Republican leaders in Congress have at last unveiled their proposal to overhaul the Affordable Care Act. In a nod to a growing numberof Republicans concerned that a full repeal would undo coverage gains in their home states, the new plan at first glance appears to protect coverage for those insured under the ACA’s Medicaid expansion.
This is a shift from prior Republican health-care legislation — including a plan from new Health and Human Services Secretary Tom Price and the 2015 ACA repeal bill passed by Congress (and vetoed by President Obama), both of which explicitly eliminated the Medicaid expansion. But the fine print of the new proposal instead takes a more insidious approach to gutting the Medicaid expansion.
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