Dai AHCA kana BCRA Change Insurance Inopiwa neVa Employers?
Kunyange zvazvo nhaurirano pamusoro pehutano hwehutano hwekurapa inowanzotarisirwa kune mumwe munhu pamusika wekutengeserana (kureva, kune vanhu vasingawani kugoverwa kubva kune wavanoshandira) uye Medicaid, mutemo uri kuongororwa unoguma nekuchinja kumwe kunokosha ku inshuwarisi inoshandiswa nevashandi vashandi vavo.
The Affordable Care Act (ACA) yave iri munzvimbo kubva muna 2010, uye vatongi veRepublican vave vachishanda kuti vadzidzise kubvira apo yakagadzwa.
Mutungamiri weHothes Obama wepuropu akachengetedza mutemo kupinda muna 2017, asi kana Mutungamiri Trump akazoshanda, pane nzira yevaRepublicans kuti vafambise mberi nekudarika kwavo.
Musi waMay 4, vateereri vemutemo muImba vakapfuura mushumo wavo hwekugadzirisa hutano, American Health Care Act (AHCA), 217 kusvika 213, uye vakatumira kuSeneti. Uyu mutemo waida mavhoti 216 kudarika, saka kubudirira kwaiva marginal marginal.
Hurumende yeCongressal Budget yakange isati yawana gwaro rekupedzisira pamberi peSvondo; zvitatu zvigadziriswa zvakawedzerwa kubvira apo CBO yakambowana chikwereti munaMarch, saka kushanda kwakakwana kweAHCA kwakanga kusina kunyatsojeka, kunyange mushure mokunge mutemo wacho wapera muNyaya. Nhamba yeBodO pamagumo ekupedzisira emutemo uyu yakabudiswa musi waMay 24-inenge mavhiki matatu mushure mekunge imba ichipfuura mutemo.
IAHCA: Tora Rimwe
Mugwagwa wokubviswa wakanga wakave wakaoma, unoparadzanisa pakati peParliament Republicans nenzira yezvikamu zvipi zveAACA inofanira kuchinjwa kana kubviswa.
IAHCA yakatangwa munaMarch 2017, asi yakatora maminitsi musati yanyoti yakarongwa muImba musi waMarch 24, mushure memaawa akawanda ekukakavadzana, nekuda kwekushayikwa kwekutsigirwa.
Imba Mutauriri Paul Ryan (R, Wisconsin) pakutanga akatanga kutaura kuti vaRipublicans vaizoenderera mberi nezvimwe zvinhu pane zvavanoronga, asi nevhiki inotevera, AHCA yakadzoka patafura.
Iyo nharo kubva panguva iyo yakatenderera ichiedza kuedza kuwana nzvimbo yepakati yekubatanidza maRepublicans avo vaipikisa AHCA. Icho chaive chakaoma, sezvo avo vateereri vemitemo vari pane zvose zvisinganzwisisiki uye zvisingagadzirisi zvinogumira zveGOP spectrum.
Pakanga pane vamiririri veRepublican vanopesana neAHCA munaMarch, uye kunyange zvazvo veRepublicans vane ruzhinji muHarare, vanogona kupfuura mutemo kana pasina 22 republicans votora kwete (vose veDemocrates vave vakabatana neAACA kubviswa kubva pakutanga) .
AHCA NaMacArthur Amendment uye Upton Amendment: May 4 Vote = Kupfuura
Kukurukurirana munaEpril uye kutanga kwaMay kunosanganisira zvitatu zvekuvandudzwa: chirongwa chisingaonekwi kugoverana chirongwa , MacArthur Amendment, uye Upton Amendment.
Izvo zvisingabviri kugoverana purogiramu yekugoverwa yakawedzerwa kutanga kweApril, uye inodana $ 15 mabhiriyoni muhurumende yezvekubhadhara mari kwemakore mapfumbamwe kuti vabatsire kugadzirisa humwe hutano hwehutano inshuzha.
The MacArthur Amendment, yakatangwa munaEpril naRep. Tom MacArthur (R, New Jersey), inobvumira nyika kuti dzisarudze zvimwe zvekudzivirirwa kwevatengi ve ACA, kusanganisira zvinodiwa zvehutano zvinodiwa , mitemo yezera remakore, uye huwandu hwevanhu.
Chero bedzi nyika dzichitora matanho chaiwo ekutsigira misika dzavo dze inshuwarisi, dzichabvumirwa kuderedza huwandu hwezvakakosha zvinodiwa kuti zvifukidzwe nezvirongwa zveboka rimwe nerimwe uye zviduku.
Vaizogonawo kubvumira makambani einishuwarenzi kutengesa zvikwereti zvakakwirira kune vanhu vane mamiriro ezvinhu asati avapo avo vasingaiti kuchengetedza nguva dzose. Munhu ane chirwere chekuvhara kwemazuva masere makumi matanhatu nemaviri apfuura mumwedzi 12 yapfuura aizotambirwa zvikwereti zvinokonzerwa nenyaya yezvokurapa (kureva, mapeamendi makuru kana vane utano hwakanaka) kwemwedzi 12 yekutanga mushure mekunyora mune imwe purogiramu yemakethe (zvichida , nguva dzose mitemo yeAHCA inogona kushandiswa muhurumende iyo isingatsvaki kuregererwa; vashandi vane ruzivo rwekugoverwa vaizobhadharwa makumi matatu emapurayamisi epamusoro kwegore rimwe, pasinei nenyaya yezvokurapa).
MacArthur Amendment yakawana rubatsiro kubva kune avo vanochengetedza dzimba dzeHarare Freedom Caucus, asi yakakonzera vaRepublicans vane mwero zvakanyanya kure neAHCA, pakati pezvinetso izvo vanhu vane mamiriro akambovapo vanga kurasikirwa nekudzivirirwa kwavakawana pasi peAACA.
IUpton Amendment, yakatangwa munaMay naRep. Fred Upton (R, Michigan), inopa $ 8 mabhiriyoni pamakore mashanu nekuda kwekuti inofanirwa kuve yakachengetedzwa kwemamiriro ezvinhu, kuitira kuti nyika dzigadzire zvimwe zvikwereti zvinowanikwa nevanhu vane -mamiriro ezvinhu aripo aizobhadhara. Kunyange zvazvo kune zvinonetsa kuti iyo $ 8 mabhiriyoni pamakore mashanu ichave isina kukwana, uye kuti kuchinjwa kwechokwadi kunomhanya pamagariro ekuputika neACHA yekuenderera mberi kwekushandiswa, Upton Amendment yakavhiringidza vamwe vaenzanisira kutsigira AHCA, uye mutemo uyu wakapinda muImba masikati eMay 4.
Senate Bill
MunaJune, Senate Republican yakavhura shanduro yavo yemutemo, yakanzi "Better Care Reconciliation Act" (BCRA). Vakagadzirisa kusiyana kwechinguva cheBBCRA; heino tsanangudzo ye kusiyana pakati peAHCA ne BCRA .
Sangano reSeneti rakaratidzawo "kudzokorora uye kunonoka" chiyero, iyo inonyanya kushandiswa kwechirevo chekuti Congress yakapedzisira muna 2015 (HR3762), asi iyo Mutungamiri Obama vakatsvaga. Sangano reSenate Republicans 'rushanduro yeH HR3762 inonzi Obamacare Repeal Reconciliation Act ra2017 (ORRA). Iwe unogona kuverenga chidimbu chebhadhiro , pamwe nekuongorora kweBBCO yemutemo. Hazvigoneki kuti ORRA ichakunda kutsigirwa kwakakwana pakati peSenate Republicans kudarika, sezvo vazhinji vavo vakaratidza kusagadzikana pane pfungwa yekudzura ACA pasina kugadzirirwa kugadzirira kuenda.
Zvazvinoitika paMushandirwi-Inotsigirwa
IAHCA yakatozopfuura iyo imba, asi sangano reSeneti (BCRA) rakasiyana nenzira dzakawanda. Kana shanduro yeSeneat ichipfuura, imba yacho inofanira kubvumirana nekushandurwa isati yaendeswa kuMutungamiri.
Asi kana kugadzirisa mutemo kwaifanira kuiswa se-ndiko, kuchaita sei kune avo vanowana inshuwarhu yehutano hwavo kubva kumushandi? Zvizhinji zvekutarisa zvakapoteredza AHCA uye BCRA zvave zviri pamusoro pekushandurwa kwevanhu vanozvitenga ivo pachavo vhudziro yemakisi kana kuti vanogamuchira Medicaid. Asi zvakadini neurongwa hunoshandiswa nevashandirwi?
IAACA yakaunza huwandu hwekushandura kune vashandi-vanochengetedzwa nehutano inshuwarisi . Ngatitarisei zvakakanganiswa neAHCA neBBCRA pahutano hwehutano hunoti vanhu vanowana kubva kuvashandi vavo.
Makuru Makuru: Kubviswa kweMushandi Mutemo
Vashandi vane makumi mashanu kana vatatu vashandi havazogoni kudiwa kuti vape utano hwehutano. Pasi peAACA, vashandi vane 50+ vashandi vanofanira kupa vashandi vavo venguva yakazara inshuwarhu yehutano yehutano inopa zvishoma zvishoma kukosha (kureva, inosvika 60 muzana yemavhareji ezvereji). Kana vakakundikana kuzviita, vanozviisa pasi pemutero wemitero. IAHCA yaizobvisa chirango ichocho, chichidzokorora kusvika pakutanga kwe 2016. Saka mutemo weAACA unoda kuti vashandirwi vakuru vangave vachiri mumabhuku, asi hapazovi nemigumisiro yevashandi vasina kuitevera.
Kuti zvive zvakajeka, huwandu hwevashandirwi vakuru hwakanga huri kutopa hutano hwakanaka pamberi peAACA ichiita ichidikanwa. Asi ivo havasi vose vaipa ruzivo rwakanga rwuripo (rwakatsanangurwa neAACA muna 2017 sevashandi-chete kugoverwa izvo zvisingabhadhara zvinopfuura 9,69 muzana zvemari yemhuri) uye yakazara. Vamwe vashandi vaida vashandi kuti vabhadhara mari yemari yaisakwanisa kukwanisa kutsanangurwa kweAACA, uye vamwe vashandirwi-kunyanya mubhizimisi rebasa nemabasa ane huwandu hutsva-hupi "mini-meds" yakafukidza huwandu hwehutano hwakanyanya zvikuru Kubatsirwa kwemiganhu (somuenzaniso, chirongwa chakavhara chiitiko chekushanyira chiremba asi zvishoma zvacho zvikwereti kune $ 5,000 kana $ 10 000 kwegore rese, izvo zvisingatomboregi kana mushandi ari muchipatara).
Kuongororwa neWorld Affairs maererano nehuwandu hwekutanga-ACA (2009), yakawana kuti 38 muzana yevashandi vakuru vangadai vakatarisana nezvikwereti pasi pe ACA kana kubatsirwa kwavo kusina kuchinja mushure mokunge vashandi vehurumende vakashanda.
Kana mubhadhadzi wekutonga chirango ichibviswa, vamwe vashandi vakuru vanogona kudzokera pakupa mafupa-mapfupa, uye vamwe vangaita kuti vashandi vabhadhara chikamu chakawanda chemishandirapamu. Izvi hazvizove zvakakurumbira nevashandi, saka zviri pachena kuti hapazombovi zvachose kudzokera shure kuCAAA. Asi chimwe chinhu chekucherechedza, kunyanya kana waunoshandira ako akawedzera kubatsirwa kwako mumakore mashomanana apfuura nemhaka yeAACA.
Vashandi vaduku-vanotsanangurwa sevashomanana nevashandi-makumi mashanu-havana kumbobvumirwa kugovera, saka kubvisa kodzero yeAACA yekushandira hakuzovabatsiri. Zvisinei, iAHCA neBBCRA yaizobvisa, kubva muna 2020, mutero wekodzero wokuti mubhadharo wakaderera, vaduku vashandi vanogona kushandisa ikozvino kubhadhara mari yepayimari kwemakore maviri ekuparidzirwa. Kunyange zvazvo iyi isiri iyo inoshandiswa zvakapararira yeAACA, kubviswa kwayo kunogona kuita kuti zvive nyore kune mamwe mabhizimisi maduku kuti awane kugoverwa.
Bhuku reCongressal Budget Office rinofungidzira kuti muna 2018, nhamba yevanhu vakafukidzwa nevanoshandira-inotsigirwa inshurensi yaizodonhedzwa nemamiriyoni maviri pasi peAHCA, uye muna 2026, vanhu vanosvika mamiriyoni matatu vashoma vaizogoverwa pasi pezvirongwa zvinoshandiswa nevashandirwi. Pasi peBBCRA, CBO inofungidzira kuti vanhu vashoma mamiriyoni 4 vaizoshandira inshuwarisi yehutano inshumo muna 2018, asi kuti muna 2026, vanhu vashoma mamiriyoni maviri chete vangadai vaine bhizinesi yehutano inshuwarheni (inofananidzwa nezvichaitika muna 2026 kana ACA yaifanira kuramba yakasimba).
Vamwe veava ndivo vanhu vanogona kungobuda kunze kwezvirongwa zvevashandi kana chirongwa chemunhu mumwechete chichibviswa pasi peAHCA kana BCRA. Asi vamwe vanhu avo vashandisi vanozorega kupa kuparidzirwa kana mushandi wekutora chirango ichibviswa neAHCA.
Zvinonyanya kukosha kuti kuongorora kwepachikoro cheBBC ( yakabudiswa mumacheto ekupedzisira muna March ) weAHCA yakanga yakaratidza kuti nhamba yevanhu vane zvirongwa zvinoshandiswa nevashandirwi zvingaderera nemamiriyoni manomwe kubva muna 2026. Mukufamba kwenguva, CBO yakataura kuti chikonzero chediki kunonoka muhuwandu hwevanhu vakafukidzwa nevanoshandira-zvigadziriswa zvirongwa (mamiriyoni matatu panzvimbo pe mamiriyoni manomwe) ndeyekuti dzimwe nzira dzekutengeserana nemakethe dzaizova dzehupfumi hwakanaka uye husingawanikwi mune zvehurumende dzinotsvaka kusunungura pasi peMacArthur Amendment.
ICBC inofungidzira kuti vashoma vashandi vanofunga nezvemusika mumwechete nzira yakanaka yekugoverana neboka kune vashandi vavo, uye vacharamba vachipa boka rekugoverana, kunyange zvazvo vangave vasina kuita saizvozvo kana MacArthur Amendment yakanga isina kuwedzerwa kune AHCA. Kunyange zvazvo CBO isati yawana BCRA neCroz Amendment, vashandirwi vaizove vakazvidzivirira zvakafanana pamusoro pekutumira vashandi vavo kumusika mumwe nomumwe kuti vatenge ivo pachavo kugoverwa kana kuchinjwa kwacho kuchizoshandiswa sechikamu che BCRA (Cruz Amendment yaizoita bvumira bhizinesi kuti vape zvirongwa zvisingabvumirano zvehutano chero bedzi pavanopa mazano mashoma eCAA-anogamuchirika pamwe chete).
FSA Contribution Limitengo: Yakabviswa shure kwe 2017
IAACA inogadzirisa zvipo kune Flexible Spending Accounts (FSAs) pa $ 2,600 muna 2017, yakanyoreswa nekuda kwekutsvaga. IAHCA neBBCRA vaizobvisa izvi zvinopera mushure mekupera kwe 2017, kudzokera kune imwe nzira iyo iyo yavanoshandisa iyo inopa muwandu wemari inogona kupiwa kune FSAs yevashandi.
HSA Contribution Limitengo: Kuwedzerwa kubva muna 2018
Kune vanhu vane HSA-vanofanirwa nehutano hwehutano hwehutano, ikozvino mupiro wemugove wekuchengetedza kwehutano mari (HSAs) iri $ 6 750 yemhuri, uye $ 3 400 kune mumwe chete. Mipiro iyi isati yateresi, uye inogona kuitwa nemushandi kana mushandi, kana kusanganiswa kwezvose.
Pasi peAHCA neBBCRA, miganhu yemipiro yaizowedzerwa kuenzana nepamusoro-kunze kwehomwe mari yakabvumirwa pane zvirongwa zvehutano. Muna 2017, iri $ 7150 kune mumwe chete, uye $ 13,400 yemhuri. Muna 2018, zvakarongerwa kuwedzera kusvika $ 7 350 kune mumwe munhu, uye $ 14,700 yemhuri.
Kana vashandi vanogona kugovera mari yakawedzerwa kuHSA dzavo, ivo vachaguma nechepasi mari inotengesa, uye vachibhadhara mari shoma.
Dzimba Duku: Zvikwata zvepamusoro zveVashandi Vakwegura
IAACA hairevi kuti vashandi vashoma vauye kugovera, asi kana vakadaro, kugoverwa pachayo pachayo kunotungamirirwa neAACA. Zvisiri-grandfathered zvikwata zvishomanana (pamwe chete nemagadziro emagetsi evanhu vanozvitenga pachawo) ane mamiro maererano nemari yepamusoro yepamusoro inogona kunge yakanyorerwa vakwegura kune vechidiki.
Pasi pe ACA, chiyero che3: 1 . Izvozvo zvinoreva kuti munhu ane makore makumi matanhatu nemakore anokwereta haakwanisi kukweretwa chero kupfuura katatu kakawanda semunhu ane makore 21 anonyora.
Pasi peAHCA neBBCRA, zvakadaro, iyo inogona kuchinjwa kusvika ku5: 1 (kana yakakwirira, kana nyika inoshandisa kuregererwa), kunze kwekuti nyika yakasarudza kuchengetedza chikwata cheAAA band banditi munzvimbo (pakuongorora kwavo BCRA, CBO mapurojekiti ayo akawanda anotaura achasarudza kubvumira chikamu che5: 1). Neka 5: 1 chikwata, vanyori vekare vanogona kubhadharwa kashanu kunyangwe vaduku vanyori (iyo ndiyo inoshandiswa nekambani yeinishuwarenzi, iyo inobhadharwa zvishoma nevashandi uye zvishoma nevanoshandira; mari iyo vashandi vanoda vashandi kubhadhara inogona kusiyana zera, asi kune hurumende yezera rinosarura mitemo inoshanda).
Iyo MacArthur Amendment muAHCA inobvumira nyika kuti ishandise chiyero chezera chikuru kupfuura 5: 1, zvinoreva kuti vashandi vashoma vebhizimisi vanopfuura makore makumi mashanu vanogona kukwaniswa kudarika kanopfuura kashanu kupfuura vanomwe vane makore 21 vashandi.
Dzimba Duku: Kuparadzisa Kunogona Kudiwa kweMatunhu
IAACA inoda kuti boka revanhu vasati vakura rive zvirongwa zvekuenderana neAACA's metal level mazita: bronze, sirivha, ndarama, kana platinum. Ichi chiyero chezvinokosha (iyo yeji yehutano inotarisirwa kuti chirongwa chinotarisirwa kuvhara muhuwandu hwehuwandu hwevanyori vezvekunyora; iyo chaiyo yehuwandu yehuwandu hweumwe munhu inotarisana nehutano hwekushandisa hutano hunoshandiswa sei). Zvigadziri zvemhangura zvinovhara zvinenge 60 muzana yemari, mapurani esirivha anovhara makumi manomwe kubva muzana, mapuranga egoridhe anovhara anenge 80 muzana, uye zvirongwa zveplatinum zvinosvika 90 kubva muzana (ine +/- 2 muzana yepamusoro pane imwe neimwe, saka chirongwa chesirivha chinogona kuva an actuarial kukosha chero kupi zvako kune 68% kusvika 72 muzana).
Pasi peAHCA, zvinoda kuti mapoka maduku (uye ega) zvirongwa zvakafanana nehutachire hwehutano huripo hunozobviswa shure kwekupera kwegore ra20199. Izvozvo zvingareva kusiyana kwezvirongwa, uye zvingaita kuti zvive zvakaoma kukuenzanisa maapuro nemaapuro apo pachitarisa pane zvirongwa zvakawanda.
Pasi pe BCRA, iyo yesimbi yezvinodiari inokosha yezvinodiwa haisati yachinjwa kuhurumende yepamusoro, asi inoti inogona kuva nerusununguko rwekushandura kana kuchinja zvinodiwa kushandisa 1332 maivers, iyo inogona kupiwa necheche zvakanyanya zvinodiwa pasi peBBCRA mitemo (1332 waivers chikamu cheAACA, asi ACA ine nhungamiro yakasimba maererano nekuti uye sei iyo inogona kupiwa; BCRA yaizobvisa zvizhinji zvezvaidiwa).
Cadillac Mutero: Kusimudzirwa Kusvikira 2026
Mutero weC ACA's Cadillac wakatotanga kunonoka kusvika muna 2020, asi zvakaitwa nevamwe vashandi vanotya pavanotarisa makore mashomanana mumugwagwa. Mutero weC Cadillac ndewe 40 muzana yemadhora emutero pane chikamu chemarikima yepamusoro pamusoro pehutsika hwakatangwa. Zvinotarisirwa kuongororwa chete zvirongwa zvinodhura, asi vatsoropodzi vanonetseka kuti nokufamba kwenguva, zvingashanda kune huwandu huwandu hwezvirongwa, nekuda kwekuchengetwa kwehutano kunodhura kukura kwekuwedzera kwezvakakosha. Uye kune dzimwe nzvimbo dzenyika iyo inshurensi yehutano inodhura zvikuru (kufanana neAlaska, somuenzaniso), iyo inoshandiswa kune zvakawanda kupfuura kungofanana nezvirongwa zvepamusoro.
IAHCA neBBCRA vaizosimudza mutero weC Cadillac kubva muna 2020 kusvika muna 2025, pasina mutero wemadhora uchishandiswa panguva iyoyo. Zvose mapurogiramu emurairo aizotarisa mutero kuti uite muna 2026, asi zvinogona kuti mitemo yakawedzerwa inogona kushandiswa pakati penguva ino uye zvakare kubvisa mutero zvachose, sezvo husingafarirwi kumativi maviri echechi yezvematongerwo enyika.
State Flexibility: Essential Health Benefits
Mukuedza kuwana nhengo dzeHarare Freedom Caucus kuti dzitsigire AHCA, vateereri vemutemo vaisanganisira MacArthur Amendment kubvumira nyika kuti dzisunungure mitemo inoshandiswa kune zvinokosha zvehutano uye huwandu hwevanhu.
Pasi peAACA, zvirongwa zvisiri zvemazana zvisingabatanidzi mazana (uye zvirongwa zvemakethe) dzinofanira kuvhara mazano eEAC anokosha , uye mapoka mashoma haakwanisi kukweretwa mari yakakwirira yepamusoro inobva kuvashandi vezvenhau yezvehutano.
MacArthur Amendment inobvumira nyika kugadzirisa kana ichisimudzira mitemo iyo, mukuedza kuburitsa mari yepamutemo yevanyori vanyori vane hutano hwakanaka. Izvo zvinotengeswa, zvechokwadi, ndezvokuti vanhu vane mamiriro ezvinhu akambovapo mune zvekuti vanosarudza kuita zvinoshandiswa nemarara zvinogona kuwana kuti boka duku rinoronga kuwanikwa kwavari harisi rakasimba sezvirongwa zvezvino.
Kana nyika ichitsvaga kubvumira kubvumira zvikwereti zvakakwirira kune vanhu vane mamiriro ezvinhu asati avapo avo vane ruzivo rwekugoverwa, izvo zvingashanda mumusika mumwe nomumwe, panzvimbo pemusika weboka.
IA BCRA inotora nzira yakasiyana, nekupa hurumende kodzero yekushandisa 1332 waiver kuita shanduko dzinogona kusanganisira kudzoserazve hutano hunokosha hunodiwa. Sezvakataurwa pamusoro apa, BCRA ine zvishoma zvishoma zvinodzivirira kubvumidza nyika kuti iwane 1332 waivers (kana ichienzaniswa neAACA). Mishonga ye CBO inenge inenge hafu yevanhu vomunyika inogara mune zvinyorwa zvingada kutsvaga 1332 waiver kuderedza kuwanda kwezvinhu zvinoverengwa sezvinokosha zvehutano kana BCRA inofanira kuiswa. Izvi zvinogona kukanganisa zvose zvirongwa zveboka neboka duku mukati mehurumende idzodzo, nekutaridzika kusina simba rakanyanya kudarika nguva.
Kudzivirirwa Kuderedzwa kweUpenyu hwose uye Gore Negore Maximums & Out-of-Pocket Kukwana
Pasi peAACA, zvese zvisingabatsiri zvirongwa-munhu mumwe nomumwe, zvirongwa zvakakwana zvekuchengetedzeka kweboka, uye zvirongwa zvekuzvipira-zvaifanira kubvisa zvigaro zvegore negore uye zvoupenyu zvese (kureva, chirongwa hachikwanisi kubhadhara mari inosvika $ 1 mamiriyoni kana $ 5 mamiriyoni zvakare , sezvaiwanzoita nyaya inotangira ACA).
Zvirongwa zvose zvisiri zvekare zvinofanirwawo kugadzirisa mu-network kunze-kwe-muhomwe mari isingasviki kudarika yakatarwa kare (muna 2017, iri $ 7150 kune mumwe chete).
Asi iyo yose yemitemo inoshanda chete kune zvinokosha zvehutano . Kana hurumende ichitsvaga uye inoderedza kuwanda kwezvakabatsirika zvehutano hweAACA, mitemo ine chokuita nehupenyu / yegorese yemagumisiro uye yekunze kwemahombekombe ingasununguka. Zvinhu zvisingachafungi kuti zvakakosha zvehutano hazvisati zvichange zvichengetedzwa.
Chii Chisiri Kuchinja
Vamwe vadziviriri kuchengetedza zvimwe zveAACA zvakakurumbira, uye hazvigadziri kuchinja pasi peAHCA kana BCRA. Hezvino izvo zvingangoita kuti ugare zvakafanana pane zvirongwa zvinoshandiswa nevashandirwi:
- Vakuru vechidiki vanogona kuramba vari purogiramu yehutano hwevabereki kusvikira makore 26.
- Nhamba yegore negore uye yehupenyu inobatsira zvinoregererwa (kusvika pavanoshandisa kubatsiro rwehutano hunokosha; sezvinotsanangurwa pamusoro apa, kuwedzera zvinoshandiswa zvinoshandiswa pamitemo inokosha yeutano zvinogona kukanganisa kurambidzwa kwegore negore uye zvigaro zvekubatsira)
- Kumirira nguva yekuvhara apo vashandi vanenge vachangobvumirwa kubhadhara havakwanise kudarika mazuva makumi mapfumbamwe (izvi zvinogona kuchinjwa pasi peCREZ's Cruz Amendment-iyo inogona kana kuti isingasviki pakugadzirisa kwechikwereti-asi inenge iri pakubata kwehurumende imwe neimwe).
- Kunze kwe-pocket mari inowanikwa (2017 muganhu iine $ 7,150 yemunhu uye $ 14,300 yemhuri; muna 2018, muganhu uri $ 7,350 kune mumwe munhu uye $ 14,700 pamhuri). Zvisinei, sezvinotsanangurwa pamusoro apa, mitemo yekunze-in-pocket inoshanda chete kune zvinodiwa zvehutano hunokosha.
> Sources:
> Congress.gov, HR1628, The American Health Care Act ye 2017. Yakatumirwa kuNzvimbo seNyika Yose musi waMarch 20, 2017.
> House.gov Imitemo yeDare Komiti Amendment (chirongwa chisingaonekwi kugoverana nengozi) kuHod1628 (American Health Care Act) , musi waApril 6, 2017.
> House.gov Chirongwa cheMutungamiri weAmerica Health Care Act, Kuchinja Kwematongerwo , March 20, 2017.
> House.gov Policy Kuvandudzwa kweMutungamiriri weMutungamiriri ku HR1628 , March 24, 2017.
> Kaiser Family Foundation, Summary of the American Health Care Act, April 2017.