"It would expand association health plans, which allow small businesses to band together and purchase coverage, impose new transparency requirements on pharmacy benefit managers aimed at lowering drug costs, and fund ACA payments known as cost-sharing reductions. The Senate, which gridlocked on an ACA subsidy extension and competing GOP plan, isn't expected to take up the House package. But some of the ideas could resurface in late January, when Congress faces another deadline to keep the government funded."
"By the numbers: The GOP bill would increase the uninsured population by 100,000 and save the government $35.6 billion over 10 years, according to the Congressional Budget Office. The driver is the cost sharing reduction payments to health insurers, which will have the effect of lowering the benchmark ACA insurance premium 11% but also cut the subsidies that some ACA enrollees receive. The lower subsidy amounts will cause someenrollees to go without coverage, CBO projects."
The House GOP bill expands association health plans to let small businesses buy coverage collectively, adds transparency requirements for pharmacy benefit managers to reduce drug costs, and funds ACA cost-sharing reduction payments. The Senate is unlikely to take up the package, though elements could return during a late-January funding fight. House moderates pushed for and then backed measures to extend ACA subsidies, including a Democratic discharge petition for a three-year extension. The Congressional Budget Office estimates the bill would increase the uninsured by 100,000 and save $35.6 billion over 10 years, with CSR funding lowering benchmark premiums but reducing some enrollees' subsidies and coverage.
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