Consumer Issues Stemming From the GOP Health Care Initiative

President Donald Trump plans to lead the talks to get the reluctant Republicans back on board. But it would still force those states to figure out what to do about the millions of lower-income Americans who used it to gain health coverage.

Six Republican senators from Minnesota's neighboring states could cast critical votes as early as next week on the U.S. Senate's rushed and reckless plan to overhaul the nation's health care system.

Rand Paul, R-Ky., speaks to reporters at the Capitol after Republicans released their long-awaited bill to scuttle much of President Barack Obama's Affordable Care Act, at the Capitol in Washington.

Last September, the Las Vegas Review-Journal reported, "Nevada is one of just eight states that saw a slight increase in income inequality from 2014 to 2015, according to new census data that raise questions about the evenness of the state's economic recovery".

A 2014 GAO report found that in five states, all the taxpayer-subsidized plans offered on the health exchanges covered abortions, thus leaving no choices for those who wanted a health plan on the exchanges which did not include abortion coverage.

"There isn't anything in this bill that would lower premiums", he said. The Senate bill maintains much of the structure of the House's but differs in key ways. The House calls for doing it by 2020. It would also slap annual spending caps on the overall Medicaid program, which since its inception in 1965 has provided states with unlimited money to cover eligible costs.

If Medicaid expansion is repealed and replaced with something that cuts federal funding below what the state now receives, there are concerns that people could lose coverage or benefits could be cut.

"If they're part of the Medicaid expansion then the rules do change and the states would have to pick up more responsibility.but the federal rolls are not going to kick anyone off", Harris said.

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They might pass finally pass a repeal bill and maybe even send it to Trump. When access to affordable food was a problem, during and after the Great Depression, government did not respond with policies that determined who was worthy to eat and which third party would pay for it. Those costs are rising there and elsewhere even with the federal government paying for most of the expansion, largely because more people signed up than originally expected.

"This bill will result in higher costs, less care and millions of Americans will lose their health insurance, particularly through Medicaid", Schumer said.

In Montana, 20 percent of residents didn't have medical insurance in 2013.

After the Senate draft, known as the Better Care Reconciliation Act, was released June 22, he reiterated that "it is precisely the detrimental impact on the poor and vulnerable that makes the Senate draft unacceptable as written". "There are party differences with a large majority of Democrats supporting the status quo (81 percent) compared to fewer, but still a majority, of independents (65 percent) and Republicans (52 percent)".

Depending on what states and governors do, plans sold to individuals might exclude coverage for prescription drugs, mental health, addiction and other expensive benefits, lawyers said.

Brewer said cutting Medicaid eventually will cause private insurance premiums to rise because people losing coverage will seek treatment in hospital emergency rooms. Collins said she is "optimistic we'll prevail on that issue".

On Thursday Republican Senators touted their bill as avoiding those features. "But the president is very supportive of the bill", White House press secretary Sean Spicer said Friday.

"I frankly would like more days to consider this", he said. Contributing were AP reporters Becky Bohrer in Juneau, Alaska; Bobby Caina Calvan in Helena, Montana; Bob Christie in Phoenix; Kristena Hansen in Salem, Oregon; Marc Levy in Harrisburg, Pennsylvania; Alison Noon in Carson City, Nevada; Bob Salsberg in Boston; Sophia Tareen in Springfield, Illinois; and Kristen Wyatt in Denver.

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