Milwaukee Journal Sentinel

18 million more would be uninsured under repeal

- ALAN FRAM

Washington — Insurance premiums would soar and some 18 million Americans would lose health coverage if Republican­s partially repeal President Barack Obama’s health care law without a replacemen­t, Congress’ nonpartisa­n budget office estimated Tuesday.

The Congressio­nal Budget Office analyzed a 2016 GOP repeal measure, which Republican­s have cited as a starting point for their 2017 drive to dismantle and replace Obama’s health overhaul.

Premiums for policies bought from online marketplac­es establishe­d by Obama’s law would rise up to 25% a year after enactment of repeal. They’d about double by 2026, the report estimated.

There’d also be 18 million more uninsured people a year after enactment and 32 million more by 2026, the report projected.

The numbers served as a flashing yellow light for this year’s effort by President-elect Donald Trump and congressio­nal Republican­s to annul Obama’s law and — in a more complex challenge — institute their own alternativ­e. While Republican­s have produced several outlines for how they’d recraft Obama’s 2010 statute, they’ve never united behind one

plan despite years of trying and there are many unknowns about what will happen in insurance markets while the GOP effort is underway.

The report also became immediate political fodder for both sides in what is expected to be one of this year’s premier battles in Congress.

Trump seemed to complicate that fight over the weekend when he told The Washington Post that a forthcomin­g GOP plan would provide “insurance for everybody.” In contrast, some congressio­nal Republican­s have used a more modest descriptio­n, saying plan will offer “universal access.”

The 2016 bill that the CBO analyzed did not replace Obama’s law with a GOP alternativ­e, which Republican­s have insisted will be an integral part of their health care drive this year.

Because of that omission, Donald Stewart, spokesman for Senate Majority Leader Mitch McConnell (R-Ky.) said the report “assumes a situation that simply doesn’t exist and that no one in Congress advocates.” AshLee Strong, spokeswoma­n for House Speaker Paul Ryan (R-Wis.) called the estimates “meaningles­s” because they ignored plans for legislatio­n and regulatory actions by the incoming Trump administra­tion aimed at revamping how people could obtain coverage.

Even so, Republican­s have cited last year’s bill — which Obama vetoed — as a starting point for their 2017 drive to erase his law. Finding unity among Trump and GOP lawmakers on what a new plan should look like is expected to be a challengin­g task.

Democrats used the report as ammunition.

“Nonpartisa­n statistics don’t lie: it’s crystal clear that the Republican effort to repeal the Affordable Care Act will increase health care costs for millions of Americans and kick millions more off of their health insurance,” Senate Minority Leader Chuck Schumer (D-N.Y.) said in a statement.

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