Republican legislators are leaving the final touches on the «great and beautiful bill» of President Donald Trump to reduce taxes for the safety network of the poor of Rich and Gut America for the poor, and are working to ensure that medical care cuts are sufficiently and potentially harmful politically.
According to an agreement that the president of the House of Representatives, Mike Johnson (R-La.) And the Republican leaders made to appease the conservative legislators on Sunday night, Trump’s tax bill will begin to expel people to Medicaid, the Government Health Insurance Program for low-income and disabled US, more quickly than in the previous version of the bill. That is thanks to a faster lack of the requirements that adults are in Medicaid’s work or are volunteers at least 80 hours a month.
«It is quite clear that the objective here is to make a ugly invoice, the bill ‘big and beautiful’ that has so many ugly, even more ugly details, and accelerate the rate at which this ugliness occurs,» says representative Lloyd Doggett (D-Texas). He says that the point of work requirements is «to create more bureaucracy, more bureaucracy, more excuses to deny people’s coverage.»
Before the new changes, the legislation was already expected to force more than 10 million people from Medicaid. Now, Medicaid’s work requirements will probably take effect at the end of 2026 or early 2027, instead of 2029. That means that people will begin to lose their health insurance plans, and more people will finally lose their coverage in the next decade, according to experts, according to experts. Rolling stone. These people may not be subscribed for alternative coverage in state markets.
«Going after fraud in Medicaid is politically popular and it is worth doing, but going to the benefits is an attack on our own voters,» says a Trumpworld advisor for a long time, who adds that even if it is «defensible in terms of policies (s) it is the height of stupidity from a political perspective.»
The White House has publicly supported the idea of adding work requirements to Medicaid, but there are Republicans inside and around the Trump administration that care about the consequences of the changes proposed by the Republican Party of the Chamber. According to multiple sources that work inside and near the administration, there is increasing internal anxiety about the political reaction potential, even the Trump base, if the bill «large and beautiful» final includes cuts to the benefits and services of Medicaid that are too steep.
While some of Trump’s senior administration officials have dreamed for a long time with cutting programs such as Medicaid, others in the magician elite believe that Republicans in Capitol Hill are intentionally leading the party in a politically «suicide» direction, to cite the term used so often by these professional triumphs, including Senator Josh Hawley (R-MO.). These people do not know if Trump, who likes to say that he will protect Medicaid, will intervene to try to limit the cuts.
The exact details of the changes negotiated by conservatives have not yet been published, so it is not yet clear if conservative legislators had their desire to reduce federal funds for medical expansion populations of the States.
However, additional work requirements will now be in force before, potentially only weeks or months after the mid -period elections. The objective of these work requirements is not to boost people to the labor market, most people in Medicaid already work, but to force coverage losses, experts say.
«This is framed as a work requirement, but it is really rationing the coverage of health insurance for complexity,» says Larry Levitt, executive vice president of the Health Policies Research Organization, KFF. «It is establishing administrative barriers that make people difficult to obtain health coverage.»
Anthony Wright, Executive Director of Families USA, says Rolling stone«The intention of this bill is to drown Americans in the paperwork so that it is more difficult to continue and maintain coverage,» and added that «savings are obtained from people who fall on coverage.»
Levitt points out that most adults with body in Medicaid already work, so this bill «is a solution in search of a problem.»
Medicaid’s eligibility is subject to strict income limits, which vary according to the State, which generally require the recipients to win very little money. The states must make checks of the income of the recipients annually, and the consistent result is that many beneficiaries who remain technically eligible for the program lose their coverage anyway, depending on the reasons of the administration, as if they do not respond to a telephone call or an email.
These income eligibility controls will occur at least twice a year under the bill, as well as efforts to verify compliance with work requirements. These additional administrative loads will certainly lead to more Americans lose a medical coverage despite being poor and workers, and therefore eligible.
«This is the bureaucracy where the bureaucratic barrier is the point,» says Wright.
Another complication is that many people in Medicaid cannot work, but have not been approved by disability, which is an onerous process. These people will lose coverage as a result.
Additional Medicaid cuts in the bill will reduce supplementary funds that go to hospitals and rural medical care providers, and will force Medicaid beneficiaries to pay more medical care costs from your pocket.
Americans who lose their medical benefits due to work requirements will not be eligible for individual health insurance plans, say Levitt and Wright.
In addition to Medicaid changes, Republicans plan to allow expanded subsidies for people in individual health insurance plans to expire, a change that is expected to be another four million Americans lose their insurance coverage.
Democrats estimate that Trump’s medical care policies and Republicans will amount to almost 14 million Americans who lose their health insurance. This would produce an increase of approximately 50 percent in the rate without insurance, and more Americans would not be safe at any time since the democratic medical care law entered into force, the Law of Health Care at Low Price.
Levitt says that Republicans are pressing a list of policies that «would be the greatest setback in federal support for medical care, and would mean the greatest jump in the number of people without insurance.»
(Tagstotranslate) Donald Trump (T) Medical Care (T) Josh Hawley (T) Medicaid (T) Mike Johnson (T) Republicans
