A new report from The Hill reveals that the Trump administration has proposed rolling back the ACA’s Medicaid expansion, as well as the employer mandate.
The proposed changes are being crafted by the House and Senate under a bipartisan bill sponsored by Republican Sen. Lamar Alexander.
Alexander is also leading a bipartisan effort to end the Affordable Health Care Act’s individual mandate.
The legislation is designed to repeal the mandate, which requires Americans to purchase health insurance to receive government subsidies.
Under the mandate law, health insurance plans must cover a minimum of 30 percent of the cost of health care, or 10 percent for people who make up to 200 percent of poverty.
The federal government has long argued that this is a necessary measure to ensure health care coverage for low-income Americans.
Under the ACA, states were allowed to waive the requirement, but many did not.
According to The Hill, the administration is considering two changes that would eliminate the requirement.
First, the proposed repeal would not repeal the employer requirement.
Instead, it would eliminate a requirement that all employers provide coverage to workers at least once a year.
The administration also argues that it would help reduce the cost to the federal government.
The health insurance tax credits that provide tax relief to low- and moderate-income households would be eliminated.
Second, the proposal would end the Medicaid expansion and the individual mandate, with the goal of increasing coverage in a manner similar to what is in place now under the Affordable Healthcare Act.
Alexander’s proposal would require that the Medicaid population grow from 15 million to 50 million, with a goal of covering 100 million people by 2026.
According to The Washington Post, Alexander is aiming to make this happen through a series of “three or four steps.”
One step would be to phase out the Medicaid program for children.
Another step would focus on expanding Medicaid to cover adults who have incomes below 138 percent of federal poverty guidelines.
The third step would make the Affordable Child Care Act, which provides federal subsidies to help low- to moderate- income families buy child care, permanent.
Alexander wants to make it permanent, and to allow states to opt out of Medicaid if they decide to.
The Congressional Budget Office has estimated that the ACA would result in 17 million people losing Medicaid coverage in the next decade, and 14 million people would lose health insurance coverage by 2027.
As of today, Alexander has not offered a plan to replace the ACA or any of its components.
However, the president and his advisers have indicated they are in favor of the legislation.
“It’s bipartisan, and the President supports the effort,” White House Press Secretary Sarah Huckabee Sanders said in a statement.
“The President believes that the bipartisan work on this effort has delivered a historic win and is a clear demonstration that our health care system is working.
As we move forward with the legislative process, we will continue to work with Congress to get the job done and restore the promise of the Affordable health care law.”