GOP’s Obamacare replacement bill would protect just 5 percent of people with pre-existing conditions: Analysis

  • The Republican bill would potentially allow insurers to charge sick people higher premiums.
  • To offset those costs, the bill also allocates funding for financial aid for sicker people.
  • High-risk pools in states before Obamacare tended not to cover enough people.

The Republican bill to repeal and replace Obamacare does not allocate nearly enough money to protect people with pre-existing health conditions from potentially higher insurance premiums, an analysis finds.

The bill’s $23 billion in funding specifically for such people would cover just 110,000 Americans, according to the Avalere Health study released Thursday.

That’s only 5 percent of the 2.2 million current enrollees in the individual insurance market with some type of pre-existing chronic condition.

And even if states were to add in all the other money in the bill’s $100 billion Patient and State Stability Fund, only a total of 600,000 people with pre-exisiting conditions could be covered, the study found.

Avalere said the gap between funding and need could leave many people with health problems unable to afford insurance coverage if the GOP’s American Health Care Act becomes law.

“Texas alone has approximately 190,000 enrollees in its individual market with pre-existing chronic conditions, nearly 80,000 more people than the funds earmarked for the entire country would cover,” Avalere said. “Florida has 205,000, nearly 95,000 more than the funds allotted nationally … would cover.”

The study was released hours before the House was expected to vote on the Republican bill.



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