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Many healthy people would voluntarily opt to go without coverage, and insurers could raise their premiums to cover the remaining, sicker population.
These higher premiums would in turn cause more consumers to become priced out of the market.
Places a per-person limit on future federal contributions, starting in 2020.
Senate GOP bill: Stretches phase-out of Medicaid expansion financing. Exempts spending on special-needs children from cap on federal Medicaid matching contribution.
You can expect the individual market to look very different if the penalty goes away, experts say.
The non-partisan Congressional Budget Office estimates that repealing the individual mandate starting in 2019 would result in 4 million losing coverage in 2019 and 13 million losing coverage in 2027.
Medicaid covers some 70 million people, from newborns to elderly nursing home residents.
Technically, the GOP tax bill doesn’t repeal the individual mandate, Corlette says; it simply reduces the penalty for going uncovered to zero, But in practice, eliminating the penalty will have the same result as eliminating the individual mandate altogether.
The Senate Republican health care bill would guarantee immediate assistance for insurance markets that are struggling in many states.
And regardless of what the tax reform bill says, it’s simply a smart idea to have health insurance.
“You should buy insurance because it helps you get access to care, and it’s critical financial protection in case something awful happens,” Corlette says.The individual mandate clause of the Affordable Care Act (a.k.a.