Senate bill still under construction, a day before scheduled rollout

Yahoo News peeks behind the curtain of secrecy surrounding the Republican health care bill to learn what we can about what it may contain. We’ll combine our own reporting with the best insights from around the Internet to give you the latest on the future of health care in America.


The wait is almost over: Senate Republicans will unveil their version of an Obamacare repeal bill Thursday, although concerns remain about how Senate Majority Leader Mitch McConnell will bridge divisions within his own party to get the measure passed.

Sen. John Cornyn, R-Texas, told reporters that the bill will be made public as a “discussion draft” on Thursday.

“The world will receive it [tomorrow],” Cornyn said, adding that he hoped his GOP colleagues would get a chance to see the bill before it’s made public.

But according to Sen. Susan Collins, R-Maine, key details in the bill are still “up in the air,” including  whether to scale back Obamacare’s Medicaid expansion. More moderate members, such as Collins and Sen. Rob Portman, R-Ohio, want to preserve pieces of the Medicaid program going forward, whereas other senators favor more significant cuts to the program.

One open question is what measure of inflation to use in calculating changes to Medicaid reimbursements to the states. The version of the American Health Care Act passed by the House pegged future reimbursements to the rate of inflation in medical costs. But there is a move among some senators to use the (generally lower) change in Consumer Price Index instead — making the bill even less generous than the version that President Trump reportedly considered too “mean.”

But Collins said there were other ways in which the the Senate bill might be more generous, including larger tax credits for consumers to buy health insurance, on a sliding scale that would give more help to lower-income taxpayers.

Senate Majority Whip John Cornyn responds to reporters following the weekly GOP policy luncheon at the…

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