News | Radiology Business | July 13, 2017

Senate Releases Revised Version of Better Care Reconciliation Act

Latest edition of Obamacare repeal-and-replace legislation reinstates taxes previously eliminated, allows insurers to offer slimmed-down plans

Senate Releases Revised Version of Better Care Reconciliation Act

July 13, 2017 — As the debate over healthcare insurance coverage continues, Senate Republicans on Thursday unveiled the revised version of the Better Care Reconciliation Act (BCRA) to repeal and replace Obamacare after the first attempt was met with strong opposition within their own party. The changes in the revised version are aimed at appeasing more moderate Republicans and expanding aid for lower-income people.

The revised BCRA adds back several taxes imposed by Obamacare (aka the Affordable Care Act), including the net investment income tax, the additional Medicare Health Insurance Tax and a tax on high-earning health insurance executives. From a coverage perspective, Republicans’ new version of the bill would allow insurers to sell stripped-down plans without many of the Obamacare requirements as long as they offer at least one policy that does.

In the interest of expanding care, the bill sets aside $70 billion for states to help consumers with paying out-of-pocket costs in the form of cost-sharing or health savings accounts. The $70 billion is in addition to the $112 billion earmarked for the same purpose in the original bill.

Much of the backlash over the bill has stemmed from its slow reduction of the ACA’s Medicaid expansion. These provisions are largely unchanged in the revised version debuted Thursday: The Medicaid program would be changed from an open-ended entitlement to a fixed amount of money granted to states based on enrollment or as a block grant, and the annual growth rate of those funds would be reduced beginning in 2020.

According to Medpage Today, the new bill would recalculate state Disproportionate Share Hospital payments based on the total number of uninsured instead of the number of Medicaid enrollees. States would also be allowed to apply for waivers on provisions mandating community-based services for the elderly, blind and disabled.

To successfully pass the bill, McConnell can only afford two Republicans voting against it, and Sens. Susan Collins (Maine) and Rand Paul (Ky.), who both opposed the original version of the BCRA, reiterated their opposition after the second version was released.

For more information: www.budget.senate.gov

Related Content

Feature | Radiology Business | September 07, 2018 | By Marilyn M. Singleton, M.D., J.D.
“Disruptive innovation” is all the buzz. Repealing the Affordable Care Act (ACA) is so last year. Well, disrupt this:...
GlobalData: Amazon Poised to Make Huge Strides in Healthcare
News | Radiology Business | August 31, 2018
A new report from data and analytics company GlobalData suggests that Amazon is poised to make huge strides in...
RADxx Opens Nominations for 2nd Annual Radiology Leadership Awards Program for Women
News | Information Technology | August 23, 2018
RAD Women (#RADxx), a networking group for the advancement of women in radiology and imaging informatics, announced the...
Nuance Launches Cloud-Based mPower Clinical Analytics Platform at AHRA 2018
Technology | Analytics Software | August 16, 2018
At the Association for Medical Imaging Management (AHRA) 2018 Annual Meeting and Exposition, July 22-25 in Orlando, Fla...
CMS Proposes Overhaul of Medicare's Accountable Care Organization Program
News | Radiology Business | August 09, 2018
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule August 9 that would overhaul the Medicare...
Videos | Digital Radiography (DR) | August 03, 2018
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss
Videos | Radiology Business | August 03, 2018
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss
Videos | Clinical Decision Support | August 03, 2018
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss
David Westgate Named Chairman, President and CEO of Carestream Health
News | Radiology Business | August 03, 2018
David C. Westgate was recently named the new chairman, president and CEO of Carestream Health.
Videos | Radiology Business | August 02, 2018
Angelic Bush, CRA, FAHRA, president of the Association for Medical Imaging Management (AHRA), and Bill Algee, AHRA pr
Overlay Init