Skip to main content

tv   Affordable Care Act Replacement Plan  CSPAN  March 10, 2017 12:52pm-1:03pm EST

12:52 pm
soviet bloc, focussing considerable attention on the 1981 polish decision to impose martial law in response to the growing influence of solidarity the trade union movement there. >> for our complete american history tv schedule, go to mary agnes carey covers all things health care for kaiser health news, she's joining us on the phone in washington. thank you for being with us. >> thanks for having me. >> so walk us through some of the highlights of what house republicans are now working through. first, repealing the financial penalty for the insurance mandate. what does that mean? >> this is a requirement now in affordable care act that you have health insurance or pay a penalty unless you have an exemption for a particular reason, so what they're saying now is that you won't be -- you as an individual will not be charged a penalty if you don't enroll in health insurance. this has been something republicans have wanted to do for a long time, they don't like
12:53 pm
the idea of the government requiring, most americans, rather, to have insurance or pay a fine. that's why they put that into the proposal. >> to be clear, it is repealing the insurance penalty, but not the insurance mandate. why? >> right. well, as we know, the first part of this effort to repeal and replace the affordable care act has to go through a budget process called reconciliation. they're doing this because that allows the bill to pass with 51 votes in the senate, not 60. the bill could not be filibustered. and so why they focus on the penalty is under budget reconciliation, everything has to have an impact on the budget. so the penalty creates a fee, there is a revenue impact and so that's why they have focused on the financial penalty itself. >> and this republican house plan also includes tax credits. so how do they work? >> what they would do is they differ from the tax credits and the aca. the difference is that under the house republican plan, they would be geared more to age and
12:54 pm
not on income in the affordable care act, more on income, where more lower income people get a greater sense of money, a greater share of money, rather. so under the republican plan, if you're under 30, it is about 2,000, it ranges up to 4,000 for people 60 and older and so that is money that you can use, advanceable, refundable tax credits that can be used to buy insurance. so the thought is, if they change the structure, get it away from income-based, make it more for age, older folks may be charged also more for their health insurance under the republican plan, that's in part why they have a greater subsidy for older people, but the idea is you could take that money on the market, buy coverage that is good for you. families could get up to $14,000 of tax credits. they cost a little bit of c consternation of some conservatives in the party who feel like it is the creation of an entitlement, but they have
12:55 pm
done it this way so people from all economic stripes no matter what their income can benefit, even if they're not filing income taxes as a refundable advanceable credit. >> when would the tax credits kick in. is there an estimated price tag? >> we don't know about the price tag yet. that is what everyone is waiting for from the congressional budget office, which we call the cbo. the official score keeper of washington. the estimate, the cbo estimate on that provision, the others is expected next week. any tax credits would kick in in 2020. >> there is additional funding for community health centers around the country, but a freeze for one year for planned parenthood. so walk us through those two elements. >> community health centers are very popular with republicans and democrats. they provide a lot of care, especially at a low income individual throughout the country. and so the thought is some of the health care that wouldn't be administered at planned parenthood would go to, because of the freeze of money there, i'll talk about that in a
12:56 pm
moment, would go to the community health centers to help them care for those folks and take the overflow, but there has been some concern that perhaps the community health centers won't be able to absorb that. let's go to planned parenthood. there is a freeze for a year in federal funding, to plan parenthood. and republicans have wanted to do this for a long, long time because planned parenthood, even though it is not the majority of what they provide, they do provide abortions, but the key thing here to remember is there is already a federal prohibition -- a prohibition on using federal money to pay for abortions, they're only allowed in rape, incest and the life of the mother. but because planned parenthood provides that service, and republicans have been against that service, that is a key reason behind why they want to stop federal funding for planned parenthood for a year and this is a provision that is really going to have some problems in the senate where we have seen susan collins of maine and lisa murkowski of alaska, two
12:57 pm
republicans come out and say they oppose this, as we know, there are only 52 republicans in the senate. so this is going to be a problem. >> and one final element, if you could explain, as you write it in your piece at, dramatic changes to medicaid. what are the changes? and what impact will they have on the states? >> the key impact here is the shift in how the medicaid program would operate. right now, it is funded by the federal government on a matching basis with states. it is a variety of percentages, the average is about a 54% match for most states, some higher, some lower. but there is no ceiling, no cap, no cap there, it is an entitlement. what would happen under the house republican proposal is this would become a capped amount of money that would be given to states, and states would also have more flexibility to administer the medicaid program as they see fit. so the concern around this
12:58 pm
provision is will it be enough money, will the amount of money rise fast enough to keep up with medicaid expenditures, and will this simply be a cost shift, not only to state governments, but also to the individuals in the program. there is something like 70 million people on the medicaid program, and this change, there is concern that it could cause some major disruptions in the program, now, of course, proponents of this, paul ryan, the speaker of the house, and his press conference today walked the press through it. said that this kind of flexibility will make the program stronger, that many governors want it, but, again, we're waiting for that cbo score to lay out the impacts on the medicaid program. >> and finally, the affordable care act, very complicated piece of legislation, but its ultimate premise was to make sure that everyone was insured. what is is the incentive under this plan for people who don't want to buy insurance. >> there would be a 30%
12:59 pm
surcharge on you if you came in -- if you weren't covered, if you didn't have any health insurance, if it lapsed for more than 63 days, perhaps had a plan, and then you didn't have a plan, or you never enrolled at all, when you went back into the market, you're going to be hit with a 30% surcharge for a year on your premium. that's 30% on top of your -- the base premium. that would be the incentive for you to not have a lapse in coverage, to make sure you're covered. but conversely, critics are looking at this and saying, well, if you know you're going to hit a 30% premium surcharge, and you didn't have insurance now, why would you, you know, get in before you were sick? you might just wait until you were sick and then, of course, be more expensive to take care of. so, you know, the human behavior is something they're trying to incentivize, but there are some that look at this provision and say it may not really get people in the market or keep them in the market. >> the kaiser health news
1:00 pm
website, and the reporting of mary agnes carey. thank you very much for your time. >> thank you. your documentary has been selected as this year's grand prize winner. >> what? oh, my gosh! >> 7th and 9th grade sisters ava and mia lazor, grand prize winners of you're student cam documentary competition. they explore refugees and immigration policy. >> the refugee is someone who has been forced to flee his or her country because of persecution, war. >> politicians and institutes today are arguing over one urgent question, should the united states let more refugees into the country? >> as our grand prize winners, they win the $5,000 prize. this year we asked middle and
1:01 pm
high school students to produce documentaries telling us what is the most urgent issue for the new president in congress to address in 2017. students competed for the chance to win one of 150 prizes totalling $100,000 in prize money. we received almost 3,000 entries from 46 states. plus the district of columbia, england, germany, singapore, and taiwan. and now we're happy to announce our first place winners. in the middle school category, the first prize winners are 8th graders molly dower ty, cam din lewis, and ava decker, for their documentary, u.s. gun violence, a complicated puzzle. the first place winner for the high school east category is 11th grader matthew gannon from beg gonzaga college high school for invisible which deals with homelessness. he won the fan favorite contest
1:02 pm
also. he'll receive an additional $500. in the high school central category, our winner is 12th grader jared clark from royal oak high school in royal oak, michigan, for his piece enough is enough, dealing with pharmaceutical pricing. and our student cam first prize winner for the high school west category, is 9th grader arundathi nair from wyoming for, her piece, fossil fuels to renewables, the challenges of transitioning. congratulations to our winners. thank you to all the students and their teachers for competing and making this year's student cam competition a success. the top 21 winning entries will air on c-span in april. and you can watch all 150 winning documentaries online at next a look at what defense policies and strategies might look like under the trump admini


info Stream Only

Uploaded by TV Archive on