Medicare Blog

when trump gets rid of aca, will it affect tricare and medicare

by Ed Dickinson Published 3 years ago Updated 2 years ago

Will the Trump administration roll out a healthcare plan to replace ACA?

 · “He’s very effective and really a smart pick” if President-elect Trump’s goal is to follow through on his campaign promise to get rid of …

Is Trump trying to thwart Obamacare?

 · Those making more than $500,000 a year ($750,000 for couples) will pay 85 percent of the actual costs of Part B and D in 2019, up from 80 percent this year. Most Medicare enrollees pay premiums ...

Will Medicare be affected by the Trump administration’s proposed rule?

President Donald Trump's main healthcare policy initiative has been working to fulfill his campaign promise to repeal and replace the Patient Protection and Affordable Care Act (ACA), commonly known as Obamacare. He expressed his support for the House and Senate bills that proposed modifying parts of the ACA. The House passed its bill—the American Health Care Act …

What happens to Medicare if the Affordable Care Act is eliminated?

 · President Trump has made clear that his goal remains to repeal the Affordable Care Act (ACA), including its expansion of Medicaid to low-income adults, and to impose rigid caps on the federal government’s Medicaid spending. While Congress considered and rejected a series of proposals to cut Medicaid and repeal the ACA in 2017, the Administration has …

What happens to Medicare if Obamacare is repealed?

If the A.C.A. is struck down, Medicare beneficiaries would have to pay more for preventive care, like a wellness visit or diabetes check, which are now free. They would also have to pay more toward their prescription drugs.

What impact has the Affordable Care Act had on Medicare?

Cost savings through Medicare Advantage. The ACA gradually reduced costs by restructuring payments to Medicare Advantage, based on the fact that the government was spending more money per enrollee for Medicare Advantage than for Original Medicare.

Does Tricare follow Affordable Care Act?

TRICARE is one of a number of plans Veterans might consider when searching for coverage that meets the standards of the health care law or the Affordable Care Act (ACA). Most TRICARE health plan options meet the requirements for minimum essential coverage (MEC).

Is Medicare tied to Obamacare?

Obamacare's expanded Medicare preventive coverage applies to all Medicare beneficiaries, whether they have Original Medicare or a Medicare Advantage plan.

What are the implications of repealing the Affordable Care Act?

Before the crisis, ACA repeal was expected to cause 20 million people to lose coverage; millions more would likely lose coverage if the law were struck down during a recession, with commensurately larger impacts on access to care, financial security, health outcomes, and racial disparities in coverage and access to ...

What are the benefits of repealing the Affordable Care Act?

Many hospitals, family doctors, and other medical providers are already struggling financially because of COVID-19. Without the ACA, the financial pressures would increase, and many more rural and safety net hospitals that serve low- and middle-income families could be forced to close.

Is the military under the Affordable Care Act?

If you're enrolled in TRICARE or the Veterans health care program, you're considered covered under the health care law. You don't have to make any changes.

Is TRICARE subsidized by the government?

The Department of Defense (DOD) provides health care for 9.5 million military service members, retirees, and family members through military treatment facilities (MTFs) and a self-funded, self-administered insurance program called TRICARE.

Do military members have ACA insurance?

Yes. All TRICARE plans from the Department of Defense satisfy the requirement. In addition, military veterans enrolled in VA health care also meet the coverage standards of the Affordable Care Act (ACA).

Is Medicare more expensive than Obamacare?

The average Medicare Part D plan premium in 2021 is $47.59 per month. The average Medicare Supplement Insurance plan premium in 2019 was $125.93 per month. The average Obamacare benchmark premium in 2021 is $452 per month.

Does AARP support Obamacare?

Fourth, AARP knows it can protect its financial interests by aligning with Democrats, no matter what its members think. That's one reason why AARP endorsed “Obamacare,” though the organization's call response logs indicate opponents outnumbered supporters by more than 50 to 1.

Is Medicare Advantage the same as Obamacare?

Medicare isn't part of the Affordable Care Act (ObamaCare) neither is supplemental Medigap insurance nor Medicare Advantage plans. You won't shop for your coverage through the marketplace. Instead, you'll want to follow the instructions under the “how to sign up for Medicare Advantage” section below.

When will the coverage gap end?

The much-maligned coverage gap (or donut hole) in these plans has been shrinking for years under the Affordable Care Act, and was supposed to end in 2020, at which time consumers in the gap would pay no more than 25 percent of the costs of their drugs. That end date was moved up a year to 2019.

How much does Medicare pay for Part B and D?

Medicare’s high-income premium surcharges will carry even more of a bite for wealthier enrollees. Those making more than $500,000 a year ($750,000 for couples) will pay 85 percent of the actual costs of Part B and D in 2019, up from 80 percent this year. Most Medicare enrollees pay premiums that equal about 25 percent of these costs.

Does Medicare give discounts to drug companies?

Medicare prohibits such manufacturer discounts, and while pharmaceutical companies do provide hefty discounts to Part D insurers, they are not passed along to consumers.

Does Medicare cover long term care?

That includes allowing such plans to pay for limited long-term care expenses – something that until now has not been covered by Medicare.

Will Medicare be repealed?

It’s a more significant if largely invisible change. Medicare’s caps on covered expenses for outpatient therapy have been officially repealed.

Has Medicare been killed?

However, the law has already been signed by President Trump, so whether these are good changes or not is moot for the time being. Medicare’s Independent Payment Advisory Board has been killed. It was authorized by the Affordable Care Act to serve as a check on higher Medicare expenses.

Did Trump sign Medicare?

President Trump signed these Medicare changes into law. Here’s what to watch for | PBS NewsHour

When did Trump say the Senate should repeal the ACA?

On June 30, 2017 , Trump said that the Senate should vote to repeal the ACA if they were unable to pass the Better Care Reconciliation Act of 2017 (BCRA). He tweeted, "If Republican Senators are unable to pass what they are working on now, they should immediately REPEAL, and then REPLACE at a later date!".

When did Trump say Obamacare is hurting people?

On July 31, 2017 , Trump tweeted, "If ObamaCare is hurting people, & it is, why shouldn't it hurt the insurance companies & why should Congress not be paying what public pays?"

Is Obamacare a burden on Ohio?

Higher prices, lost plans, fewer choices -- Obamacare is a burden on the people of Ohio and it’s a burden on Ohio’s job creators. That’s why the President has worked so hard to keep his promise to the American people to repeal and replace Obamacare with something that actually works. ...

When did Pence say the ACA should be repealed?

On July 10, 2017 , Pence said that the Senate should vote to repeal the ACA if they were unable to pass the Better Care Reconciliation Act of 2017 (BCRA). He said, “If they can’t pass this carefully crafted repeal and replace bill — do those two things simultaneously — we ought to just repeal only.”.

What did Pence say about Obamacare?

On April 1, 2017, during a speech at Dynalab Inc, in Reynoldsburg, Ohio, Pence said, "The President and I know what all of you know -- that every day Obamacare survives is another day that the American people struggle. We all know the truth about this failed law. Higher prices, lost plans, fewer choices -- Obamacare is a burden on the people of Ohio and it’s a burden on Ohio’s job creators. That’s why the President has worked so hard to keep his promise to the American people to repeal and replace Obamacare with something that actually works. ... Obamacare is going to continue to explode, putting a great weight on millions of Americans. But the President and I have faith. We have faith that Congress is going to step and do the right thing. Even as we speak, I’m told the members of Congress are forging ahead -- working to craft legislation that will usher in the end of Obamacare. So be assured of this, folks here in the Buckeye State, when Congress finally decides to repeal and replace Obamacare, President Trump and I will be ready to work with them hand in glove. You can take it to the bank: President Trump is never going to stop fighting to keep the promises he made to the American people -- and we will make America great again. We will repeal and replace Obamacare and give the American people the world-class health-care they deserve."

What did Donald Trump say about healthcare?

In an interview on "60 Minutes" on November 13, 2016, Trump said that healthcare would be one of his top three priorities to initially address. Trump called the protection of individuals with pre-existing conditions one of the "strongest assets" of the Affordable Care Act and noted that he would keep that feature and the extended coverage ...

Will Trump roll out ACA?

On February 5, 2017, Trump was asked if his administration would roll out a healthcare plan to replace the ACA in 2017. Trump said, “Yes, in the process and maybe it’ll take till sometime into next year but we’re certainly going to be in the process. You have to remember Obamacare doesn’t work so we are putting in a wonderful plan. It statutorily takes a while to get. We’re going to be putting it in fairly soon, I think that yes I would like to say by the end of the year at least the rudiments but we should have something within the year and the following year.”

What would happen if the Trump administration changed Medicaid?

These changes would dramatically affect state budgets and could lead to significant cuts to benefits, coverage, and provider payments.

What is Trump's goal with Medicaid?

President Trump has made clear that his goal remains to repeal the Affordable Care Act (ACA), including its expansion of Medicaid to low-income adults, and to impose rigid caps on the federal government’s Medicaid spending. While Congress considered and rejected a series ...

How many people in Arkansas lost medicaid in 2018?

In Arkansas, over 18,000 Medicaid beneficiaries — almost 1 in 4 subject to the new rules — lost coverage in 2018 as a result.

When will DHS reject Medicaid?

Beginning February 24, 2020, DHS immigration officials will be able to reject immigration applicants if they have received, or are judged likely to receive in the future, any of an array of benefits, including Medicaid. Timing for the DoS implementation of the policy has not yet been announced.

How many children would lose Medicaid in 10 years?

After ten years, more than 300,000 children would lose comprehensive coverage ...

What would happen if the poverty line was lowered?

By lowering the poverty line, that proposal would ultimately cut billions of dollars from federal health programs and cause millions of people to lose their eligibility for, or receive less help from, these programs. Many programs, including Medicaid and CHIP, use the poverty line to determine eligibility and benefits, and the cuts to these programs — and the numbers of people losing assistance altogether or receiving less help — would increase with each passing year. After ten years, more than 300,000 children would lose comprehensive coverage through Medicaid and CHIP, as would more than 250,000 adults covered through the ACA Medicaid expansion. Some pregnant women, low-income parents in non-expansion states, and people receiving family planning services through Medicaid would also lose coverage.

What would happen if the federal government capped funding?

Moreover, capped federal funding would shift financial risk to states, with federal funding cuts most likely to occur when states can least absorb them — such as during recessions, public health emergencies, and other times when states face both high demand for coverage and strain on other parts of their budgets.

What changes did the Trump administration make to Medicaid?

What changed? Under Trump, if they get approval from the federal government, states can now require Medicaid beneficiaries to prove with documentation that they either work or go to school.

What is the most important theme of Trump's administration of the ACA?

"The most important theme of [Trump's] administration of the ACA has been to sow uncertainty into the market and destabilize the insurance pool ," she says.

What is Medicaid expansion?

What is it? Medicaid expansion was a key part of the ACA. The federal government helped pay for states (that chose to) to expand Medicaid eligibility beyond families to include all low-income adults, and to raise the income threshold, so that more people would be eligible. So far, 37 states and Washington have opted to expand Medicaid.

What is the impact of the ACA penalty?

What's the impact? First of all, getting rid of the penalty for skipping insurance opened a new avenue of attack against the entire ACA in the courts, via the Texas v. Azar lawsuit. Back in 2012, the ACA had been upheld as constitutional by the U.S. Supreme Court, because the penalty was essentially a tax, and Congress is allowed to create a new tax. Last December, though, a federal judge in Texas ruled that now that the penalty is $0, it's a command, not a tax, and is therefore unconstitutional. He also reasoned that it cannot be cut off from the rest of the law, so he judged the whole law to be unconstitutional. A decision from the appeals court is expected any day now.

When did the Trump administration stop paying subsidies?

What changed? The Trump administration suddenly stopped paying these subsidies in 2017.

Did the ACA repeal increase insurance premiums?

Eliminating the penalty also caused insurance premiums to rise, says Sabrina Corlette, director of the Center on Health Insurance Reforms at Georgetown University. "Insurance companies were getting very strong signals from the Trump administration that even if the ACA wasn't repealed, the Trump administration probably was not going to enforce the individual mandate," she says. Insurance companies figured that without a financial penalty, healthy people would opt not to buy insurance, and the pool of those that remained would be smaller and sicker.

Did repeal and replace work?

Months later, repeal and replace didn't work, after the late Sen. John McCain's dramatic thumbs down on a crucial vote (Trump still frequently mentions this moment in his speeches and rallies, including in his recent speech on Medicare).

Judge Who Invalidated Obamacare Has Been A 'Go-To Judge' For Republicans, Critics Say

"To erase a law that is so interwoven into the health care system blows up every part of it," says Sara Rosenbaum, a health law professor at the George Washington University School of Public Health. "In law they have names for these — they are called superstatutes," she says. "And [the ACA] is a superstatute.

FACT CHECK: Who's Right About Protections For Pre-Existing Conditions?

Previously many hospitals, doctors and other health providers spent considerable time and effort figuring out how to treat — without going broke —people who lack insurance.

Medicare Trying Bundled Payments To Save Money, Improve Care

Elimination of the federal health law would take away some popular benefits the ACA conferred — everything from free preventive care to the closing of the "doughnut hole" in Medicare's prescription drug coverage.

Why did Obama promote the ACA?

The Obama administration had vigorously promoted the ACA in part to attract healthy, younger people to the exchanges to help keep premiums down. The Trump administration sharply reduced support for advertising and exchange navigators while reducing the annual enrollment period to about half the number of days. 2.

How did the Obama administration promote the ACA?

Established to offer health insurance to individuals and small business, the exchanges have provided coverage to some 10 million people annually. The Obama administration had vigorously promoted the ACA in part to attract healthy, younger people to the exchanges to help keep premiums down. The Trump administration sharply reduced support for advertising and exchange navigators while reducing the annual enrollment period to about half the number of days.

How can the administrative presidency exploit its control over the Justice Department?

Current developments illuminate how the administrative presidency can exploit its control over the Justice Department to coalesce with state officials of the same party to accomplish its policy goals. They also have relevance for the ongoing debate among political scientists as to whether federal judges are best seen as partisans in robes, whose voting behavior on salient policy matters reflects those of the party of the president who appointed them. To this point, recent court decisions on the individual mandate have faithfully followed the partisans-in-robes model. It remains to be seen whether the pending Supreme Court decision mirrors that pattern.

Who was the Judge in the ACA case?

Judge Reed O’Connor, a George W. Bush appointee, concurred with this view. O’Connor’s decision was an epiphany for the White House. The Justice Department had originally argued that the remaining, toothless mandate invalidated only a portion of the ACA, primarily protections for those with preexisting conditions.

What is the public charge rule for Medicaid?

The Department of Homeland Security promulgated a “public charge” rule that authorized officials to treat Medicaid enrollment as a negative factor in reviewing the requests of legal noncitizens to extend their stays or change their status (e.g., from temporary to permanent resident).

Why did the ACA provide subsidies to insurance companies?

The law therefore provided various subsidies to insurance companies to reduce their risks of losing money if they participated on the exchanges.

Who replaced Ginsburg in the ACA?

The passing of Justice Ginsburg and President Trump’s nomination of circuit court judge, Amy Coney Barrett, to replace her heighten the existential threat to the ACA. Barrett has been sharply critical of earlier Supreme Court decisions sustaining the law’s constitutionality.

What would happen if the GOP won the ACA?

If the GOP is successful, the case would have us return to the days when access to health insurance is no longer guaranteed and insurance companies decide who and what to cover and how much to charge. Elements of the ACA that are part of the fabric of our country would all be gone — protected coverage for preexisting conditions, a ban on lifetime coverage limits, allowing children to remain on parents’ plans until age 26, free preventive benefits, and requiring coverage for essential services like mental health and prescription drugs.

Is the Supreme Court a precarious case?

The Supreme Court may never consider a more important case in a more precarious national moment than the one that 18 Republican states and President Donald Trump's Justice Department have forced onto the docket this fall. Tens of millions of Americans could lose their access to health care and hundreds of millions could lose health care protections ...

Why did Nixon's coverage plan break down?

But those proposals failed to advance in Congress, and Kennedy frequently expressed regret that, in the early 1970s, negotiations over a more private sector-oriented coverage plan with then-President Richard Nixon had broken down, in part because liberals were holding out for a better deal that never materialized.

What does Obamacare's survival say about the two parties?

Obamacare’s survival says a lot about the differences between the two parties nowaday s, and not just on health care. It’s a sign of how different they have become , in temperament as much as ideology, and why one has shown that it’s capable of governing and the other has nearly forgotten how.

Did Obama support single payer?

Obama had a similar experience putting together health-care legislation in the Illinois state legislature—where, despite proclaiming his support for the idea of a single-payer system, he led the fight for coverage expansions and universal coverage by working with Republicans and courting downstate, more conservative voters. He also was a master of policy detail, and as president, when it was time to stitch together legislation from different House and Senate versions, he presided over meetings directly (highly unusual for a president) and got deep into the weeds of particular programs.

Why did the Democrats go through all the exercise?

Democrats had that sense of mission and went through all of those exercises because they’d spent nearly a century crusading for universal coverage. It was a big reason they were able to pass their once-in-a-generation health-care legislation. Republicans didn’t undertake the same sorts of efforts.

Will the repeal bill have any effect on the GOP?

A repeal bill would likely have all of those effects. And although Republicans could try to soften the impact, every adjustment to legislation would force them to sacrifice other priorities, creating angry constituents or interest groups and, eventually, anxious lawmakers. GOP leaders wouldn’t be able to hold the different camps within their caucuses together, Lambrew believed, and the effort would fail.

Did Republicans vote to repeal Obamacare?

Nobody did—except Lambrew. Yes, Republicans had already voted to repeal “Obamacare” several times. But, she knew, they had never done so with real-world consequences, because Obama’s veto had always stood in the way.

Was the Affordable Care Act a failure?

Despite all of these conversations and all the preparations that came before them, the journey of the Affordable Care Act through Congress was halting and difficult, and on several occasions the whole project seemed on the verge of failure. Over the course of several months, much of it in lengthy committee hearings, leaders had agreed to a whole new series of compromises, beyond the ones they had made initially—reducing the financial assistance available to insurance buyers, for example, and nixing a “ public option ” that was supposed to offer a cheaper, government-run alternative, all to keep a majority coalition barely together.

What was the most significant change made to the ACA under the Trump Administration?

Elimination of the Individual Mandate. Perhaps the most significant change made to the ACA under the Trump Administration is the elimination of what is known as the individual mandate. The individual mandate was the requirement under the ACA that people lacking health insurance coverage from their employers or some other source ...

When will the ACA change?

Discussions and debate about further changes to ACA are not likely to occur until after the 2020 election. Moreover, the scope of such a post-2020 election will be governed significantly by which party controls the White House, the House of Representatives, and the Senate.

What was the ACA?

The federal government provided insurance companies that participated in the ACA Exchanges payments to assist these insurers in keeping premiums costs lower and to entice them to continue to participate. In 2017, with no warning to insurance companies, the Trump Administration stopped making these payments.

Did Trump alter the ACA?

The Trump Administration altered ACA in regard to expanded Medicaid. The Trump Administration altered the law to permit states the ability to require people eligible for expanded Medicaid to demonstrate that they are working or attending school.

How many states have expanded Medicaid?

In addition, through the ACA Medicaid expansion, the income threshold was increased, increasing the number of people eligible for Medicaid via the ACA. 37 states and the District of Columbia expanded Medicaid as a result of the ACA. The Trump Administration altered ACA in regard to expanded Medicaid. The Trump Administration altered the law ...

What happens if you fail to get health insurance?

If people obliged to obtain health insurance in this manner failed to do so, they faced a penalty on their taxes. The Trump Administration took the teeth out of the individual mandate and lowered the tax penalty to $0, according to National Public Radio.

Did Trump repeal the Affordable Care Act?

During the early months, rumblings on Capitol Hill in Washington, D.C., occurred about repealing and replacing ACA. However, the ACA was not repealed.

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