What's In The Republican Healthcare Bill: The Full Breakdown

Tyler Durden's picture

The Republican party has just released their healthcare bill and really, it isn't a replacement, more like an alteration of Obamacare. There's no full repeal, but just tinkering with definitions, you know the usual way DC get's things done.

So you're probably wondering what's in the bill. Justin Bilyj, perused the bill just this morning and here's a list of 24 items covered in this 142 page healthcare bill.

  • Gives subsidies illegal immigrants if they are working in the United States
  • Subsidies based on 350% Federal Poverty Level, not 400%.
  • Gets rid of business and consumer mandates with no penalty
  • Qualified plans don't need to provide abortion coverage unless it's to save the life of the mother
  • Each state gets 15-10 Billion for uninsurables
  • Cadillac tax is gone
  • OTC med tax is gone
  • HSA penalty tax is 10%
  • Prescription tax is gone
  • Medical device tax is gone
  • Business owners can deduct part d expense again
  • Deductible medical expenses are back to 7.5% instead of 10% AGI
  • Tanning tax is gone (ironic)
  • Net investment tax is gone
  • HSA deductibility will be adjusted every year for COLA
  • Both spouses can now make catch-up contributions to a family HSA
  • 60 day limitation to setting up an HSA account when first getting the plan for purposes of a current claim
  • No coverage for abortion clinics
  • Repeal of cost-sharing subsidy
  • MLR set by states
  • Grants for states battling opiod addiction (like mine)
  • CHIP is reauthorized
  • $5,000 app fee to create small business association health pool
  • Psychiatric coverage is limited to institutionalized individuals only, and for stays up to 30 days but not to exceed 90 days

Some additional details:

  • Funds two years of current Obamacare payments to insurers (which President Trump has repeatedly threatened to pull) to stabilize the insurance marketplace.
  • Delays cuts to Medicaid.
  • Eliminates Obamacare’s individual mandate and doesn’t include penalties for a lapse in coverage.
  • Allows children to stay on parents’ plans through the age of 26.
  • Does not include the House bill language to waive essential health benefit coverage, but does give states the ability to opt out of other Obamacare rules.

Recapping the House bill

  • Prevents women from using federal tax credits to buy plans that cover abortion and temporarily blocks Planned Parenthood from receiving federal funds for one year.
  • Lets states impose work requirements for Medicaid.
  • Allows states to seek waivers from covering essential health benefits – including maternity care and emergency room trips.
  • Allows states to waive an Obamacare regulation that prevented insurers from charging sicker consumers more, which would effectively undermine pre-existing conditions protections.
  • Repeals Obamacare’s individual mandate but penalizes people who let their coverage lapse for 63 days.
  • Replaces Obamacare’s income-based tax credits with age-based tax credits that don’t vary with local insurance costs.
  • Adds $8 billion to high-risk pools for Americans with pre-existing conditions.

Going forward, per ABC

The bill’s release follows months of speculation and contentious debate. Senate Democrats have criticized their Republican counterparts for working on the bill behind closed doors. Earlier this week, Sen. Al Franken, D-Minn., appearing on ABC News’ “Powerhouse Politics” podcast, noted that when crafting the Affordable Care Act, Republicans had a chance to offer changes.

“In the Health Committee, I think 160 Republican amendments were accepted into the bill,” he said. “It was debated for 25 straight days before it was voted on. It was scored well in advance. This is a sham.”

The Congressional Budget Office, which provides nonpartisan, quantitative analyses to Congress, will now evaluate the bill. A CBO score could come as soon as Friday.

The CBO estimated that the version of the American Health Care Act passed by the House would leave 24 million more Americans uninsured by 2026 than under the Affordable Care Act. The office also estimated the bill would reduce federal deficits by $337 billion from 2017 to 2026.



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VWAndy's picture

 Its the Rs turn to screw us all over.

Mtnrunnr's picture

They just took off the condom.

NugginFuts's picture

Paul Ryan: "Anything you can screw, I can screw better!"

froze25's picture

Screw this, no more benefits for Freaking Illegals!. No more incentives for people to come here and live off of the welfare system. If you aren't a citizen NO FREE SHIT. If you are a Citizen and want freee shit then you need to be drug tested.

Creepy_Azz_Crackaah's picture

It still sucks and will bankrupt the country. Not that the trillions of other FREE $HIT government programs already in existence won't.

Get the government OUT of the charity business.

froze25's picture

You know what, I am at the point where I want that to happen. I want a total collapse so that all the handouts can stop, the Federal Gov't will cease to exist and the states can go their own way.

Creepy_Azz_Crackaah's picture

Or just have the fed gubmint do what the Constitution says it should do. National defense and that's about it.

And this one in the bill: "Gives subsidies illegal immigrants if they are working in the United States." Since ILLEGAL aliens are ILLEGALLY working if they are working in the U.S. the total spent on this should be $0.

BullyBearish's picture

like obombercare, this should rightly be called "corporate care" as it has nothing to do with YOUR healthcare but everything to do with keeping the corporations VERY healthy...

ElTerco's picture

Stock buybacks galore if this passes.

FrozenGoodz's picture

Wealthy-Tax-Breaks-Don'tCare beta 2.0


Was told there'd be winning?

Countrybunkererd's picture

Back in the 80's Pennsylvania set up what they called a CAT fund.  It was catastrophic insurance for uninsured auto accidents.  It was insolvent before the end of the 2nd year.  Having a printing press and illegal transfers of monies is what is keeping this one afloat for now.  It is called a courtesy flush.  Flush the toilet, the USA (more the .gov than the average person) is really starting to stink up the place.

butchtrucks's picture

Sooner Trumpcare is passed the better. Lots of snowflakes complaining its going to kick lots of sick folks off healthcare coverage. GOOD. That's exactly the point. I HATE these sick fucks freeloading on socialistic welfare - which is what Obamacare is.

I voted for Trump because I want to end this communistical nightmare experiment of 'healthcare for all'. If it's true that 50 million will loose healthcare coverage due to abolition of pre-existing condition protection then I say GREAT. Why the fuck should my tax dollars go towards sick assholes who generally have themselves to blame for their shitty health?

And why the fuck shouldn't insurance companies be able to change as much as they godamn want for health coverage? Are we communist now like Sweden, Britain and Australia where every poor and sick asshole has access to free healthcare?? Trump and the GOP are restoring the true American way and for that I am grateful. Any GOP senator who opposes this bill is a TRAITOR.

targayren hous's picture

I'm making over $7k a month working part time. I kept hearing other people tell me how much money they can make online so I decided to look into it. Well, it was all true and has totally changed my life. This is what I do... www.jobproplan.com

darkstar7646's picture

You forget how many of us become detrimental to the national defense if they don't.

FireBrander's picture

Was there anything in there about fixing the REAL PROBLEM?

The REAL problem IS NOT:


>The Cost of Insurance!.

No fucknuts, those, and everything else, and just SYMPTOMS, of the REAL PROBLEM!


An MRI in Japan...~$300 cash....USA with "Insurance"..$3000!

There's yer problem that needs a fixen...

"Health Lobby" wins again!

Jack McGriff's picture

A friend of mine is a paramedic and was laughing about how they routinely rip off their emergency patients in a myriad of ways by rendering a bill for 50 times the actual cost of the "medication" or treatment or ambulance ride.  "You know how much we charge someone for an aspirin?"  No, I don't.  How much do you charge?  "$68 a pill!"  FFS, that's the problem.   Ripping off the public when there is a river of money to pay the bills via mandatory usury insurance coverage.

AGuy's picture

"An MRI in Japan...~$300 cash....USA with "Insurance"..$3000!"

Except for the very long waiting period. Japan has a national Healthcare system, Getting a MRI in Japan is usually a month or two waiting period.

emancelf58's picture

I paid $450 cash for an MRI with no waiting period in Sacramento California. That was two years ago and I recently got one done through Medicare and it was 950 minus the deductible.

With that said yes the Medicare Medical Health Care system is all nothing but a big scam and his goddess all bent over. I guess the best  business to be in is proctology.

afriend4u2's picture

I was in Colombia and had a sinus infection.  I also forgot my sun block, which is a bad thing in Santa Marta.  I walked into the pharmacia and the nice woman behind the counter prescribed amild anti-biotic,  amoxicilin, for my sinuses.  I grabbed it and my sun block and went to the register.  Good news is the amoxicilin was the equivalent of 50 cents.  The sun block was 8 bucks.  

Pernicious Gold Phallusy's picture

You have to look at the whole deal... would you want to live there?

AndSoItBegins's picture

The real problem is the cost of health care, medical devices and equipment, prescription medication and the fact that they will not tell you what a procedure will cost until well after the fact. A scheduled rotator cuff non emergency procedure should be a known cost. Instead, you get 10 bills from multiple entities that you didnt know about beforehand. If non emergency medical care delivery pricing was published, people could shop around for the best care for the lowest cost. Like cosmetic surgery which has well trained medical professionals, the best facilities and equipment and is extremely price competitive. Right now, admissions sizes you up for how deep your pockets and your insurance companys pockets are and charge accordingly.

This plus the anti competition carve outs granted by our elected officials to protect their medical, pharmaceutical and insurance buddies burdens us as individuals and as a country. We pay for pharmra research that the rest of the world benefits from but pays only pennies on the dollar compared to what we pay in this country. This right here, what our elected officials have done to this country, is the root of all this evil. 

The next big cost is tort actions against medical providers. The balance between consumer safety and people suing and getting huge pay outs for the natural course of events or bad luck drives up costs as well. One is because of the law suit avoidance strategy that every possible diagnosis  be explored with expensive tests. 

Another factor is the collusion of gov mandated dietary and nutritional bs through agencies like the USDA that have for decades pushed high carb, low fat processed food which is roundly supported by mainstream medical professionals because they are on the take. They ignore the results because their  support of false nutritional science is lucrative  . They would rather you eat crap, get sick and keep you on multiple medications for the rest of your life and coming into their offices and hospitals. Statins, beta blockers, metformin, insulin make for a great income stream.

And next I'd like to say fu to obama and his socialist pipe dream promising the world to all the takers. What a joke. Gruber and obama, two venal shysters, created a bill so complex and far reaching (and unconstitutional) with impossible promises that the sjw, bernie supporters, antifa fheads, and grifters glommed onto because they are so out of touch with how the real world works or are benefitting from the out right fraud of obamacare. Obama and the rest of those sacks of crap dems chose not to confront the root causes of this situation. Mr chicago community organizer who never held a real job until he became president (for crying out loud), who never created a job, made payroll, who never created jack sh!t, foisted this doomed to fail monstrosity on us. For anyone to claim Trump is failing, f you 1000 times. The failed poser obama created this mess and thank god we have someone willing to take on the daunting task of unraveling this travesty. He has the courage to name the problem and look for solutions while all of congress, the swamp, the deep state are fighting him tooth and nail.

A family member was admited to emergency with a life threatening bone infection 13 days ago.  Twelve hours in emergency, 3 days in intensive care, 9 days in 2 different units because of complications, 3 surgeries and all they can do is guess that his bill might be around $500k. How can they not know what the acrued charges are? He is not ready to be discharged. That is what they would bill insurance if he had a standard plan but he has a co-op plan that they will not accept. They will, though, consider him as uninsured and reduce the bill by 89% which is $55k.  If he pays half of that at discharge, they will reduce the balance by another 20% which brings it down to $44k. So, is the true cost of his hospital stay $44k or $500k? Come to think of it, i bet this doesnt count the surgeon's  bill.


ElTerco's picture

I wonder if they left the illegals provision in there as an "out" to give people an excuse to vote no on this bill?

EddieLomax's picture

"Gives subsidies illegal immigrants if they are working in the United States"

Er?  No idea how this sort of crazyness can go on unquestioned.  Anyone illegally in the US should be turned over to authorities and deported, if they need medical assistance that comes from the deportation budget.

Both the democrats and republicans are so far out of touch with the electorate that it would be comical if the effects were not so serious.

Fake Trump's picture

Free tampons for all female staffers at The White House to stop those leaking. 

curbjob's picture

It's a repeal of the "Obamacare" logo and, replacing it with "Trumpcare"

Yes, there's a few more corporate subsidies ... nothing unexpected. 

FireBrander's picture

I've been downvoted, literally for YEARS by saying "NO WAY will the Republicans repeal ObamaCare"...No fucking way!

The "Health Lobby" is in charge...and "ObamaCare" pumps ~$100 Billion a year in the "Health Industry"...you think any political party is going to be allowed to end that cash cow by the "Health Lobby"...lol...suprise, suprise...no fucking way!

VWAndy's picture

 Yep everyone awake knows its really a criminal monopoly going back decades. FFS back in the 50s they were handing out speed to everyones mom.

AGuy's picture

"I've been downvoted, literally for YEARS by saying "NO WAY will the Republicans repeal ObamaCare"...No fucking way!"

It wasn't me, I said the same thing!

I also said:
1. Trump isn't going to fix nothing.
2. No tax cuts, but tax increases maybe more stimulus spending, but its iffy.
3. More Wars, More surveillance on citizens, less freedom
4. No job recovery and a lot more layoffs and automation and outsourcing gut middle class jobs.

emancelf58's picture

I hear your brother so when the uprising starts how many innocent kids will be victimized by their grandparents ignorance. It used to mean something to take care of the up-and-coming generation and our government has turned on them and everybody else.

Damn it it's all Russia's fault.

emancelf58's picture

I hear your brother so when the uprising starts how many innocent kids will be victimized by their grandparents ignorance. It used to mean something to take care of the up-and-coming generation and our government has turned on them and everybody else.

Damn it it's all Russia's fault.

Cordeezy's picture

Small businesses are going to love this!  I don't know what the democrats will not like about it other than that a Republican is selling it.





Mtnrunnr's picture

Anyone that makes 350% and less of the average is gonna get boned.

Silver Savior's picture

If it comes from a republican or Obama I don't want it.

But do you hear that? Billons to states for uninsurables! Further proof that carrying insurance does not matter! 

BigCumulusClouds's picture

Sounds like a bill drafted by RINOs.  The Republicans have now proved what we suspected all along: they are simply socialist light weights.

curbjob's picture

Clearly a graduate from Fox University. 

Obamacare and this afterbirth are examples of fascism; the marriage between corporations and government. 

An example of Socialism would be every other first world country's health care system.


Aside, I'm not against a completely free market approach to health care,  provided I don't get taxed at the same rate as someone in a country where they don't pay for it.

The Wedge's picture

"Aside, I'm not against a completely free market approach to health care"


Not what we have, not what we're going to have. Free market is a misnomer. At least the way many use the term. For example, forcing individuals to purchase a product from a relatively small number of companies effectively removes MARKET FORCES and costs naturally rise.

And what country doesn't pay for it's healthcare?

EddieLomax's picture

As someone who lives in a country where the government provides healthcare (NHS - socialism) I can tell you that I get everything for free, if I'm able to wait for it.

Waiting as in someone with brain cancer waiting 3 months to begin treatment (died before seeing an Oncologist), someone with a bladder problem requiring trips to A&E to just pee told to wait 18 months for surgery (they paid £5k to get it fixed privately).

So yes, I get healthcare, but everyone I see gets paid whether they do a good job or not.  The reality is with socialist healthcare that I end up paying twice, and for a modest income I earn I pay 3-4k a year out in tax that goes to the NHS.

If you want good healthcare then make it all private.  Then make everyone pay, insurance should be for the huge costs in life only, and the safety net provided by the government only for those who are too poor to pay anything.

Lastly, people who are massively obese, smoke or drink heavily shouldn't be supported by others, they pay their own way for the related conditions or dig their own grave.  Its hard, but I'd rather my taxes were going to people who were trying to do something with their lives but fell on hard times than people who were self destructive.

Never One Roach's picture

I stopped at the first sentence.....


WTF are we giving any health benefits to illegals?

I have a novel idea: Why not give hard working Americans free or subsidized health care intead of the FSA, deadbeats, immigrants, parasites and illegals?

I may get the Nobel Prize for that brainstorm!

NumNutt's picture

I agree, out of all those items that one item smacked me in the face, that shit needs to read "no benefits for illegals", remove any and all incentives for them to come to the USA. Other than that, I would say it is a first step in the right direction, like the first step at the bottom of Mount Everest in the long climb up....

nobodysfool's picture

How about we Cease ALL financial Aid to (Islamic/Socialist?) countries that hate our guts?  

Use the saved Billions to give hard-working and retired Americans Free or subsidized Health Care Benefits!!

Pass it on to every member of congress!!

emancelf58's picture

Yeah but then or were you going to get our low priced oil from.

Congress doesn't give a s*** about anybody but Congress.

White Knight's picture

On the bright side, their version still (eventually) implodes fantastically. Which meanswe can finally get to that important communist- ahem humanitarian goal of a single payer system brought to you by Uncle Sam! :)   

IridiumRebel's picture


The Wedge's picture

Too late. It's now a reality we all have to deal with.

Sir John Bagot Glubb's picture

It just needs do two thing:  (1)  Let people buy whatever policy they want without it having to be approved by the federal government and (2) allowing coverage to be sold across state lines.  If the federal government doesn't have to approve policies, then it guts its involvement in the entire healthcare system.  

slightlyskeptical's picture

For the millionth time..Obamacare allows companies to sell across state lines. The insurance companies have zero interest in this. Yet you keep parrotting it like it is something that would help things. They can do it now and it doesn't help.

Sir John Bagot Glubb's picture

That's because it is federally mandated insurance.  ObamaCare requires that the federal government approve ALL policies.  I'm talking about not having federally approved insurance.  Let people buy what they want, whatever they want and wherever they want.  I don't think you understand it.