obamacare

Open enrollment for Affordable Care Act insurance doesn't start for another six weeks. But the quirky insurance startup Oscar Health is launching an ad campaign Monday aimed at getting young people to enroll.

The company is boosting its ad spending after the Trump administration announced it would slash its ACA advertising budget by 90 percent.

With Republican efforts to "repeal and replace" the Affordable Care Act stalled, tentative bipartisan initiatives are in the works to stabilize the fragile individual insurance market that serves roughly 17 million Americans.

Updated 4:31 pm August 16: On Wednesday, the White House said it would continue what's known as cost-sharing reduction payments to insurers for another month, buying President Trump some time to decide whether he'll continue the payments long-term or cut them off altogether.

The announcement came a day after the Congressional Budget Office released an analysis that found that ending the payments would increase the deficit by $194 billion over 10 years.

Senate Republicans don't appear to be too worried about President Trump's latest round of threats.

The Senate Health Care Vote, Simplified

Jul 24, 2017

The Senate is expected to vote Tuesday on whether to advance health care legislation to the Senate floor. That would open up debate on an Obamacare repeal and/or replacement plan.

The importance of the vote was highlighted by Sen. John McCain's decision to return to Washington to take part. He announced last week that he had been diagnosed with brain cancer.

President Trump says he wants to let the Affordable Care Act, or Obamacare, fail. He’s repeated the threat over and over in news conferences and on Twitter.

But NPR’s Alison Kodjak (@alikodjakNPR) reports that the health care law isn’t collapsing on its own: The president and his team are actively undermining the Affordable Care Act markets.

Updated at 2:54 p.m. ET

After the Senate's attempt to replace the Affordable Care Act collapsed Monday, Republican leaders immediately began talking about repealing the health care law in hopes of coming up with a replacement later.

But by midafternoon Tuesday, Senate Majority Leader Mitch McConnell's plan to hold a vote on a repeal-only bill had faltered, too.

The Affordable Care Act isn't perfect. Even proponents of the law would agree with that.

In many parts of the country, there is only one insurer in the individual markets — and in a few, there are zero. Premiums have spiked, sending some people on the insurance exchanges hunting for new plans.

When Senate Republican leaders delayed the vote on their bill to repeal and replace the Affordable Care Act, also known as Obamacare, Minority Leader Chuck Schumer, D-N.Y., was quick to not declare victory.

"We're not resting on any laurels, nor do we feel any sense yet of accomplishment," Schumer said at his weekly press conference, shortly after the surprise GOP decision to punt on a vote. "Other than we are making progress, because the American people are listening to our arguments."

One provision of the Senate's health care bill stands to be quite popular: the Better Care Reconciliation Act would eliminate the Affordable Care Act's individual mandate. That would be repealed immediately.

Another would likely please the Republican base: defunding Planned Parenthood for a year. Those funds would disappear right away, too.

Another would threaten health care coverage for millions of Americans: a rollback to the Medicaid expansion. That change wouldn't start until 2021.

In late May, several senators went to the floor of the Senate to talk about people in their states who are affected by the opioid crisis. Sen. Shelley Moore Capito, R-W.Va., talked about Chelsea Carter.

"She told me her drug habit began when she was 12 years old," said Capito.

Two years ago, Cheasanee Huette, a 20-year-old college student in Northern California, decided to find out if she was a carrier of the genetic mutation that gave rise to a disease that killed her mother. She took comfort in knowing that whatever the result, she'd be protected by the Affordable Care Act's guarantees of insurance coverage for pre-existing conditions.

Last week, a jury awarded a Pennsylvania man $620,000 for pain and suffering in a medical malpractice lawsuit he filed against a surgeon who mistakenly removed his healthy testicle, leaving the painful, atrophied one intact.

However, if a bill before the House of Representatives passes, the maximum he would be able to receive for such "non-economic" damages would be $250,000.

Updated 3:30 p.m. ET

With their health care bill facing a perilous path, Senate Republican leaders have decided to push off a vote until after Congress returns from next week's July Fourth recess, GOP aides confirm to NPR's Susan Davis.

Medicaid is the government health care program for the poor.

That's the shorthand explanation. But Medicaid is so much more than that — which is why it has become the focal point of the battle in Washington to repeal and replace the Affordable Care Act, also known as Obamacare.

Updated at 8:10 pm ET

Congressional forecasters say a Senate bill that aims to repeal and replace the Affordable Care Act would leave 22 million more people uninsured by 2026.

That's only slightly fewer uninsured than a version passed by the House in May.

Updated at 2:32 p.m. ET

Senate Republicans unveiled their long-awaited health care overhaul proposal on Thursday. The Senate bill, called the "Better Care Reconciliation Act," would repeal major parts of the Affordable Care Act, also known as Obamacare. The broad outlines of it look a lot like the House bill, the American Health Care Act, which was passed in May.

When it comes to health care, Americans may be having buyer's remorse.

More adults approve of the Affordable Care Act, also known as Obamacare, than the alternative health care bill passed this month by House Republicans, according to a poll published Wednesday by the Kaiser Family Foundation.

Back in January, Republicans boasted they would deliver a "repeal and replace" bill for the Affordable Care Act to President Donald Trump's desk by the end of the month.

In the interim, that bravado has faded as their efforts stalled and they found out how complicated undoing a major law can be. With summer just around the corner, and most of official Washington swept up in scandals surrounding Trump, the health overhaul delays are starting to back up the rest of the 2018 agenda.

President Trump gave a eulogy on Thursday for the Affordable Care Act, also known as Obamacare.

"Obamacare is collapsing. It's dead. It's gone," Trump said in a news conference with Colombian President Juan Manuel Santos.

"There's nothing to compare it to because we don't have health care in this country," he went on.

That left some Obamacare customers scratching their heads — figuratively — on Twitter.

Former President Barack Obama urged Republicans to be guided by a personal standard of ethics and integrity, not political avarice, as they forge ahead with plans to dismantle the Affordable Care Act — his signature legislation.

In the Rose Garden last week President Trump and the House Republican leadership celebrated their vote to repeal and replace the Affordable Care Act as though it had actually repealed and replaced the 2010 law colloquially known as Obamacare.

It had not, of course. Several more giant steps remain in the process. And more than a few of these same Republicans may well be grateful.

Updated at 3:45 p.m. ET

Republicans finally got their health care bill.

After seven years of repeal-and-replace rhetoric against the Affordable Care Act, two presidential campaigns waged for and against it and a recent high-profile failure, House Republicans passed their bill.

The trouble is this bill is unlikely to ever become law — at least in its current iteration.

Updated at 7:15 p.m. ET

House Republicans are bringing their health care bill back for a vote on Thursday. The American Health Care Act was pulled from the House floor just minutes before an expected vote in March, which was seen as a stark failure of Republicans on a key campaign promise.

House Majority Leader Kevin McCarthy said Wednesday evening that they are confident in having enough votes to pass the bill in its latest form early Thursday afternoon.

New data from the U.S. Census Bureau present the most detailed picture yet of the dramatic rise in the number of people covered by health insurance since the Affordable Care Act went into effect.

County-level data going back to 2010, when the law was signed, show a patchwork of people living without health insurance that ticked down slowly for the first three years under the ACA. But once the online insurance exchanges opened at the end of 2013 and Medicaid expanded, the population living without coverage dropped noticeably.

Repeal and replace is on-again, off-again, but that doesn't mean the rules affecting your insurance will stay the same in the meantime.

The Trump administration late Thursday issued a final rule aimed at stabilizing the existing health law's insurance marketplace that could have rapid, dramatic effects — perhaps as soon as early summer — on people who do not get insurance through work, and buy it on the Affordable Care Act's exchanges instead.

The Affordable Care Act's worst enemies are now in charge of the vast range of health coverage the law created. They're also discussing changes that could affect a wider net of employment-based policies and Medicare coverage for seniors.

Although Republicans failed last month in their first attempt to repeal and replace the ACA, President Donald Trump vows the effort will continue. And even if Congress does nothing, Trump has suggested he might sit by and "let Obamacare explode."

President Trump may have said he is ready to move on, but the House Freedom Caucus can't let health care go.

The same firebrand conservatives who helped derail the GOP's long-awaited legislation to repeal and replace key parts of the Affordable Care Act are now trying to breathe new life into the bill with a long shot effort to bring it back for a vote in May.

President Trump is doing his best to put a good face on defeat in his party's attempt to replace the Affordable Care Act, also known as Obamacare.

His strategy is simple: declare that the law is failing. And he is selling that message in his own distinctly Trumpian way: concocting it out of simple, bold words and then hammering that message home, over and over: Obamacare, in his words, will "explode."

Even as they lick their wounds from a failed Affordable Care Act repeal effort, Republican leaders in Washington are looking ahead to the next battle — over taxes.

"I would say that we will probably start going very, very strongly for the big tax cuts and tax reform," President Trump told reporters Friday. "That will be next."

Republican House Speaker Paul Ryan agreed, though he conceded that the defeat on health care was a setback.

"This does make tax reform more difficult," Ryan said. "But it does not in any way make it impossible."

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