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Posted by: thepinetree on 09/25/2017 03:23 PM Updated by: thepinetree on 09/25/2017 03:24 PM
Expires: 01/01/2022 12:00 AM

Preliminary Analysis of Legislation That Would Replace Subsidies for Health Care With Block Grants

Washington, DC...At the request of the Chairman of the Senate Budget Committee, the Congressional Budget Office and the staff of the Joint Committee on Taxation (JCT) have analyzed the direct spending and revenue effects of legislation sponsored by Senators Graham, Cassidy, Heller, and Johnson that would replace certain federal subsidies for health care with block grants to states. Specifically, the agencies analyzed H.R. 1628, an amendment in the nature of a substitute [LYN17744], posted on September 25, 2017, on Senator Cassidy’s website.

Click Above for PDF of Analysis

In the short time available, rather than provide the point estimates that are typical in such analyses, the agencies have been able to assess only whether any reductions in the deficit stemming from the legislation as a whole (and from its two titles individually) would exceed certain thresholds and to qualitatively assess its effects on health insurance coverage and market stability.

Over the 2017–2026 period, CBO and JCT estimate, the legislation would reduce the on-budget deficit by at least $133 billion, the projected savings from the House-passed reconciliation bill. (The effects on the deficit were estimated relative to CBO’s March 2016 baseline, as has been done for all legislation related to the 2017 budget resolution.) Those savings would occur mainly because, under the legislation, outlays from new block grants between 2020 and 2026 would be smaller than the reduction in net federal subsidies for health insurance. Funding would shift away from states that expanded eligibility for Medicaid under the Affordable Care Act (ACA) and toward states that did not.

The number of people with comprehensive health insurance that covers high-cost medical events would be reduced by millions compared with the baseline projections for each year during the decade, CBO and JCT estimate. That number could vary widely depending on how states implemented the legislation, although the direction of the effect is clear. The reduction in the number of insured people relative to the number under current law would result from three main causes. First, enrollment in Medicaid would be substantially lower because of large reductions in federal funding for that program. Second, enrollment in nongroup coverage would be lower because of reductions in subsidies for it. Third, enrollment in all types of health insurance would be lower because penalties for not having insurance would be repealed. Those losses in coverage would be partly offset by enrollment in new programs established by states using the block grants and by somewhat higher enrollment in employment-based insurance. Many of the new programs would probably cover people with characteristics similar to those of people made eligible for Medicaid by the ACA.

The decrease in the number of insured people would be particularly large starting in 2020, when the legislation would make major changes to federal funding for Medicaid and the nongroup market. CBO and JCT expect that market disruptions and other implementation problems would accompany the transition to the block grants created by the legislation—despite the availability of funding specifically designated to assist with that transition—given the short time for planning and making changes between now and then.

CBO and JCT would need at least several weeks to provide point estimates of the effects on the deficit, health insurance coverage, and premiums. During that time, the agencies would gather and analyze more information about states’ potential uses of the block grants and the extent to which states might modify rules governing the nongroup market.

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The GOP Repeal of Obamacare is D.O.A.
Posted on: 2017-09-25 21:23:41   By: Anonymous

What took many months of work (Obamacare) will not be repealed in days or weeks...

"Repeal and Replace" is D.O.A.
Code Blue...

The GOP "Repeal and Replace" is...
Angels carried it away
At room temperature
Awakened to eternal life
Before his/her time
Bereft of life
(The) Big Sleep (Raymond Chandler wrote a classic detective novel using this title)
Bit the dust
Bite the big one
Bought a one-way ticket
Bought the farm (the "farm" might refer to a cemetery plot)
Breathed his/her last
Called to Christ/Our Lord
Cashed in (or out)
Cashed in his/her chips
Ceased to be
Checked into the Horizontal Hilton
Checked into the Motel Deep 6
Checked out
Climbed the stairway to heaven
Crossed over
Crossed the Great Divide
(A) Debt we all must pay
Deep Six
Destroyed (generally used with pets)
Dirt nap
D.O.A. (acronym for "dead on arrival")
Do not pass go, do not collect $200 (Monopoly anyone?)

Entered eternal rest
Entered the Pearly Gates
Entered the Sweet Hereafter
Faded away
Feeding the worms (or "became worm food")
Fragged (this term is popular with video gamers)
Gave up the ghost
Got his/her just reward
Got his/her wings
(The) Great Leveler
Hamlet sleep
His/Her number's up

Is in a better place (don't say this to someone grieving a death)
Is kaput
Is no more
Joined his/her ancestors
Journey's end
Kicked the bucket
Kicked the can
Kicked the oxygen habit
Knocked on heaven's door
Laid down his/her life
Late (as in "the late Mr. Jones")
Launched into eternity
Leave/left this life
Left the building (often preceded by "Elvis has...")
Lost his/her life
Met an untimely end
Met his/her maker
No longer counted in the census
Not going to shop at Walmart anymore
Out of business
Passed (probably the most common euphemism in use today)
Passed away
Passed the point of no return
Pass on
Pay/paid the piper
Pegged out (likely borrowed from the game of cribbage)
Playing a harp
Pushing up daisies
Relinquished his/her life
Resting in peace
Rung down the curtain and joined the choir invisible (from the classic Monty Python sketch, "Dead Parrot")
Shuffled off the mortal coil (uttered most famously by Hamlet in Shakespeare's play)
Six feet under (the traditional depth of which a body is buried)
Sleep with the fishes
Slipped away
Substantive negative outcome
Surrendered his/her life
Snuffed out
Toes up
Took a permanent vacation
Turn to dust
Walked the plank (argh, pirates be familiar with this one!)

Was called home
Went the way of all flesh
Went to be with the Lord
Went to Davy Jones' Locker
Went to the Happy Hunting Grounds

[Reply ]

    Re: The GOP Repeal of Obamacare is D.O.A.
    Posted on: 2017-09-25 23:18:00   By: Anonymous
    What about "Took a powder"?

    [Reply ]

      Re: The GOP Repeal of Obamacare is D.O.A.
      Posted on: 2017-09-26 09:41:56   By: Anonymous
      Can you ask Trump about the his staff and the use of email ? He is a total joke ...

      [Reply ]

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