Kodi AHCA kapena BCRA Change Inshuwalansi angaperekedwe ndi ogwira ntchito?
Ngakhale kuti kutsutsanako za kusamalidwa kwa zaumoyo nthawi zambiri kumakhudzidwa ndi msika wa inshuwalansi (mwachitsanzo, kwa anthu omwe sapeza chithandizo kuchokera kwa abwana) ndi Medicaid, malamulo omwe akugwiritsidwa ntchito adzabweretsa kusintha kwakukulu kwa inshuwalansi imene abwana amapereka kwa antchito awo.
The Affordable Care Act (ACA) wakhala akukhazikitsidwa kuyambira 2010, ndipo oweruza a Republican akhala akugwira ntchito kuti abwezeretse kuyambira pomwe adakhazikitsidwa.
Pulezidenti Obama adalemba lamuloli mpaka 2017, koma pulezidenti Trump atagwira ntchito, panali njira yoti a Republican apite patsogolo ndi kuyesayesa kwawo.
Pa 4 May, olemba malamulo kunyumbayi adasintha lamulo lawo lokonza chisamaliro cha zaumoyo, American Health Care Act (AHCA), 217 mpaka 213, ndipo adawatumiza ku Senate. Lamuloli linkafunika mavoti 216, choncho kupambana kunali kochepa kwambiri.
Ofesi ya Congressional Budget Office inali isanalandirepo kalata yomaliza Nyumbayi isanavotere; Ndondomeko zitatu zinawonjezeredwa kuchokera pamene CBO idalandira kalembedwe mchaka cha March, kotero kuti zotsatira za AHCA sizidziwika bwino, ngakhale kuti ndalamazo zitachoka panyumbayo. Mndandanda wa CBO pamapeto a ndalamazo unalembedwa pa May 24-pafupifupi milungu itatu Nyumbayi itadutsa malamulowo.
AHCA: Tengani Mmodzi
Njira yowonongeka yakhala yovuta, yogawidwa bwino pakati pa nyumba za Republic Republican malinga ndi mbali ziti za ACA zomwe ziyenera kusinthidwa kapena kubwezedwa.
AHCA inayambika mu March 2017, koma idatengedwa mphindi zisanayambe voti yomwe inakonzedwa mu Nyumbayi pa March 24, pambuyo pa kukangana kwa maola angapo, chifukwa cha kusowa thandizo.
Nyumba Yankhululu Paul Ryan (R, Wisconsin) poyamba adanena kuti a Republican adzapitirizabe ndi zinthu zina pazochitika zawo, koma sabata yotsatira, AHCA idabweranso patebulo.
Kuyambira pamenepo, mtsutsano unayang'ana poyesa kupeza malo apakati ogwirizanitsa a Republican omwe amatsutsana ndi AHCA. Izi zinali zovuta, monga olemba malamulowo ali kumapeto kwa GOP spectrum.
Panali oimira 33 a Republican omwe ankatsutsana ndi AHCA mu March, ndipo ngakhale a Republican ali ndi ambiri m'nyumbayi, amatha kupititsa malamulo ngati osapitirira 22 Republican amavotera ayi (onse a Democrats adagwirizana ndi ACA kuchotsa pachiyambi) .
AHCA Ndi MacArthur Amendment ndi Upton Kusintha: May 4 Vote = Pass
Kukambirana mu April ndi kumayambiriro kwa mwezi wa May kunaphatikizapo kusintha kwapadera katatu: ndondomeko yosawoneka yogawana pangozi , MacArthur Amendment, ndi Upton Amendment.
Ndondomeko yosawoneka yoikapo pangozi idakonzedwe kumayambiriro kwa mwezi wa April, ndipo ikuyitanitsa $ 15 biliyoni ku federal ndalama zopitirira zaka zisanu ndi zinayi kuti zithandize kukhazikitsa mgwirizano wa malonda a inshuwalansi.
MacArthur Amendment, yomwe inalembedwa mu April ndi Rep. Tom MacArthur (R, New Jersey), imalola kuti mayiko adziwe kuti ACA akuzitetezera, kuphatikizapo zofunika zaumoyo , malamulo a zaka zapakati, ndi chiwerengero cha anthu.
Pokhapokha atanena kuti athandizidwe kuti athandizire malonda awo a inshuwaransi, amaloledwa kuchepetsa kukula kwa mapindu omwe ayenera kupangidwa ndi ndondomeko ya gulu limodzi.
Ayeneranso kulola makampani a inshuwalansi kuti azilipira ndalama zapamwamba kwa anthu omwe alipo kale omwe sakhala nawo nthawi zonse. Munthu yemwe ali ndi kusiyana kwa masiku osachepera makumi asanu ndi awiri (12) m'miyezi 12 yapitayi akhoza kubweza ndalama zokhazokha chifukwa cha mbiri yachipatala (ie, mapepala apamwamba ngati ali ndi thanzi labwino) kwa miyezi 12 yoyamba atalembetsa ndondomeko yamsika. , malamulo a AHCA nthawi zonse angagwiritsidwe ntchito m'malamulo omwe sakufuna kuti apitirize, omwe akufuna kuti apeze malipiro angapereke ndalama zokwana 30% zapadera kwa chaka chimodzi, mosasamala kanthu za mbiri yachipatala).
Bungwe la MacArthur Amendment linalandira thandizo lochokera ku bungwe loona za ufulu wa a House House, koma linapangitsa anthu a Republican kukhala ochepa kuchoka ku AHCA, pakati pa nkhaŵa zomwe anthu omwe analipo kale anali kutaya chitetezo chomwe apeza pansi pa ACA.
Upton Amendment, yomwe inayambika mu May ndi Rep. Fred Upton (R, Michigan), imapereka madola 8 biliyoni pazaka zisanu kuti izi zidziwe kuti zimakhala zotetezedwa kale, kuti zithandize maboma kuti apereke ndalama zowonjezera zomwe anthu ali nazo -kukhalapo komweko kulipira. Ngakhale kuti pali madandaulo kuti $ 8 biliyoni pa zaka zisanu sizidzakwanira, ndipo kuti kusinthako kumayendetsedwa pamtanda ndi zofunikira za ACHA, Upton Amendment adayendetsera ntchito ya AHCA, ndipo ndalamazo zinadutsa Nyumbayo madzulo a May 4.
Bill ya Senate
Mu June, a Senate Republican adayambitsa kalata yawo, yotchedwa Better Care Reconciliation Act (BCRA). Awonetsa kusiyana kochepa kwa BCRA; Apa pali kufotokoza kwa kusiyana pakati pa AHCA ndi BCRA .
Senate yakhazikitsa ndondomeko ya "kubwereza ndi kuchedwa", yomwe ndiyiyi yomwe idakhazikitsidwa ndi Congress mu 2015 (HR3762), koma Pulezidenti Obama adavotera. Buku la Senate Republicans la HR3762 limatchedwa Obamacare Repeal Reconciliation Act wa 2017 (ORRA). Mukhoza kuwerenga chidule cha ndalamazo , komanso kusanthula kwa CBO. Sizingatheke kuti ORRA idzapindula mokwanira pakati pa a Senate Republican kudutsa, monga ambiri mwa iwo adawonetsera kusungidwa pa lingaliro la kubwezera ACA popanda kukonzekera kuti apite.
Zotsatira pa Wogwira Ntchito-Zothandizira Zothandizira
AHCA idadutsa kale Nyumbayi, koma malemba a Senate (BCRA) ndi osiyana m'njira zingapo. Ngati ndondomeko ya Senate ikupita, Nyumbayi iyenera kuvomereza kusintha kusanayambe kutumizidwa kwa Purezidenti.
Koma ngati lamulo lokonzanso liyenera kukhazikitsidwa monga-ndili, lidzakhudza bwanji anthu omwe ali ndi inshuwalansi ya umoyo kwa abwana? Zambiri mwazomwe zili pafupi ndi AHCA ndi BCRA zakhala zikuwunikira momwe anthu angagwiritsire ntchito inshuwalansi yawo pamsika kapena kulandira Medicaid. Nanga bwanji za malangizi othandizira olemba ntchito?
ACA yabweretsa kusintha kwakukulu kwa inshuwalansi yothandizira inshuwalansi . Tiyeni tiwone momwe AHCA ndi BCRA zingakhudzira inshuwalansi ya umoyo kuti anthu achoke kwa olemba ntchito awo.
Magulu Aakulu: Kuchotsa Mwini Ntchito
Olemba ntchito omwe ali ndi antchito 50 kapena oposa sakadayesanso kupereka chithandizo cha inshuwalansi. Pansi pa ACA, olemba ntchito omwe ali ndi antchito 50+ ayenera kupereka mwayi wawo wathandizira wathanzi wathanzi wokwanira umene umapereka mtengo wochepa (mwachitsanzo, amapereka ndalama zokwana 60 peresenti ya ndalama zamagetsi). Ngati alephera kuchita zimenezo, iwo amamvera chilango cha msonkho. AHCA idzachotsa chilango chimenecho, kubwezeretsedwa kumayambiriro kwa 2016. Choncho lamulo la ACA lomwe likufuna kuti olemba ntchito akuluakulu azikhalabe pamabuku, koma sipadzakhalanso zotsatira za olemba omwe sanatsatire.
Kuti ziwoneke bwino, ambiri mwa olemba ntchito ambiri anali atapereka thandizo la thanzi pamaso pa ACA. Koma sikuti onse amapereka chithandizo chomwe chinali chotheka kwambiri (chomwe chimafotokozedwa ndi ACA mu 2017 monga chithandizo chokhacho chogwira ntchito osati ndalama zokwana 9.69 peresenti ya ndalama zapakhomo) ndi zowonjezereka. Olemba ena amafunika antchito kuti azilipirira ndalama zomwe sizinayenerere kutsindika kwa ACA, komanso olemba ntchito ena makamaka makamaka mu ntchito zamalonda ndi ntchito zomwe zimapereka "mini-meds" zomwe zimapereka chithandizo chamankhwala chochepa kwambiri malire opindulitsa (mwachitsanzo, ndondomeko yomwe inkagwira ntchito maulendo odwala nthawi zonse koma izi zimapindulitsa ndalama zokwana $ 5,000 kapena $ 10,000 chaka chonse, zomwe sizingatheke ngati wagwira ntchito kuchipatala).
Kufufuza kwa Health Affairs pogwiritsira ntchito pre-ACA deta (2009), kunapeza kuti 38 peresenti ya olemba ntchito akuluakulu akanatha kulandira chilango pansi pa ACA ngati zopindulitsa zawo zisasinthe pamene wogwira ntchitoyo atagwira ntchito.
Ngati abwana akulamula kuti chilangocho chichotsedwe, abwana ena akuluakulu akhoza kubwereranso kuikapo mafupa, ndipo ena angayambe kufuna kuti antchito azilipira ndalama zambiri. Izi sizikanakhala zotchuka ndi ogwira ntchito, kotero ndizowona kuti sipadzakhalanso kwathunthu kubwereranso ku chithandizo cha pre-ACA. Koma ndi chinthu choti muwone, makamaka ngati abwana anu akuwonjezera ubwino wanu zaka zingapo zapitazo chifukwa cha ACA.
Olemba ntchito ochepa omwe ali osapitirira 50 antchito-sanafunikire kupereka chithandizo, kotero kubwezeretsa ntchito kwa a ACA sikudzawakhudze. Komabe, AHCA ndi BCRA zidzathetseratu, pofika chaka cha 2020, msonkho wa msonkho wotsika, olemba ntchito ang'onoang'ono angathe kugwiritsa ntchito kuthetsa mtengo wa premium kwa zaka ziwiri zokha. Ngakhale izi sizikugwiritsidwa ntchito kwambiri kwa ACA, kuthetsa kwake kungakhale kovuta kwa mabungwe ang'onoang'ono kuti athandizidwe.
Bungwe la Congressional Budget Office linanena kuti pofika chaka cha 2018, chiwerengero cha anthu omwe anagwiritsidwa ntchito ndi inshuwalansi yothandizidwa ndi abwana chidzasokonezeka ndi 2 miliyoni pansi pa AHCA, ndipo pofika chaka cha 2026, anthu ochepa mamiliyoni atatu adzakhala ndi chithandizo chogwiritsidwa ntchito. Pansi pa BCRA, CBO ikulingalira kuti anthu ochepa mamiliyoni 4 adzakhala ndi inshuwalansi yothandizira aboma mu 2018, koma kuti pofika chaka cha 2026, anthu ochepa okha omwe ali ndi 2 miliyoni adzakhala ndi inshuwalansi yothandizira (poyerekeza ndi momwe zidzakhalire mu 2026 ngati ACA iyenera kukhala yosasinthika).
Ena mwa iwo ndi anthu omwe angangotuluka pazinthu za olembawo pokhapokha atapatsidwa chilango chokhachokha pansi pa AHCA kapena BCRA. Koma ena ndi anthu omwe abwana awo amasiya kupereka chithandizo ngati abwana akulamula kuti chilango chichotsedwe ndi AHCA.
N'zochititsa chidwi kuti kufufuza koyambirira kwa CBO ( yofalitsidwa kumapeto kwa March ) a AHCA kunatsimikizira kuti chiwerengero cha anthu omwe ali ndi ndondomeko zoperekedwa ndi abwana chidzatsika ndi 7 miliyoni pofika 2026. Pambuyo pake, CBO inanena kuti chifukwa chazing'ono kuchepa kwa chiwerengero cha anthu omwe akugwiritsidwa ntchito ndi ndondomeko zogwiritsidwa ntchito ndi abwana (3 miliyoni mmalo mwa 7 miliyoni) ndi chifukwa chakuti njira zomwe aliyense angagwiritse ntchito pa msika zidzakhala zaumphawi komanso zopepuka mosavuta m'maiko omwe akufuna kuti athetsere pansi pa MacArthur Chimakeko.
CBO ikuyesa kuti olemba ochepa adzawona kuti malonda awo ndi njira yabwino yoperekera gulu kwa antchito awo, ndipo adzapitiriza kupereka chithandizo cha gulu, ngakhale kuti sangachitepo ngati MacArthur Kusintha sikunayambe AHCA. Ngakhale kuti CBO sinafikepo ndi BCRA ndi Cruz Amendment, olemba ntchito angakhale nawo oterewa okhudza kutumiza antchito awo ku msika wina aliyense kuti agulire zofunikira zawo ngati kusintha kumeneku kukakwaniritsidwa monga mbali ya BCRA (Cruz Amendment) alola a inshuwalansi kuti apereke njira zosagwirizana ndi zaumoyo malinga ngati akupereka mapulani ochepa a ACA-ololera komanso).
Malire a Zopereka za FSA: Anachotsedwa Pambuyo pa 2017
ACA imapereka malipiro ku Ma Flexible Spending Accounts (FSAs) pa $ 2,600 mu 2017, indexed for inflation. AHCA ndi BCRA idzachotsa chiwerengero chimenechi kumapeto kwa 2017, kubwereranso kuntchito yomwe abwana amapereka ndalama zomwe zingaperekedwe kwa FSA.
Malire a Zowonjezera a HSA: Awonjezeka kuyambira mu 2018
Kwa anthu omwe ali ndi ndondomeko za umoyo wabwino wa HSA, ndalama zopezera ndalama zowonjezera ndalama (HSA) ndi $ 6,750 kwa banja, ndi $ 3,400 kwa munthu mmodzi. Zoperekazo ndizoperekera msonkho, ndipo zingapangidwe ndi abwana kapena ogwira ntchito, kapena kuphatikiza zonse ziwiri.
Pansi pa AHCA ndi BCRA, malire othandizira adzawonjezeka kuti akhale ofanana ndi ndalama zomwe zimaperekedwa pazinthu zaumoyo. Mu 2017, ndi $ 7,150 kwa munthu mmodzi, ndi $ 13,400 kwa banja. Mu 2018, iyenera kukwera madola 7,350 kwa munthu aliyense, ndi $ 14,700 kwa banja.
Ngati ogwira ntchito angapereke ndalama zina ku ma HSA, amatha kupeza ndalama zochepa zowonjezera, ndipo amalipira misonkho yochepa.
Magulu Aang'ono: Ndalama Zapamwamba kwa Ogwira Ntchito Akale
ACA safuna abwana ang'onoang'ono kuti apereke chithandizo, koma ngati atero, kufotokozera komweko kumayendetsedwa ndi ACA. Zomwe sizinagwirizane ndi magulu ang'onoang'ono (kuphatikizapo malonda omwe amalonda amadzigulira okha) ali ndi malire malinga ndi malipiro apamwamba omwe angakhale olembetsa achikulire kusiyana ndi achinyamata olembetsa.
Pansi pa ACA, chiŵerengero ndi 3: 1 . Izi zikutanthawuza kuti munthu wazaka 64 sangaloledwe kulipira kangapo katatu mochuluka ngati mwana wazaka 21.
Pansi pa AHCA ndi BCRA, izi zikhoza kusinthidwa ku 5: 1 (kapena apamwamba, ngati boma likugwiritsa ntchito chilolezo), pokhapokha ngati boma lasankha kusunga chiwerengero cha zaka za ACA m'malo mwake (pofufuza BCRA, Ntchito za CBO zomwe ambiri amati adzasankha kulola chiwerengero cha 5: 1). Ndi chiŵerengero cha 5: 1, olembetsa achikulire amatha kulipiritsa kasanu ndi ang'onoang'ono ngati olembetsa aang'ono (ndizofunika ndalama za kampani ya inshuwalansi, zomwe zimaperekedwa pang'ono ndi antchito ndi pang'onopang'ono ndi olemba ntchito; ndalama zomwe abwana amafuna kuti antchito azilipira zimasiyana zaka, koma pali chisankho cha zaka zapakati pa federal zomwe zimagwira ntchito).
MacArthur Amendment mu AHCA amalola kuti mayiko agwiritse ntchito zaka zoposa 5: 1, zomwe zikutanthauza kuti antchito ang'onoang'ono omwe ali ndi zaka zoposa makumi asanu ndi awiri akhoza kupatsidwa ndalama zoposa zisanu ndi zisanu ndi zisanu ndi chimodzi.
Magulu Aang'ono: Kutha Kuthana ndi Zomwe Madzi Akufunika
ACA imafuna kuti magulu ang'onoang'ono asakhale ndi ana ang'onoang'ono akugwirizana ndi zilembo zazitsulo za ACA: bronze, siliva, golide, kapena platinamu. Ichi ndi chiwerengero cha mtengo wapatali (chiwerengero cha ndalama zomwe ndalama zikuyembekezeredwa kubisala pa chiwerengero chonse cha olembetsa; chiwerengero chenicheni cha chithandizo cha munthu wina chidzadalira kuchuluka kwa chisamaliro chomwe amagwiritsidwa ntchito). Zolinga zamkuwa zimaphimba pafupifupi 60 peresenti ya ndalama, ndalama zophimba zasiliva pafupifupi 70 peresenti, mapulani a golidi aphimba pafupifupi 80 peresenti, ndipo platinamu imagwiritsa ntchito pafupifupi 90 peresenti (ndi +/- 2 peresenti yosiyanasiyana pamlingo uliwonse, mtengo wamtengo wapatali pakati pa 68 peresenti ndi 72 peresenti).
Pansi pa AHCA, zofunikira kuti magulu ang'onoang'ono (ndi anthu) apangidwe ndi zitsulo zamtengo wapatali zogwiritsidwa ntchito ndizitsulo zamakono zidzathetsedwa pambuyo pa kumapeto kwa 2019. Izi zikutanthauza kusiyana kwakukulu m'makonzedwe, ndipo zingakhale zovuta kwambiri kuyerekeza maapulo ndi maapulo pamene mukuyang'ana pazinthu zambiri.
Pansi pa BCRA, chiwerengero chachitsulo chofunika kwambiri sichimasinthidwa ku federal, koma chikhoza kukhala ndi ufulu wosintha kapena kukwaniritsa zofunikira pogwiritsira ntchito 1332 kuchotsa, zomwe zingaperekedwe ndi zofunikira kwambiri pansi pa BCRA malamulo (1332 waivers ndi mbali ya ACA, koma ACA ili ndi chitsogozo chokhudzana ndi momwe angaperekere, ndipo BCRA idzachotsa zochuluka mwazofunikira).
Misonkho ya Cadillac: Anasunthidwa Mpaka 2026
Misonkho ya ACA ya Cadillac yatha kuchedwa mpaka 2020, koma yapangitsa antchito ena mantha pamene akuwoneka zaka zingapo pamsewu. Misonkho ya Cadillac ndi 40 peresenti ya msonkho pamalipiro a malipiro onse kuposa chiwerengero choyambirira. Cholinga chake ndi cholinga chokhazikitsa ndondomeko zokhazokha, koma otsutsa akudandaula kuti pakapita nthawi, zidzatha kuwonjezeka kwa mapulani, chifukwa cha mtengo wa chithandizo chamankhwala kuwonjezeka kwa kutsika kwa mitengo. Ndipo kumadera a dziko komwe inshuwalansi ya umoyo ndi yokwera mtengo (monga Alaska, mwachitsanzo), izi zikhoza kugwiritsidwa ntchito kuzinthu zambiri osati zokhazokha.
AHCA ndi BCRA zikanathetsa msonkho wa Cadillac kuyambira 2020 mpaka 2025, ndipo palibe msonkho wa ndalama zomwe zikanagwiritsidwa ntchito panthawi imeneyo. Malamulo onse awiriwa angapangitse msonkho kuti uchitike mu 2026, koma ndizotheka kuti malamulo ena amatha kukhazikitsidwa pakati pa nthawi ndi nthawi kuti athetse msonkho wonse, chifukwa sichikondedwa mbali zonse za ndale.
Kukhazikika kwa boma: Essential Health Benefits
Pofuna kuti mamembala a House Freedom Caucus apereke thandizo la AHCA, olemba malamulo a MacArthur Amendment amalola kuti mayiko athetse miyezo yomwe ikugwiritsidwa ntchito pazothandiza zaumoyo komanso chikhalidwe.
Pansi pa ACA, mapulani ang'onoang'ono omwe sanagwirizane nawo (ndi malonda omwe ali ndi malonda) ayenera kubwereza zopindulitsa zamagulu a ACA , ndipo magulu ang'onoang'ono sangapereke malipiro apamwamba okhudzana ndi mbiri ya ogwira ntchito.
MacArthur Amendment amalola kuti mayiko asankhe ngati ayenela kutsatila malamulo amenewo, pofuna kuyesa kulembetsa malipiro a anthu olembetsa bwino. Kuchita malonda, ndithudi, ndikuti anthu omwe ali ndi nthawi yomwe ilipo kale kuti amatha kukwaniritsa zofuna zotsalira zingapeze kuti gulu laling'ono likukonzekera kuti likhalepo sizinali zogwirizana ndi zolinga zamakono.
Ngati mayiko akufunafuna kuchotsa msonkho kuti apereke ndalama zapamwamba kwa anthu omwe alipo kale omwe sadziwa zambiri, angagwiritsidwe ntchito pamsika, osati msika wa gulu.
Bungwe la BCRA latenga njira yosiyana, povomereza kuti boma liri ndi ufulu wogwiritsa ntchito zoperekera 1332 kuti zisinthe zomwe zikhoza kuphatikizapo kubwezeretsanso zofunika za thanzi. Monga tafotokozera pamwambapa, BCRA ili ndi njira zochepetsera zomwe zimapangitsa kuti mayiko 1332 aperekenso (poyerekeza ndi ACA). Ntchito za CBO zomwe pafupifupi theka la anthu a m'dzikoli zimakhala m'mayiko omwe angafune ndalama zopitilira 1332 kuti achepetse kuchuluka kwa zomwe zimawerengedwa ngati zopindulitsa zaumoyo ngati BCRA idakhazikitsidwa. Izi zingakhudzire zolinga za gulu limodzi ndi zazing'ono m'mayiko amenewo, ndi kulumikizidwa kukhala kolimba kwambiri pa nthawi.
Chitetezo Chinachepetsedwa ku Zoperekera Zamoyo Zonse ndi Zaka Zakale Zomwe Zili M'kati mwa Pocket
Pansi pa ACA, onse omwe sanalimbikitse mapulani awo, malingaliro a gulu lonse, ndi malingaliro omwe amadzipangira okhaokha-amayenera kuthetsa phindu la pachaka ndi la moyo wathanzi (mwachitsanzo, ndondomeko sizingatheke phindu la $ 1 miliyoni kapena $ 5 miliyoni , monga momwe zinalili kale pre-ACA).
Ndondomeko zonse zomwe sizinapangidwenso zimayenera kuchepetsa ndalama zowonjezera zowonjezera (mu 2017, ndi $ 7,150 kwa munthu mmodzi).
Koma malamulo onsewa amangogwiritsidwa ntchito pothandiza phindu la thanzi . Ngati boma likufuna kuchotsa ndi kuchepetsa kuchuluka kwa mapindu othandizira azaumoyo a ACA, malamulo okhudzana ndi moyo wawo wonse / malipiro apachaka ndi opanda malire amatha kumasuka. Zinthu zomwe sizikutengedwa kuti ndizofunika kwambiri zathanzi sizidzakhalanso zotetezedwa.
Chimene Sichikusintha
Zomwe zimatetezera ogula mbali za ACA zimatchuka kwambiri, ndipo siziyenera kusintha pansi pa AHCA kapena BCRA. Pano pali zomwe zingakhale zofanana ndi ndondomeko zothandizidwa ndi abwana:
- Achinyamata achikulire akhoza kukhala pa dongosolo la thanzi la makolo mpaka zaka 26.
- Zopindulitsa zapachaka ndi zamoyo nthawi zonse zimaletsedwa (malinga ndi momwe zimagwiritsira ntchito phindu la thanzi labwino; monga tafotokozera pamwambapa, zofunikira kwambiri zokhudzana ndi ubwino wa thanzi zidzasokoneza chiletso cha ndalama za pachaka ndi zopindulitsa za moyo)
- Nthawi zodikira kuti anthu azigwira ntchito zowonjezereka sangathe kupitirira masiku 90 (izi zikhoza kusinthidwa pansi pa kusintha kwa BCRA's Cruz Amendment-yomwe mwina ikhoza kukhala yosamaliridwa pamsonkho-koma zidzakhala mwanzeru iliyonse).
- Ndalama zowonongeka zowonongeka (chiwerengero cha 2017 ndi $ 7,150 kwa munthu mmodzi ndi $ 14,300 kwa banja; mu 2018, malire ndi $ 7,350 kwa munthu mmodzi ndi $ 14,700 kwa banja). Komabe, monga tafotokozera pamwambapa, miyeso yopezeka m'thumba imangogwiritsidwa ntchito pazinthu zofunika zathanzi.
> Zotsatira:
> Congress.gov, HR1628, American Health Care Act ya 2017. Yotumizidwa ku Nyumbayi Yonseyi pa March 20, 2017.
> House.gov Makhalidwe a Nyumba Komiti Amendment (ndondomeko yosawoneka yogawana pangozi) ku HR1628 (American Health Care Act) , pa April 6, 2017.
> House.gov Kusintha kwa Menezi ku American Health Care Act, kusintha kwa ndondomeko , pa March 20, 2017.
> House.gov Policy Kusinthidwa kwa Kusintha kwa Meneti kwa HR1628 , March 24, 2017.
> Kaiser Family Foundation, Chidule cha American Health Care Act, April 2017.