How the Possible Affordable Care Act Repeal Is Already Hurting My Business

That was the message from a group of health care executives, representing hospitals from each of the major health care systems operating in Westchester County, at a roundtable discussion on February 13 at White Plains Hospital. But it acknowledges that states "have special powers and resources for creating insurance coverage", and notes that the state of MA created a state-run health insurance system in 2006. Then most insurance would insure them, ' said Dr. Zamora.

Mark Geller, CEO of Nyack Hospital, a member of the Montefiore Health System, also sounded alarms about the impact of any repeal of the law without a replacement.

Changing to another plan could force patients to change doctors, said Corlette, who surveyed 13 insurers in 28 states. One of the major unknowns of the Republican replacement is, whether the no-copay guaranteed by the Affordable Care Act for birth control will remain or not.

Blue Cross and Blue Shield Association lobbyists also told federal officials at a meeting Tuesday the administration needs to take any regulatory steps it's considering before April, according to a handout given to the officials.

For years, Republicans have targeted the Democratic-imposed tax increases as a ripe target for demolition.

Sen. Robert Casey, D-Pa., criticized Republicans Thursday for moving to repeal the Affordable Care Act without having settled on a replacement. And even the businesses that hired me as a freelancer gained-I was purchasing my own benefits (so they didn't have to) and paying both the employee and employer parts of Social Security and Medicare taxes. This combination - the large number of subscribers and their subsidies - enabled the insurance companies to offer health marketplace policies that varied in cost and coverage, and contained benchmark provisions that are now integral to all private health insurance policies: no disqualifying prior conditions, and inclusion of adult children on their parents' policies until age 26. Here in NY state, 2.8 million residents are enrolled in the state's health marketplace: 1.9 million have Medicaid; 379,000 persons participate in the state's extended Medicaid or Essential Plan, which allows New Yorkers to receive Medicaid who have annual incomes as high as 200 percent of the Federal Poverty Line, i.e., $48,500 for a family of four; 271,000 have Quality Health Plan private insurance policies, 54 percent of whom receive tax credit subsidies up to $2,000 a year to help pay for the cost of their policies; lastly, 215,000 children are enrolled in CHIP, the Child Health Insurance Program.

The House Energy and Commerce committee last week highlighted bills aimed at easing insurers' concerns. One of those measures would provide billions of dollars more to the insurance companies to subsidize out-of-pocket costs and deductibles for millions of lower-income consumers. Brooks has not released details but said her alternative will be better than a government dictate to buy insurance.

Yellen went on to say that the increase in health coverage and access to insurance under the ACA has helped improve the labor market.

Potential administration actions - such as repealing a requirement on what plans must cover - could be controversial.

"The first order of business is to repeal and replace Obamacare", Pence said.

And now, many of them are already beginning to rearrange their lives around the law's uncertain future. In Vice President Mike Pence's home state of Indiana, ACA repeal could mean an 18 percent slash to such life-saving treatment. But Alexander noted that maintaining the subsidy is something some Republicans "would not like to do".

  • Joanne Flowers