How the Senate GOP health bill differs from the House bill and Obamacare

Medicaid

  • Obamacare: Expanded the insurance program by raising income threshold; widened eligibility in states that expanded Medicaid.
  • House GOP bill: Phases out Medicaid expansion under Obamacare, freezing funding for the expansion in 2020.
  • Senate GOP bill: Phases out additional funding under Obamacare by 2024 in states that expanded Medicaid; allows states to choose between a block grant funding format and per-capita funding; allows states to impose a work requirement for people who aren't pregnant, disabled or elderly.

Essential health care benefits

  • Obamacare: Requires insurers to provide coverage for 10 essential health care needs, like ambulatory services, emergency services, mental health and substance disorder services and pregnancy care.
  • House GOP bill: Requires insurance companies to cover such essential health benefits, but allows states to apply for waivers to eliminate the requirement to cover those services.
  • Senate GOP bill: Allows states to request a waiver to opt out of essential health benefits.
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