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Consumers face both rising premiums and falling subsidies next year in Obamacare plans, with insurers seeking increases to cover not only rising costs but also some policy changes advanced by President Donald Trump and the GOP.
States that run their own health insurance marketplaces fear an end to automatic Obamacare reenrollment under the tax and spending megabill would have an outsize effect on their policyholders.
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care ā with ramifications that could touch all Americans.
A family living in Galveston was surprised to be charged thousands of dollars for immunizations for their children. Their insurance plan didnāt cover the shots, and the cost of the measles vaccine in particular was more than five times what health officials say it goes for in the private sector.
The combination of the House-passed spending and tax bill and the Trump administrationās regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
The domestic policy legislation the House advanced in May includes the most substantial rollback of the Affordable Care Act since President Donald Trump and his Republican allies tried to pass legislation in 2017 that would have largely repealed President Barack Obamaās signature domestic accomplishment.
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The Department of Justice alleges that several major health insurers paid brokerages āhundreds of millions of dollars in kickbacksā to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.
These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve peopleās coverage issues. They worked in a little-known federal department with which most consumers never interact ā until they need help.
Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills ā the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.
After leaving his job to launch his own business, an Illinois man opted for a six-month health insurance plan. When he needed a colonoscopy, he thought it would cover most of the bill. Then he learned his planās limited benefits would cost him plenty.
U.S. Rep. Nick LaLota, a Long Island Republican, told his constituents that he voted for the House-passed GOP budget resolution because it protects Medicaid, Medicare, and Social Security. However, the bill charges a committee with making cuts that likely canāt be attained without slashing Medicaid.
The proposal also would reverse a Biden administration policy that allowed āDreamersā ā immigrants in the country illegally who were brought here as children ā from qualifying for subsidized ACA coverage.
The Jan. 28 executive order directs federal regulators to cut insurance coverage for hormonal or surgical treatments that help in young people's gender transitions and cut federal funding for medical professionals or institutions that provide such care. It will likely be challenged in court.
The Affordable Care Act requires most insurance plans to cover preventive care, including many forms of contraception, without cost to patients ā but not if theyāre āgrandfatheredā plans, which predate the law.
President Donald Trump issued a flurry of executive orders and other actions on health care soon after reentering office. Other than signaling he intends to reverse many of Joe Bidenās moves, the orders will have little immediate impact.
Donald Trumpās first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers donāt want to risk backtracking during Trumpās second administration.
The number of new and returning enrollees using healthcare.gov ā the federal marketplace that serves 31 states ā is well below last yearās as of early December. Also, a Biden administration push to give āDreamersā access to Obamacare coverage and subsidies is facing court challenges.
A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
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