IAHCA, pamwe chete nedzimwe GOP mabhizimisi anotsanangurwa kuti adzore Obamacare
Apo Donald Trump akakunda sarudzo yehutungamiri muna 2016, remangwana reAne Affordable Care Act (iyo ACA, inozivikanwa seObamacare) yakangoerekana yava mudenga . Mutungamiri wekutanga weTrump, wakabudiswa maawa mashomanana mushure mekutsaurirwa kwake, aireva " kuderedza mutoro wezvemari weAne Affordable Care Act ," uye akatungamirirwa nemasangano ehurumende-saI IRS neHHS-kuti ave seniki sezvinobvira apo achisimudzira chirango cheAACA nemitemo .
Pakutanga, munaNovember naDecember, kutarisa kwekutonga kwematongerwo enyika kwakaratidzika kunge kuri kubvisa ACA nokukurumidza sezvinobvira mumusangano we2017, uchishandisa musarudzo wekuyananisira waisazoisa pasi pekuita filibuster uye ungapfuura ne 51 chete mavoti muSeneti (kuyananisa bhiri hazvina kukwana, zvisinei, pakuti vanogona kungogadzirisa kushandiswa kwehurumende, saka kubhadhara kwekubhadharisa kubvisa ACA ingangokwanisa chete kubvisa kushandiswa kwemari-yehutano hwemutemo).
Mutemo waitarisirwa kuti ufanane neHerald6262, iyo yakabvumidzwa kutanga kwegore ra2016 neMutungamiri Obama, asi ingadai isina kubvisa zvakanyanya kushandiswa kwemari kushandiswa kweAACA nemakore maviri ekutambisa kushanda (mune mamwe mazwi, mutemo ungadai wakapiwa kutanga kwegore ra2016, asi zvizhinji zvekudzokorora zvingadai zvakatora muna 2018). Mhedziso ndeyokuti makore maviri ekugadzirisa kushanda kunonoka kupa Congress nguva yekugadzirisa kushandura nechinangwa chisina kuchinja.
Senguva iyo gore re2017 rakatanga kupedza mitemo, Senator Mike Enzi (R, Wyoming) akaunza sarudzo yebhajamiro inotungamirira vana vehurumende kuti vatanga kunyora musarudzo yekuyananisa kuti vadzivise zvikamu zvine chokuita nemari yeAACA. Chisarudzo chisina kumbosunga, S.Con.Res.3, chakapfuura zvose makamuri eCongress pamberi pekugadzwa kwaTrump, uye matare akatanga kushanda pamutemo.
IAHCA Yakapfuura Imba musi waMay 4, 2017
Musi waMarch 20, Imba yakatanga kuAmerican Health Care Act (AHCA), iyo yaiva mitemo yakagadzirwa semugumisiro wekugadzirisa bhajeti yeJanuary (kunyorwa kwemurairo kwakazovapo musi waMarch 6, asi haina kuiswa pachena kusvikira March 20 ). IAHCA ibhora rekuyananisa, saka haringagoni kutarisa zvinhu zvakawanda zveAACA. Asi zvakasiyana chaizvo neH HR3762 nenzira dzakawanda. IAHCA yakave yakarongerwa mumisangano yekomiti yevhiki imwe iyo yakatanga kuiswa, uye kuchinja kwakawanda kwakawedzerwa pamusoro pemavhiki masere akatevera, chiyero chisati chapera muImba musi waMay 4, nevhoti ye 217 kusvika 213.
Sangano reCongressal Budget Office rakaratidza kuti AHCA yaizogadzirisa kukanganisa kwehurumende ne $ 337 mabhiriyoni, asi zvingaguma nehuwandu husina kuvimbiswa huchiwedzera nemamiriyoni makumi mana nemakumi maviri emakore gumi anotevera. ICBC yakabudisa kuongorora patsva kwemutemo mushure mokunge yakagadziriswa musi waMarch 20, achifungidzira kuti mutemo wakashandurwa unongoita kuti kuderedzwa kwehurumende kuve ne $ 150 mabhiriyoni, asi zvicharamba zvichiita kuti vanhu vasina kubatsiridzirwa vawedzere nevanhu vane mamiriyoni 24. Mamwe mapinduriro akawedzerwa munaMuvhuro neMei, asi Imba yakasarudza pane imwe nzira BCO isati yava nenguva yekupedzisa kuongorora kwavo kuchinja kwezvigadziriswa.
IAHCA yakatanga kugadzirirwa kuvhota musi waMarch 24, asi yakatorwa shure kwemaawa akawanda ekukakavadzana musi iwoyo, apo zvaiva pachena kuti pakange pasina kukwana kwakakwana kudarika. Zvigadziriswa zvakaiswa pamusoro pemavhiki anotevera zvakaedza kugadzirisa rubatsiro rwemutemo, uye pakupedzisira yakaguma nekupfuura kwaro nemuganhu wakawandisa, musi waMay 4.
IAHCA yakatumirwa kuSenate mushure mokunge ichipfuura, asi Seneti yakati vangave vakanyora bumbiro ravo pachavo, vachibatanidza zvakawanda zveAHCA sezvinobvira. Makamuri maviri aya aizotofanira kuyananidza kusawirirana kwezvikwereti zvavo asati atumira chikamu chekupedzisira kumutungamiri wekusaina kwake.
Pano pane zviri muAHCA, seyaya paipfuura paImba:
- Inodzokorora kubhadharwa kweAACA yemari yepamusoro mushure megore ra2019, uye inoiisa nemari yepamusoro yemitero yakashandurwa zvichienderana nezera, uye iyo inowedzera kune vanhu vane mari yakawanda. Izvo zvikwereti zvemari zveAACA zvakakura kune vanhu vane mari shoma shoma, uye ivo vakuru kune dzimwe nzvimbo inishuwarenzi yehutano inodhura. IAHCA yeruzhinji yemitero yaizove yakafanana kune munhu anowana $ 20,000 kana $ 70,000, uye zvingangosiyana maererano nezera. Zvose zvinogona kunge zviduku kudhura mapurogiramu. Uye mari shoma uye varombo vaiwana zvishoma kupinda pasi pe ACA, apo vanhu vaduku nevaya vane mari yakawanda vaiwana zvakawanda.
- Kuwedzera kweMedicaid kwaizoramba kuripo kusvika muna 2019, asi kwaizova mazaya shure kweizvozvo. Vanyori vatsva havazokwanisi kujoina, uye vanhu vakarasa kurasikirwa havazokwanisi kubhadhara zvakare gare gare. Nyika dzainge dzisina kuwedzera Medicaid musi waMarch 1, 2017, dzingadai dzisina kukodzera kuwedzera Medicaid nehurumende yezvekusimudzira mari inowedzera huwandu huri kuwedzera huri kugamuchira (kunyanya, nenyaya 19 dzisina kuwedzera Medicaid dzisati dzisina chero mari inokurudzira kuita saizvozvo kana AHCA inogadzwa se-is). Medicaid inogonawo kuchinjwa kubva kune iyo yemazuva ano inopera sangano rinofananidza kune imwechete-capita mugove kana kubhadharo rupiro kubva kuhurumende yehurumende.
- Mutemo wega wega wega wekupiwa chirango uchazobviswa, nekudzoka kusvika pakutanga kwe 2016. Pane kudaro, AHCA inotsigira "kuenderera mberi kwekuvhara" kugovera: Mushure megore ra2018 rakatanga kutumirwa (rakarongerwa munaNovember 1, 2017, kusvika munaDecember 15, 2017), chero ani zvake uyo anyoresa pane imwe purogiramu yemakakiti ichitevera mukana wekugoverwa kwemazuva masere makumi mapfumbamwe makumi maviri nemazana aizotambirwa zvikwereti zvinokwana makumi matatu kubva muzana kupfuura mazinga akaenzana, kwemwedzi gumi nemaviri. Zvimwewo, sechikamu cheMacArthur Amendment iyo yakawedzerwa kuAHCA, inoti ichange ichitsvaga kutsvaga iyo inobvumira vatsigiri vekuchengetedza vhesikiti kuwedzera premiums kubva munhoroondo yezvokurapa (kusiyana nemapuranga 30% zvisinei pasinei nehutano hwehutano) kune mumwe mutengesi misika uyo aive nemapapiro akavharidzirwa. Sezvakaita ne30 muzana yekura kuwedzera, premium yakakwirira inobva munhoroondo yezvokurapa ingaramba iri panzvimbo yegore.
- Zvose zvekudzivirirwa kwevatengi veAACA zvingashandurwa, sezvo AHCA iri musarudzo yekuyananisa inongoshandisa matanho anoshandiswa ekushandisa mari (GOP vateereri vakati zvimwe zvirongwa zvingataurirwa muzvikamu zvishoma zvehutano hwavo hwehutano hwezvehutano, asi kwete kwekuyananisa kwezvikwereti vangada mavhoti makumi matanhatu muSeneti kuti vave mafirimu ekusimbisa). Zvisinei, iyo MacArthur Amendment inobvumirawo kuti hurumende yekutsvaga kutsvaga kuchinja huwandu hwezvinhu zvinoonekwa sechinhu chinokosha zvehutano , uye kuwedzera mitemo yezera remakore yepamusoro pane nhamba ye5: 1 inonzi muAHCA (ACA inobvumira chete 3: 1 premium chikwata chevanhu vakuru kana vaduku vanyori).
- Chikamu chaizoramba chichinyatsogadziriswa-nenyaya pasinei nehutano, asi sezvakataurwa pamusoro apa, vanhu mune dzimwe nyika vanotenga chirongwa mumusika mumwe nomumwe mushure mokunge mukana wekugovera ungaona zvikwereti zvakakwirira zvakakonzerwa nemigumisiro yemamiriro avo akambovapo . Nguva yekare yakagara iripo kumirira nguva uye zvisarudzo zvingarambidzwa, zvakadaro. Mazuva eupenyu uye gore rose mazuzo maxums aizoramba achirambidzwa kuti ave nehutano hwakakosha, uye kunze kwe-pocket maximums ingadai ichifanira kuiswa muhutano hunokosha hwehutano. Asi sezvakataurwa pamusoro apa, nyika inogona kuva nesarudzo yekuderedza kuwanda kwezvakakosha zvoutano, izvo zvingaderedza kuchengetedzwa kunoshandiswa kumiganhu ye-out-of-pocket uye nguva yeupenyu uye gore rebasa maximums.
May 2017: Senate Inofunga AHCA
IAHCA yakafambisa imba musi waMay 4 ndokuenda kuSeneate. Asi kubvira pakutanga, mutemo wakanga usina hutsigiro hwakapararira kubva kune vanobatanidza kana kunyange musangano wakazara wevatongi veGOP. IAmerican Medical Association, AARP, neAmerican Hospital Association, pamwe nemamwe masangano mazhinji, vakataura zvinopesana neAHCA. VaDemocrate muColorado vese vakapikisa AHCA, asi kunyange maRepublicans akaparadzaniswa. Vamwe vanochengetedza Senate Republican vanotenda kuti AHCA haina kuenda zvakakwana mukukurumidza kuparadza zvikamu zveAACA zvavanofunga kuti hazvina maturo (kubhadharwa mari yepamusoro yekwereti yemari uye kuwedzerwa kweMedicaid, somuenzaniso).
Uye kune rumwe rutivi rworuzhinji, vamwe vaRepublican Senators vakanyatsoratidzira kuratidzira kana kutadza kusakwanisa kubvisa ACA's Medicaid kuwedzera nekushandisa mitemo yaizoita kuti kuvhara kunodhura mari kune vakwegura nevana vashoma vomuAmerica.
Iye zvino kuti chiyero chiri neSeneti, inosangana nezvakaoma zvinopfuura zvakaitwa muImba. Kunyangwe kushandisa kuyananisa (izvo zvinongoda kuti vhoti makumi mashanu nemakumi mashanu apfuure, pane makumi matanhatu), Senate inogona kukwanisa kurasikirwa neRepublicans mbiri kana mutemo wacho uchisvika. Pangosvika iyo AHCA ichipfuura, imba yeSeneti yakaratidza kuti vangangodaro vainyora chiyero chavo, vachitora mazano kubva kuAHCA, kwete kungoshandura AHCA. Nokudaro pane zvingave zvichiri kuve nekodzero yepamutemo nemutemo uyu, uye remangwana iri kure nechekare muSeneti.
Humwe Hwehutano Hwakachinja mitemo
Kunyange zvazvo kutarisa kwave kwakatarira kuAHCA kubva pakutanga kweKubvumbi, mamwe mimwe mitsara yakave yakatangwa mumusangano we 2017, zvose zvinotarisirwa kuchinja kana kuchinja ACA kana zvikamu zvakasiyana-siyana (unogona kushandisa chigadziro kubva kuKaiser Family Foundation kuti uenzanise vamwe vavo vari kurutivi-ne-kurutivi)
Ngatitarisei zvimwe zvezvikwereti zvakanga zvatoziviswa muna 2017 pamberi peAHCA, uye zvinenge zvingakanganisa sei. Kana Senate isingapfuuri AHCA-kana imwe imwe nhamba iyo House inopupurira-chimwe chezvikwereti izvi zvingagumisa kugadziriswa muna 2018, sevatongi veRepublican havangamboregi kuedza kwavo kubvisa ACA, kunyange kana kuedza kwavo 2017 hazvisi kubudirira.
Senate Bills
The Patient Freedom Act
Mutemo Werusununguko Rurefu rwakatangwa musi waJanuary 23, 2017, neSenators Bill Cassidy (R, Louisiana) naSusan Collins (R, Maine).
Mutemo uyu unowedzera kubvumirana kune dzimwe sangano reRuban Republic rakapfigirwa pamusoro pemakore akawanda apfuura, sezvo rinopa mvumo yekuchengetedza ACA se-iyo, kana kuchinja kune imwe nzira yehurumende yakawanda yakachinja. Asi kubvumirana kwemutemo kunogona kusaguma kuwana rubatsiro rwakakwana kubva kune rumwe rutivi rwechivako, uye mutemo unoshandiswa unoda kuwana mavoti makumi matanhatu muSeneti kukunda filibuster.
Mutano Werusununguko Mutemo waizotora huwandu hwekugadzirisa chisarudzo kune hurumende uye huchavapa zvitatu zvinosarudza (nekwanisi kushandura gore negore kubva pane imwe nzira kune imwe):
- Chengetedza ACA se-iyo.
- Zvikamu zvakawanda zveAACA zvingabviswa, asi 95 muzana yemari ingadai yakashandiswa kubhadhara mari yepamuviri, kubhadhara mari-mari, uye kuwedzerwa kweMedicaid muhurumende ingashandiswa kubhadhara Roth Health Savings Accounts (Roth HSAs) kune vagari venyika vakakodzera. Vagari vasina kuvimbiswa vaizozvinyora padzidzo dzepamusoro-deductible zvirongwa zvehutano (kunyora zvinyorwa zvingatora nzvimbo yehutungamiri wega).
- Zvimwe zvirongwa zveAACA zvingabviswa, uye hurumende ichave iri kutonga kugadzira nekuchengetedza hurongwa hutsva (kunze kwezvinodiwa zvinotsanangurwa Mukusarudza 2). Asi hurumende yaisazogamuchira chero mari yezvemari.
Pasinei nokuti sarudzo ipi inosarudzwa nehurumende, Mureguru Werusununguko Rwenyika icharamba ichienderera mberi kune zvimwe zvekudzivirirwa kwevatengesi veAACA: Upenyu hwose uye gore remiganhu yekubatsira zvinorambidzwa, sezvingave zvakagara zviripo izvo zvisingawaniki. Chikamu chaizoramba chichigadziriswa, uye vechidiki vacharamba vachibvumirwa kuramba vari muurongwa hwehutano hwevabereki kusvikira makore 26 . Mutano Werusununguko Ruregerero haugone kuti zvirongwa zvehutano zviratidze zvose zvehutano hweAACA hunokosha , asi hunoda kugoverwa kwehutano hwepfungwa nekushandisa zvinodhaka.
Cassidy naCollins vanotarisira kuti nyika dzakawanda dzichasarudza Sarudzo 2. Inobvumira humwe hutano hunoenderana nehurongwa hwekutarisa zvirongwa uye kugovera, asi unopawo hurumende mari yakawanda inogona kuiswa kune vagari veRoth HSAs.
Murairo Werusununguko Ruremekedzo waizogumisa kushandiswa kweHSA dzekare uye huchazoita kuti vave neRoth HSAs. Pari zvino, zvipo zveHSA zvinotambirwa mutero, asi hazvina kukwana ( muna 2017 ) zvisingasviki $ 3 400 kune mumwe chete, kana $ 6 750 yemhuri.
Mipiro kuna Roth HSAs haizoiti mutero inobviswa asi vanhu vaizokwanisa kupa mari kusvika ku $ 5,000 pamunhu wese (saka mhuri yevana inogona kukwanisa kupa $ 20,000 mugore, iyo inopfuura kudarika $ 6 750 vanogona kupa nhasi imwe tsika HSA).
Mipiro yaizosimudza musero mushure menguva, uye inogona kubhadhara mutero usingabhadhara kubhadhara mari yekurapa (izvi zvikamu zveRoth HSAs zvingava zvakafanana neHSA dzechizvarwa).
Mutano Wekusununguka Mutemo haatauri kuti hurumende yaizoita sei muRoth HSA munhu mumwe nomumwe. Vanofungidzira kuti ichava mari yakawanda, asi kukodzera kuti zvipo zvehurumende zviwedzere kune vanhu vane mari yakakura, kuparadzira mari yevanhu vakawanda kupfuura yaAACA.
Mari iri muRoth HSAs (kusanganisira zvipo zvehurumende nemipiro yega yega) inogona kushandiswa kubhadhara mari yemishonga yemishuwarenzi yehutano uye kunze kwemari yezvokushandisa.
The Obamacare Replacement Act
Sénata Rand Paul (R, Kentucky) akaunza Obamacare Replacement Act (S.222) zuva rakatevera Cassidy naCollins vakazarura mutemo wavo.
Sénatori Paul ave achitaura zvakasimba mukutenda kwake kuti hazvingavi nehanya neCongress kudarika mutemo kuti abvise ACA pasina mutemo unobvumirana kuti uite panzvimbo iyo (iye ndiye chete Seneate Republican kusarudza kwete panaSimoni.3; zvisinei nekutenda kwake kuti ACA inofanira kubviswa, haadi kuenderera mberi nekuderedza mitemo isingasanganisi kutora mutemo).
Pauro aipesanawo neVaRipublican pamwe chete navo mumazuva anotungamirira kusunungurwa kweAHCA, vachirondedzera kuti mutemo uyu wakanga uri kunyorwa muchivande (zvikwereti hazviwanzoonekwa pachena kusvikira zvaiswa mukomiti, asi Pauro aida ona mutemo wePublic Republicans wakanyora).
Mukupfuurira kushorwa neAHCA, Pauro akautumidza kuti "Obamacare-Lite" uye akadzokorora kuda kwake kubviswa zvakakwana kweAACA pane.
Heino maitiro aPauro aBobamacare Replacement Act aizoshanda:
- Mazhinji emitemo yeAACA ichabviswa, kusanganisira wega wega uye yevashandi vehurumende, dambudziko rakarongedzwa uye kupiwa kwehuwandu hwemunharaunda, uye zvinodiwa zvehutano zvinodiwa. Somugumisiro, vanhu havazofaniri kutenga inshuwarisi, vashandi havazofaniri kupa inshuwarisi, makambani ehutano inshuwarhu angakwanisa kuramba zvikwereti kana kuwedzera mapeamisi anobva kune avo vanoita mishonga yezvokurapa, uye zvirongwa zvisingabatsiri zvakasiyana-siyana zvehutano hunokosha Ivepo inowanikwa kutenga (iyo zvirongwa zvingasadhura, asi inogonawo kusiya vashandi pasina kuvhara kana vakaguma vachida kurapwa kwakanga kusina kufukidzwa neurongwa).
- Panozove nemakore maviri ekutanga kunyoresa panguva iyo vanhu vane mararamiro aivepo kare vaizogona kutenga kutengeswa mumusika mumwe nomumwe. Mushure meizvi, kugoverwa kwaizongogadziriswa nyaya (pasina chinyorwa chinyorwa) kune vanhu vanoramba vachienderera mberi. Kune vanhu vanowana inshuwarisi kubva kune wavanoshandira, mitemo yeHIPAA inoshanda, zvinoreva kuti zvirongwa zvingakonzera mamiriro ekutanga akamirira nguva yekumirira vatsva vatsva vakanga vasina kuchengetedza chinyorwa chinyorwa vasati vanyoresa muurongwa hwevashandi.
- Vanhu vanotenga inshuwarisi yavo yehutano vachabvumirwa kubvisa mari yepamutengo kubva pamari yavo uye mitero yemitero (ikozvino, mitemo inowedzera kuvhiringidza kune avo vanotenga inshuwarisi yehutano yega , asi avo vane zvirongwa zvehutano zvinoshandiswa vanoshandisa zvinogona kushandisa musati wambhadhara mari yekubhadhara miriyamu yavo).
- Panova nekodzero isina kubhadharwa mutero wekwereti kusvika kusvika $ 5,000 kuti iite kuti zvipo zviwanikwe kuItano Savings Accounts (HSAs) . Izvo zvisingadzokeri zvinoreva kuti chikwereti chaizongowanikwa chete kubvisa mutero wemutero uyo munhu wacho ane chikwereti, uye haikwanisi kuva mukuru kudarika mitero munhu anokwereta kwegore. Izvi zvakasiyana neAACA's premium rubatsiro , iyo inowanzobhadhara mutero wechikwereti; kana iyo ACA mutero wekwereti inopfuura iwe unokwereta mutero, IRS ichakupa mutsauko.
- Ikoko kwaisazove nechepamusoro pamusana pekuti iwe unogona sei kuwedzera kune HSA. Mipiro yeHSA inogona kuitwa kunyange nevanhu vasina kuvharwa pasi pezvirongwa zvehutano hwakakosha, uye mari yeHSA inogona kushandiswa kubhadhara mari yemishonga yehupfumi yehutano.
- Vatsigiri vehutano vachakwanisa kutengesa zvirongwa mumiganhu yenyika. Bhuku racho rinotaura kuti mitemo yezvematongerwo enyika inotarisira inshuwarisi yehutano inogadziriswa, kuitira kuti nyika isingabvumirwi kubvisa kunze kwehurumende pasi pezvirongwa kubva kutengesa kugoverwa mukati mehurumende.
The ObamaCare Repeal Act
Musi waJanuary 12, Senetare Ted Cruz (R, Texas) akaunza S.106, ObamaCare Repeal Act. Ndiyo peji yepaji imwe chete inongodaidza kuti Mutengo Wakagadziriswa Mutemo kubviswa zvachose saJanuary 1, 2018, nezvose zvinodzokera nenzira iyo ingadai yakave iyo kudai ACA yakanga isina kumbobviswa.
Uyu mushumo hauzombofi wakawana huwandu hwebatsiro hwebipartisan hunodiwa kupfuura, asi ndiwo mukana weSenator Cruz kuenda kune zvinyorwa sekunge atanga chiyero chokudzora zvachose mutemo, zvichidaro achikumbira kune avo vanoita avo vanoda kuona ACA ichibviswa.
Imba Bhiri
Mamwe mabhiridha akawedzerwa muImba yeVamiririri munaJanuary, imwe neimwe inotarisirwa kubvisa kana kuchinja zvimwe zvikamu zveAAC kana kuti inoshandiswa sei:
HR708 , iyo "State Age Rating Flexibility Act ya 2017," yakatangwa naRep. Larry Bucshon (R, Indiana, 8th District). Bhiri iri raizoshanda munaJanuary 2018, uye raizobvumira inshuwarisi yehutano inotakura kushandisa chiyero chechishanu kusvika kune imwe apo zvirongwa zvekutengesa kune vakwegura vanyori. Mune mamwe mazwi, munhu ane makore makumi matanhatu nemapfumbamwe anokwidza mvumo anogona kukwaniswa kusvika kumashanu zvakapetwa semunhu ane makore 21. IAACA inogadzirisa chikamu chisina kupfuura katatu kusvika kune imwe.
HR628 , iyo "Yakagadziriswa Health Health for Pre-existing Act Conditions of 2017," yakatangwa naRef. Rodney Davis (R, Illinois, Gumi re13). Bhiri iri rakagadzirirwa kuchengetedza vanhu kubva pakurambidzwa kwekudzivirirwa kana kusarudzwa nekuda kwezvakaitika kare. Zvinotora kuitika kana uye apo ACA inobviswa. Zvinoda boka nehutano hwezvirongwa hwehutano kubvuma vese vatsva, pasina huripo huripo huripo huripo. Kufanana neAACA, inobvumira bhizinesi kuti vawane nguva yekunyora yakazaruka uye nguva dzekunyora dzakakonzerwa nezviitiko zvakakodzera.
HR710 , iyo "Health Coverage State Flexibility Act ya 2017," yakatangwa naRep Bill Bill (R, Texas, 17). Bhiri iri raizoshanda munaJanuary 2018, uye raizopfupisa nguva yengoni yepisimisi yehutano yemishonga yemishonga. Pasi peAACA, vanhu vari kugamuchira rubatsiro rwema premium vane mwedzi mitatu yenyasha nguva iyo inowira shure pamishandiro avo (inofanirwa kuibhadhara zvakakwana pamagumo emwedzi mitatu; haikwanisi kugara kwemwedzi mitatu shure). HR710 inopfupisa nguva yenyasha kwemazuva makumi matatu, kunze kwekuti mutemo wenyika une nguva yakasiyana yenyasha. Chaizvoizvo, nguva yenyasha yaizove yakafanana kune vose, pasinei nokuti vari kugamuchira rubatsiro (ikozvino, nguva yenyasha mumatunhu akawanda kuvanhu vasingagamuchiri rubatsiro inenge mazuva makumi matatu).
HR706 , iyo "Chirongwa Chekuona uye Kururama Mutemo we 2017," yakatangwa naRef Marsha Blackburn (R, Tennessee, Dunhu re7). Bhiri iyi inoda kuti vanhu vanyorwe kuburikidza nekukwikwidzana kunze kwekunyora kwakasununguka (kureva, panguva yekunyora kunokosha yakakonzerwa nechiitiko chinodiwa ) kupa uchapupu hwechiitiko chinodiwa. Ichi chave chiri kukakavadzana kwemakore mashomanana apfuura, uye hurumende yehurumende yakawedzera kuongorora kwezviitiko zvinofanirwa muna 2016 pakati pezvinetso izvo vanhu vanogona kunge vari "kutamba sangano" apo kuongorora kusingadiwi.
HR184 , iyo "Kudzivirira Medical Innovation Act ya2017," yakatangwa naRef Erik Paulsen (R, Minnesota, 3rd District). Bhiri iri rinozobvisa mutero weAAC wekutengesa, nokuda kwekutengesa kwose kwakaitwa mushure meDecember 31, 2017.
HR173 , iyo "Middle Class Health Benefits Tax Repeal Act ya 2017," yakatangwa naRike Mike Kelly (R, Pennsylvania, District 3). Bhiri iri raizobvisa mutero weAACA weCadillac . Ichatanga kutora muna 2018, kunyange zvazvo mutero weCadillac pachawo usina kurongwa kushanda kusvikira 2020.
HR 247 , ye "Health Savings Account Expansion Act ya 2017," yakatangwa naRef Dave Brad (R, Virginia, 7th District). Iri bhizimusi raizowedzera mupiro wepamusoro wemari yeHSAs, uye inozobvumira vanhu kugovera kune HSA kunyange kana vasina urongwa hwehutano hwakakosha. Zvinogonawo kubvumira vanhu kushandisa mari yeHSA kubhadhara mari yemishonga yemishonga yemishonga yehutano, kubvumira HSA mari zvakare kuti ishandiswe zvakare pamusoro pemishonga yekurapa, uye kuderedza chirango chinotambirwa apo vanhu vachishandisa mari yeHSA yevasiri mari yekurapa (ikozvino 20 kubva muzana, uye aizodzokera kune 10 muzana, nenzira yaive iri pamberi peAACA).
HR285 , iyo "Health Care Tax Relief uye Gwaro reMutemo Repeal Act," rakatangwa naRep. Michael R. Turner (R, Ohio, 10th Distrit). Bhiri iri raizobvisa hurumende yeAACA uye mushandi wevashandi. Saka vanhu vaisazodikanwa kuchengetedza hutano inshuwarano, uye vashandi vangave vasina kudiwa kuti vape.
Zvose zvezvikwereti izvi zvinotarirwa nezvimwe zvikamu zveAACA, kana nzira iyo mutemo wakashandiswa kuburikidza nemirairo inotevera (somuenzaniso, HHS yakagadziriswa nekugadzirisa zvakananga nezvinyorwa zvekunyora kwenguva yakakwana, uye pakutanga yakasarudza kushandisa iyo hurongwa hwekukudza panzvimbo yekutora uchapupu hwezviitiko zvinokodzera).
Shoko Rinobva
IAHCA ikozvino ine Senate, uye hatizivi kuti ramangwana ringave rini. Hatigoni kutaura zvakasimba kuti ACA ichazombobviswa kana kuchinjwa, kunyange ichi ndicho chinangwa chavo vazhinji vevatongi veRepublican uye ivo vane huwandu mumakamuri maviri eCongress.
Asi bato racho harina kubatanidza zvakapoteredza sarudzo, uye kune kukakavhirana kukuru pakati peRepublicans Senators maererano nemugwagwa mberi. Vatongi vezvematongerwe enyika vakapika kuti vadzivise ACA kubviswa nenzira ipi neipi yavanogona, uye chero bedzi ivo vanogona kuwana vatatu veRenan Republican kuti vabvumirane navo, kubvisa mitemo hakukwanise kudarika.
Nokuti nguva iripo, hapana chakachinja, uye ACA ichiri mutemo wenyika.
> Sources:
> Cassidy.Senate.gov. Patient Freedom Act. Bhiri rekuvandudza kusarudzwa kwevarwere nekubvumira nyika kuti dzigadzire dzimwe nzira dzekutengeserana kune Affordable Care Act dzinowedzera kuwanika kwehutano hwehutano hwehutano hwakakosha uye kuderedza mari paunenge uchitarisira kudzivirira kwevatengi nekuvandudza kutarisirwa kwevarwere . Yakagadzirwa January 23, 2017.
> Congress.gov. S.106. ObamaCare Repeal Act. Yakagadzirwa January 12, 2017.
> Congress.gov. S.222, Obamacare Replacement Act. Yakagadzirwa January 24, 3017.