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National Coalition On Health Care

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Rother: Final Tax Bill would Undercut Affordability of Care and Coverage

December 18, 2017 By National Coalition on Health Care

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Statement by National Coalition on Health Care President and CEO John Rother on the repeal of the Affordable Care Act’s individual mandate penalties included in final House and Senate tax legislation

 

“More than just a tax bill, the legislation before Congress this week would undermine health coverage and affordability in the United States. Repealing individual mandate penalties without replacement would leave millions of Americans without health coverage while doing nothing to address the cost of health care.

“In fact, far from providing relief to health care consumers, enactment of this legislation would saddle Congress and the President with two pressing legislative imperatives.

“First, Congressional leaders will either have to strike a bipartisan, 60-Senate-vote deal waiving the pay-as-you-go law or subject Medicare and its 67 million beneficiaries to $25 billion in automatic cuts next year. That’s a tall order for a Congress that can’t find a way to extend universally-supported children’s health insurance or community health center programs.

“Second, substantial new federal spending will be required to keep private, individually-purchased insurance as a viable option for many – absent the individual mandate. The nonpartisan Congressional Budget Office (CBO) has estimated that the repeal of the ACA’s individual mandate penalties included in the tax bill, would increase premiums in the non-group insurance market by 10 percent and leave 4 million uninsured in 2018 and 13 million uninsured by 2027. Particularly for the middle-income earners or self-employed who receive little or no ACA subsidies, substantial new federal reinsurance dollars will be needed in the short term. Over the long-term, ongoing risk stabilization becomes essential – either through federally-run programs or federally-funded state-run programs. The magnitude of the needed investments dwarf those contemplated under the proposed Collins-Nelson legislation.

“For Congressional leaders and the Administration, these new realities will prove bitter pills to swallow.”

Filed Under: Improving the Affordability of Coverage, Press Releases

Mission

To bring together key stakeholders in order to achieve an affordable, high-value health care system for patients and consumers, for employers and other payers, and for taxpayers.

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National Coalition on Health Care

About Us

The National Coalition on Health Care (NCHC) was formed more than two decades ago to help achieve comprehensive health system change and is currently led by John Rother. We aim to be a leader in promoting a healthy population and a more effective, efficient and responsive health system that provides quality care for all. NCHC is a nonpartisan, nonprofit organization of organizations. Our growing Coalition represents more than 80 participating organizations, including medical societies, businesses, unions, health care providers, faith-based associations, pension and health funds, insurers, and groups representing consumers, patients, women, … Read More...

Interim CEO

Shawn Martin

CHAIRMAN

Jack Lewin
Principal and Founder
Lewin and Associates, LLC

MISSION

To bring together key stakeholders in order to achieve an affordable, high-value health care system for patients and consumers, for employers and other payers, and for taxpayers.

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900 16th Street NW, Suite 400
Washington, DC 20006
contactus@nchc.org

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