi, ndipo tsogolo liri kutali kwambiri ndi Senate.
Malamulo ena othandizira kusintha zaumoyo
Pamene chidwi chakhala chikugwiritsidwa ntchito pa AHCA kuyambira kumayambiriro kwa mwezi wa March, misonkho yambiri yakhazikitsidwa mu gawo la 2017, cholinga chonse chokhazikitsa kapena kusintha ACA kapena mbali zake (mungagwiritse ntchito chida ichi ku Kaiser Family Foundation kuti mufanizire ena a iwo mbali ndi mbali)
Tiyeni tiwone zina mwazolipira zomwe zakhazikitsidwa kale mu 2017 isanafike AHCA, ndipo zikanakhudza bwanji. Ngati Senate sichidutsa AHCA-kapena muyeso wina umene nyumbayo ikugwirizanitsa nayo-imodzi mwa ngongoleyi ingathe kuganiziranso mu 2018, monga oweruza a Republican sakukayikira kuthetsa ACA, ngakhale kuyesa kwawo 2017 sizili bwino.
Mipingo ya Senate
Patient Freedom Act
Patient Freedom Act inakhazikitsidwa pa January 23, 2017, a Senators Bill Cassidy (R, Louisiana) ndi Susan Collins (R, Maine).
Ndalamayi ndi yotsutsana kwambiri ndi mayankho ena a Republican omwe adayendetsedwa zaka zingapo zapitazo, chifukwa akutipatsa mwayi wosunga ACA monga, kapena kusintha kusinthika kwatsopano ndi kusintha kwa boma. Koma lamulo laling'ono silikhoza kuthetsa kuthandizidwa kokwanira kuchokera kumbali yonse ya kanjira, ndipo lamulo lokhazikitsidwa liyenera kupeza mavoti 60 mu Senate kuti athetse filibuster.
Patient Freedom Act ingasokoneze njira zambiri zopangira zisankho ku mayikowa ndipo idzawapatsa njira zitatu (zomwe zingathe kusinthika chaka chilichonse kuchokera ku chinthu china):
- Sungani ACA monga-ndi.
- Zambiri za ACA zidzasinthidwa, koma 95 peresenti ya ndalama zomwe zikanatha kulipilira ndalama zothandizira ndalama, kulandira ndalama zothandizira ndalama, ndi kuwonjezereka kwa Medicaid mu boma kudzagwiritsidwa ntchito kupezera ndalama za Roth Health Savings Accounts (Roth HSAs) kwa anthu ovomerezeka a boma. Anthu osalimbikitsidwa adzakhala olembetsa pulogalamu yapamwamba yochepetsera thanzi labwino (kulembetsa anthu okhaokha kumatenga malo a munthu aliyense).
- Zambiri za ACA zidzachotsedwa, ndipo boma lidzatha kuyendetsa ndi kusunga njira yatsopano (popanda zofunikira zomwe zatchulidwa mu Option 2). Koma boma silingalandire ndalama zothandizira boma.
Mosasamala kanthu komwe boma lingasankhe, Patient Freedom Act idzapitirizabe kuteteza ena a ACA: Moyo wawo wonse ndi malire apakati pachaka zidzaloledwa, monga momwe zikanakhalira kale. Kuonjezera kudzapitirira kutsimikiziridwa, ndipo achinyamata angapitirize kuloledwa kukhalabe pa dongosolo la thanzi la makolo kufikira zaka 26 . Patient Freedom Act sichidzafuna kuti zithandizo zaumoyo zithetse kufunika kwa thanzi lonse la ACA , koma ziyenera kutenga chithandizo cha mankhwala ndi mankhwala osokoneza bongo.
Cassidy ndi Collins akuyembekeza kuti mayiko ambiri adzasankha Chochita 2. Zimapangitsa kuti boma likhale losinthasintha potsata ndondomeko zoyendetsera polojekiti komanso zofunikirako, koma zimaperekanso ndalama zambiri zomwe zimaperekedwa kwa anthu a Roth HSAs.
Patient Freedom Act ikhoza kuthetsa kugwiritsa ntchito ma HSAs ndipo idzabwezeretsa Roth HSAs. Pakalipano, zopereka za HSA zimachotsedwa msonkho, koma zochepa ( mu 2017 ) siziposa $ 3,400 kwa munthu mmodzi, kapena $ 6,750 pa banja.
Zopereka kwa Roth HSAs sizingakhale msonkho woperekedwa koma anthu angathe kupereka ndalama zokwana madola 5,000 pa munthu aliyense (kotero kuti banja la anayi likhoza kupereka ndalama zokwana madola 20,000 pachaka, zomwe zoposa $ 6,750 zomwe zingapereke lero HSA yachikhalidwe).
Zoperekazo zikanakhala zopanda msonkho panthawi yambiri, ndipo zimatha kuchotsa msonkho kulipira ndalama zothandizira mankhwala (mbali izi za Roth HSAs zidzakhala zofanana ndi HSA).
Patient Freedom Act sanena momwe boma lingaperekere ndalama pa Roth HSA aliyense. Iwo akuyembekezera kuti izi zidzakhala ndalama zambiri, koma kuyenerera kwa zopereka za boma kungapitirize ngakhale kwa anthu omwe ali ndi ndalama zambiri, kufalitsa ndalama zowonjezera chiwerengero chachikulu kuposa momwe ACA imachitira.
Ndalama zomwe zili mu Roth HSAs (kuphatikizapo zopereka za boma ndi zopereka zawo) zingagwiritsidwe ntchito kulipira ndalama zothandizira inshuwalansi ya zaumoyo komanso ndalama zothandizira.
Chilamulo cha Obamacare Chotsitsimula
Pulezidenti Rand Paul (R, Kentucky) adayambitsa lamulo la Obamacare Replacement Act (S.222) tsiku lotsatira Cassidy ndi Collins atsegula pulogalamu yawo.
Senema Paulo adanena momveka bwino kuti bungwe la Congress lidzasintha lamulo kuti lichotse ACA popanda lamulo lokhazikitsira lamuloli (ndiye yekhayo Senate Republican kuti asankhepo pa S.Con.Res.3; ngakhale adakhulupirira kuti ACA iwonongeke, sakufuna kupitiliza ndi kuphwanya malamulo osaphatikizapo lamulo lolowera m'malo).
Paulo nayenso anali kutsutsana ndi anzake ake a Republican masiku omwe amatsogolera AHCA kumasula, polemba kuti ndalamazo zikulembedwera mobisa (ndalama sizinali zachidziwikire kufikira zitayambika komiti, koma Paulo adafuna onani malamulo omwe a Republic Republic adalemba).
Polimbikira kutsutsana ndi AHCA, Paul adatcha "Obamacare-Lite" ndipo adakumbukiranso chikhumbo chake chochotseratu ACA m'malo mwake.
Pano pali momwe a Obamacare Replacement Act angagwire ntchito:
- Malamulo ambiri a ACA adzachotsedwa, kuphatikizapo maudindo a munthu aliyense ndi abwana, nkhani yotsimikiziridwa komanso thandizo la anthu, komanso zofunika zofunika zaumoyo . Chifukwa chake, anthu sangafunike kugula inshuwalansi, olemba ntchito sayenera kupereka inshuwalansi, makampani a inshuwalansi azaumoyo akhoza kukana ntchito kapena kuonjezera malipiro okhudzana ndi mbiri yachipatala, ndi mapulani omwe alibe chithandizo cha zofunikira zosiyanasiyana zaumoyo zikhale zogula (zolingazo zidzakhala zosakwera mtengo, komanso zidzasiya ogula popanda chithandizo ngati atatha kuchiza chithandizo chimene sichinali chonchi).
- Padzakhala zaka ziwiri zoyambirira zolembera nthawi yomwe anthu omwe ali ndi nthawi yodalirika adzatha kugula malonda pamsika. Pambuyo pake, kufotokozera kungakhale kotsimikizirika (popanda chithandizo cholemba mankhwala) kwa anthu amene amapitirizabe kufalitsa. Kwa anthu omwe amalandira inshuwalansi kuchokera kwa abwana, malamulo a HIPAA angagwiritse ntchito, kutanthauza kuti mapulani angapangitse kuti anthu azikhala ndi nthawi yoyembekezera nthawi yomwe akudikirira omwe sanagwiritse ntchito chithandizo chokhazikika asanalembetse dongosolo la abwana.
- Anthu omwe amagula inshuwalansi yawo ya umoyo amaloledwa kupereka ndalama zapamwamba kuchokera ku msonkho wawo komanso msonkho wa malipiro (pakalipano, malamulowa amaletsa kwambiri anthu omwe amagula inshuwalansi ya umoyo pawokha , pomwe iwo omwe ali ndi ndondomeko zaumoyo angagwiritse ntchito msonkho ndalama zolipirira malipiro awo).
- Padzakhala ngongole ya msonkho yopanda malipiro yokwana $ 5,000 kuti ikhale yopereka ndalama ku Account Accounts Savings (HSAs) . Zopanda kubwezeretsa zimatanthawuza kuti ngongole ikhoza kupezeka kuthetsa msonkho umene munthuyo alipira, ndipo sangakhale wamkulu kuposa msonkho womwe munthu amalipira chaka. Izi zikusiyana ndi thandizo la ACA's premium , yomwe ndi ngongole yobwezeretsa msonkho; ngati ngongole ya ACA yokhomera msonkho ikuposa momwe mumalipira misonkho, IRS idzakupatsani kusiyana.
- Sipadzakhalanso malire apamwamba pa momwe mungathandizire ku HSA. Ndalama za HSA zingapangidwe ngakhale ndi anthu omwe sali okhudzidwa ndi ndondomeko za thanzi labwino, ndipo ndalama za HSA zingagwiritsidwe ntchito kulipira inshuwalansi ya inshuwalansi.
- Alangizi a zaumoyo akhoza kugulitsa mapulani kudutsa mndandanda wa boma. Ndalamayi imanena kuti malamulo a boma omwe amalembetsa inshuwalansi za umoyo amatha kuperekedwa, kotero kuti sitingaloledwe kuchoka kunja kwa ndondomeko zogulitsa malonda mu boma.
The ObamaCare Repeal Act
Pa January 12, Senemaat Ted Cruz (R, Texas) adayambitsa S.106, ObamaCare Repeal Act. Ndilo ngongole ya tsamba limodzi yomwe imangotchula kuti Care Affordable Care Act idzachotsedweratu kuyambira pa 1 Januwari 2018, ndi chirichonse chomwe chidzabwerera momwe zikanakhalira ngati ACA isanakhazikitsidwe.
Ndalamayi sichidzayambe kuthandizidwa ndi bipartisan, koma ndi mwayi wa Senator Cruz kuti adziwe ngati adalembapo njira yowononga lamuloli, ndikuyang'ana kwa anthu omwe akufuna kuti awononge ACA.
Ngongole za Nyumba
Misonkho yambiri inayambika mu Nyumba ya Oyimilira mu Januwale, iliyonse yokhudzana ndi kusintha kapena kusintha zinthu zina za ACA kapena momwe zakhazikitsidwira:
HR708 , "State Age Rating Flexibility Act ya 2017," yomwe inayambitsidwa ndi Rep. Larry Bucshon (R, Indiana, District 8). Ndalamayi idzayambira mu January 2018, ndipo idzalola olemba inshuwalansi zaumoyo kugwiritsira ntchito chiŵerengero chachisanu ndi chimodzi pamene mapulani okonzekera olembetsa akale. Mwa kuyankhula kwina, munthu wina wa zaka 64 angapereke chilango mobwerezabwereza katatu kuposa wopempha zaka 21. ACA imalepheretsa chiŵerengero chosaposa zitatu kapena imodzi.
HR628 , "Health Guaranteed Coverage for Pre-existing Act Act ya 2017," yotchedwa Rep. Rodney Davis (R, Illinois, District 13). Bill iyi yapangidwa kuti iteteze anthu kuzinthu zotsutsa kapena zosayenera chifukwa cha zinthu zomwe zakhalapo kale. Zingachitike ngati ACA ikuchotsedwa. Zingafunike kuti mapulani a kagulu ndi aumwini apitirize kulandira zofuna zonse, popanda chikhalidwe chisanafikepo. Monga ACA, idzawalola kuti inshuwalansi azikhala ndi nthawi yolembera nthawi ndi nthawi yolembera yapadera chifukwa cha zochitika zoyenerera.
HR710 , "Health Coverage State Flexibility Act ya 2017," yolembedwa ndi Rep Bill Bill Flores (R, Texas, District 17). Ndalamayi idzayambira mu January 2018, ndipo idzafupikitsa nyengo yachisomo ya ndalama za inshuwalansi zowonjezereka. Pansi pa ACA, anthu omwe akulandira ndalama zothandizira payekha amakhala ndi nyengo yachisomo ya miyezi itatu ngati akugwera kumbuyo kwa ndalama zawo (ayenera kuzilandira mokwanira kumapeto kwa miyezi itatu, sangathe kukhala miyezi itatu kumbuyo). HR710 idzafupikitsa nthawi ya chisomo kwa masiku 30, pokhapokha ngati boma likukhala ndi chisomo chosiyana. Nthawi yayikulu, nyengo ya chisomo idzakhala yofanana kwa aliyense, mosasamala kanthu kuti akulandira thandizo (pakalipano, nyengo ya chisomo m'mayiko ambiri kwa anthu omwe sali kulandizidwa ndi masiku 30).
HR706 , "Plan Verification and Fairness Act ya 2017," yotchedwa Rep Marsha Marshaburn (R, Tennessee, District 7). Ndalamayi idzafuna kuti anthu azilembetsa kupitako kunja kwa zolembedwera (mwachitsanzo, panthawi yolembetsa yapadera yochitidwa ndi choyenerera ) kuti apereke umboni wa zofunikira. Izi zakhala zikukangana pazaka zingapo zapitazo, ndipo boma la federal linatsimikizira zochitika zoyenerera mu 2016 pakati pazinthu zomwe anthu angakhale "kusewera" pokhapokha ngati palibe chitsimikizo.
HR184 , "Tetezani Medical Innovation Act ya 2017," yolembedwa ndi Rep Erik Paulsen (R, Minnesota, District 3). Ndalamayi idzachotsa msonkho wa chipatala cha ACA, chifukwa cha malonda onse opangidwa pambuyo pa December 31, 2017.
HR173 , "Middle Class Health Benefits Tax Repeal Act ya 2017," wolembedwa ndi Mike Kelly (R, Pennsylvania, District 3). Ndalamayi idzachotsa msonkho wa ACA wa Cadillac . Zidzakhala zochitika mu 2018, ngakhale kuti msonkho wa Cadillac wokha sungakonzedwenso kufikira 2020.
HR 247 , "Health Savings Account Expansion Act ya 2017," lolembedwa ndi Rep Dave Brad (R, Virginia, District 7). Ndalamayi idzawonjezera kuchuluka kwa ndalama zoperekedwa kwa a HSA, ndipo idzalola anthu kupereka ndalama ku HSA ngakhale alibe dongosolo la thanzi labwino. Zingalole kuti anthu agwiritse ntchito ndalama za HSA kuti azilipira inshuwalansi ya umoyo wathanzi, kulola HSA ndalama kuti azigwiritsanso ntchito mankhwala osokoneza bongo, komanso kuchepetsa chilango chomwe anthu amawagwiritsa ntchito pogwiritsa ntchito ndalama za HSA zosagwiritsa ntchito mankhwala. 20 peresenti, ndipo akhoza kubwerera ku 10 peresenti, momwe zinaliri patsogolo pa ACA).
HR285 , "Health Care Tax Relief Act", lolembedwa ndi Rep. Michael R. Turner (R, Ohio, 10th Distrit). Ndalamayi idzachotsa udindo wa ACA ndi udindo wake. Choncho anthu sangafunikire kukhala ndi inshuwalansi ya umoyo, ndipo olemba ntchito sangafunikire kuwapatsa.
Ndalama zonsezi zimagwirizana ndi malamulo a ACA, kapena njira zomwe lamulo likugwiritsiridwa ntchito motsatira malamulo (mwachitsanzo, HHS idapatsidwa udindo wokhala ndi zofunikira ndi zolemba za nthawi yolembera, ndipo poyamba adasankha kugwiritsa ntchito ulemu m'malo mofuna umboni wa zoyenerera zochitika).
Mawu Ochokera
AHCA tsopano ili ndi Senate, ndipo sitikudziwa kuti tsogolo lake lidzakhala lotani. Sitikunena motsimikiza kuti ACA idzachotsedwa kapena kusinthidwa, ngakhale kuti ndicho cholinga chachikulu kwa oweruza ambiri a Republican ndipo iwo amakhala nawo ambiri mu chipinda cha Congress.
Koma phwando silinagwirizanitse pafupi ndi yankho, ndipo pali kusagwirizana kwakukulu pakati pa Republican Senators pambali pa njira yopita patsogolo. Olemba malamulo a boma adalonjeza kuletsa ACA kuthetsa mwa njira iliyonse yomwe angathere, ndipo malinga ngati angathe kutenga atatu a Republican Senators kuti agwirizane nawo, kubwezeretsa malamulo sangathe kudutsa.
Kwa nthawiyi, palibe chomwe chatsintha, ndipo ACA akadali lamulo la dzikolo.
> Zotsatira:
> Cassidy.Senate.gov. Patient Freedom Act. Bungwe lopangitsa chisankho chokhala ndi chithandizo chamankhwala chikhale chovomerezeka mwa kulola mayiko kuti agwiritse ntchito njira zogulitsira malonda ku Care Affordable Care Act zomwe zimapangitsa kupeza mwayi wothandizira inshuwalansi yapamwamba komanso kuchepetsa ndalama poonetsetsa kuti anthu akuyenera kutetezedwa ndi ogulitsa odwala . Yatulutsidwa pa January 23, 2017.
> Congress.gov. S.106. ObamaCare Kubwereza Chilamulo. Yatulutsidwa pa January 12, 2017.
> Congress.gov. S.222, Act Obamacare Replacement Act. Anatulutsidwa January 24, 3017.