House Health Care Bill Would Hit Low-Income And Elderly Californians Hardest

PASADENA, CA - NOVEMBER 19: A healthcare reform specialist helps people select insurance plans at the free Affordable Care Act (ACA) Enrollment Fair at Pasadena City College on November 19, 2013 in Pasadena, California. The event, sponsored by the Chamber of Commerce and the Los Angeles Association of Health Underwriters, offers one-on-one sessions with insurance experts certified by Covered California to help people enroll for healthcare coverage under the ACA. (Photo by David McNew/Getty Images)

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The Republican replacement proposal for the Affordable Care Act is moving forward in Congress, and major changes could be in store for millions of Californians.

House Republicans want to phase out the expansion of Medicaid starting in 2020. The program, known as Medi-Cal in California, has added nearly 4 million enrollees under the Obamacare expansion since 2014. The state also faces other potential cuts to Medi-Cal from a House plan for per-capita funding.

In the private insurance market, the House plan would dramatically alter the premium subsidies that about 1.2 million Californians receive to purchase coverage in the state exchange, Covered California. In many cases, lower-income and older consumers would receive less federal assistance under the GOP plan.

The Republican bill also ends the ACA’s individual mandate to have health insurance. In its place, people could face a 30 percent surcharge in premiums if they have a lapse in coverage.

Chad Terhune, a senior correspondent for California Healthline and Kaiser Health News, discussed the House bill and how it would work in California with A Martínez, host of the “Take Two” show on Southern California Public Radio (KPCC).

 

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