{"id":21020,"date":"2016-09-21T10:28:49","date_gmt":"2016-09-21T14:28:49","guid":{"rendered":"http:\/\/www.atlantictraining.com\/blog\/?p=21020"},"modified":"2016-09-21T10:28:49","modified_gmt":"2016-09-21T14:28:49","slug":"3-most-likely-next-steps-aca","status":"publish","type":"post","link":"https:\/\/www.atlantictraining.com\/blog\/3-most-likely-next-steps-aca\/","title":{"rendered":"The 3 Most Likely Next Steps for the ACA"},"content":{"rendered":"<div>\n<p>As the 2016 election nears, presidential candidates are offering diverse views on healthcare, making it difficult to predict what will become of the Affordable Care Act.<\/p>\n<p>Though new leaders will be elected in November, continued political stalemate surrounding the ACA will likely continue to be common practice, economist Stuart Butler, Ph.D., a\u00a0senior fellow at the Brookings Institution, writes in an <a href=\"https:\/\/newsatjama.jama.com\/2016\/09\/14\/jama-forum-action-on-the-aca-next-year-maybe\/\">article<\/a> for the <em>Journal of American Medical Association<\/em> Forum. But, he notes, there are some constructive changes that have a chance of passing.<\/p>\n<p>As it stands now, there is widespread desire to enroll <a href=\"https:\/\/www.fiercehealthcare.com\/payer\/obama-to-insurers-help-us-enroll-more-young-healthy-people-aca-plans\">younger, healthier consumers<\/a> on the public exchanges. Left-leaning senators have stepped up\u00a0<a href=\"https:\/\/www.fiercehealthcare.com\/payer\/bernie-sanders-chuck-schumer-lead-public-option-fight-republicans-offer-emergency-health\">support for the public option<\/a>, while GOP lawmakers introduced\u00a0&#8220;emergency&#8221; legislation to help people who have been impacted by insurer exits buy\u00a0coverage outside of the exchanges.<\/p>\n<p>Once new politicians are in office, here are three possible changes that the ACA could undergo with bipartisan support, according to Butler:<\/p>\n<ul>\n<li><strong>A loosening of restrictions of age-related premium laws<\/strong>. Insurers currently cannot sell nongroup coverage to people ages\u00a064 or older for more than three times the cost of the same coverage sold to a 21-year-old. Higher premiums resulting from this rule have\u00a0<a href=\"https:\/\/www.fiercehealthcare.com\/payer\/premiums-will-rise-42-for-young-adults-under-reform\">pushed young people out of the market<\/a>, leading to adverse selection, according to Butler.\u00a0Speaker Paul Ryan, he says, has introduced legislation to provide tax credits to young people to make plans more affordable. Given President Barack Obama\u2019s desire to enroll more young people as well, this could be an area that gains bipartisan support.<\/li>\n<li><strong>Increased use of Section 1332 of the ACA<\/strong>. Republicans see this statute as an \u201cexit ramp\u201d to sidestep many ACA requirements with a privatized Medicaid system, notes Butler, while Democrats, as <em>FierceHealthPayer <\/em>has reported, could use it as an\u00a0<a href=\"https:\/\/www.fiercehealthcare.com\/payer\/clinton-wouldn-t-need-congress-approval-for-single-payer-system\">avenue to enact a public option<\/a>. So far, the White House has effectively &#8220;discouraged&#8221; use of the state\u00a0innovation waivers, Butler notes, by narrowly interpreting budget neutrality.\u00a0The next administration, he says, is likely to offer more clear support of the\u00a01332 waivers.<\/li>\n<li><strong>Diluting or repealing\u00a0the\u00a0<a href=\"https:\/\/www.fiercehealthcare.com\/payer\/despite-cadillac-tax-delay-employers-still-cutting-costs-health-plans\">Cadillac tax<\/a><\/strong>. The 40 percent excise tax on high-cost employer-sponsored health plans is unpopular in Congress,\u00a0writes\u00a0Butler, though supported by some economists. Butler expects the tax to be further delayed not but repealed, noting that delay is &#8220;more attractive&#8221; for lawmakers, since it permits projected government revenues to be counted as offsetting the cost of the ACA or as a reduction in projected federal deficits.<\/li>\n<\/ul>\n<p>This article retrieved from: <a href=\"https:\/\/www.fiercehealthcare.com\/payer\/3-most-likely-next-steps-for-aca\">FierceHealthcare.com<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>As the 2016 election nears, presidential candidates are offering diverse views on healthcare, making it difficult to predict what will become of the Affordable Care Act. Though new leaders will be elected in November, continued political stalemate surrounding the ACA will likely continue to be common practice, economist Stuart Butler, Ph.D., a\u00a0senior fellow at the &#8230;<\/p>\n","protected":false},"author":1,"featured_media":21021,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[83],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ACA News Updates: How the Election Will Influence the ACA<\/title>\n<meta name=\"description\" content=\"As the 2016 election nears, presidential candidates have diverse views on healthcare, making it hard to predict what will become of the Affordable Care Act.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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