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What experts think of updated Senate Republican health care bill, BCRA
Undermining the CBO
It likely won't be a surprise to Senate Republicans leadership if the CBO score is unchanged. Republican senators have been trying to undermine the CBO's credibility over the past few days, Craig Garthwaite, a professor of strategy at the Kellogg School of Management at Northwestern University, told Business Insider.
For the most part, Garthwaite said, the revisions of the bill appeared to target individual senators, such as the Cruz amendment. Another provision sweetened the deal for Alaska Sen. Lisa Murkowski, who would see a guarantee of funding for her state to combat high premiums after she has been vocal in opposition to various elements of the bill.
But beyond those changes in the periphery, there aren't a ton of "principle changes," Garthwaite said. The proposal still includes deep cuts to the Medicaid program. That's in part because many many Republican senators support the changes, and the hope might be to get moderate senators on board without touching the Medicaid provisions.
Even so, the updates to the bill could have some major consequences. The Cruz amendment, in particular, would allow plans to exist that don't comply with two regulations set up under the Affordable Care Act: community rating and essential health benefits. The latter could have a big impact on preexisting conditions.
Because some health plans wouldn't have to necessarily adhere to the community rating, and essential health benefits, those that do would receive funding to offset the higher premiums that would result relative to the plans that don't cover the regulations. Whether that funding would be enough to make the plans affordable remains to be seen.
"The stabilization funds may help bring down premiums in the short-term, but the funding is only temporary," Cynthia Cox, an associate director at the Kaiser Family Foundation, a nonpartisan health-policy think tank told Business Insider in an email.
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