Making sense of the GOP’s Health Care Plan

The only thing worse than cutting people off of health care in the light of day is doing it in secret. After keeping their plan hidden from the public and even their Senate colleagues, Republican leaders in the House have finally released their bill to repeal the Affordable Care Act.

The most important thing to know about this bill: It benefits the wealthy and healthy at the expense of those who are low-income and sick.

Here are some of the ways this bill will lead to fewer people covered, weaker protections, and higher costs:

  • Ends Medicaid expansion: Makes it impossible for states to continue Medicaid expansion, or for states like Missouri to take the opportunity to expand in the future, meaning millions fewer would have coverage. States would also be on the hook for the full cost of meeting the needs of the opioid crisis and would be forced to cut back services and ration care exactly when people needed it most – and the same could be true in any future public health crisis.
  • Sets the stage for deep cuts to funding for Medicaid through per-capita caps: To help pay for their plan, it creates caps to Medicaid funding that will ultimately result in shifting responsibility to the states — leaving our governor and state legislature no choice but to reduce coverage and increase costs for millions of additionalseniors, low-income families, people with disabilities, and children
  • Reduces tax credits making coverage less affordable: Makes coverage out of reach for millions of moderate-income families by reducing the size of the tax credits that make coverage affordable. A recent analysis from Kaiser Family Foundation found that many would pay thousands more.
  • Higher premiums and out-of-pocket costs – especially for older people: For those who keep coverage, premiums and out-of-pocket costs will rise, especially for older people, because the bill allows insurance companies to charge much higher premiums than current law.
  • Undermines protections for those with pre-existing conditions: If someone has a gap in coverage, even for a couple of months, they would be forced to pay a hefty penalty for the next year – meaning, good-quality coverage would once again be out of reach for millions.
  • Provides health savings accounts for the rich: Health savings accounts are great if you’re rich but most don’t have the extra money to take advantage of them so really it’s just another tax break for the wealthiest. For people living paycheck-to-paycheck, this doesn’t make health care more affordable or accessible.

Even worse – guess what they are doing with the money they save from cutting Medicaid and assistance for working families? These cuts make it possible to give big tax cuts for millionaires, pharma, and insurers and even health insurance company CEOs. This bill focuses on the wrong priorities for Missourians.

Fact Sheet: Capping & Cutting Medicaid

Fact Sheet: ACA Repeal Impact

Please take action today!

  1. Click here to tell your U.S. Representative that you oppose this bill.
  2. Contact the members of the two committees that will work on the bills and tell them you oppose this bill. To contact the committee members, you will need to either call or go to the contact forms on their websites. It will take a bit longer, but now is the time to do everything we can to stop this dangerous legislation.

Core Message: “I oppose the GOP plan to repeal the Affordable Care Act and cut Medicaid. Please oppose this plan.” Feel free to add more about your concerns – remember, you can find more details on our blog.

House Ways & Means Committee Members:

Tip: Start with U.S. Representative Jason Smith, who represents Southeast Missouri.

House Energy and Commerce Committee:

Tip: Start with U.S. Representative Billy Long, who represents Southwest Missouri.