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A Tale Of Two States: How California And Texas May Fare Under GOP Health Plan



AILSA CHANG, HOST:

The Senate is holding one some-more gash during repealing a Affordable Care Act. Republicans contend they’ll opinion on what’s famous as a Graham-Cassidy check subsequent week. Among other things, it would dramatically redistribute sovereign supports to states. And generally, states that stretched Medicaid mount to remove billions of dollars. The rest would see a short-term liquid of funds. We’re going to hear from one of those states, Texas, in a minute. First, from KQED in San Francisco, Apr Dembosky explains since California would be one of a hardest strike states.

APRIL DEMBOSKY, BYLINE: The new Graham-Cassidy legislation would take income from states that have invested heavily in a Affordable Care Act, afterwards redistribute it to other states that haven’t. Aviva Aron-Dine is with a Center on Budget and Policy Priorities.

AVIVA ARON-DINE: For a state like California or a Massachusetts or a New York, accurately a states that competence be many encouraged to during slightest try to safety a ACA coverage gains – those are a states that would face a deepest cuts to their sovereign resources.

DEMBOSKY: The bill’s authors contend their devise gives states some-more coherence to build their possess health systems. But California would remove 35 percent of a appropriation by 2026. That means millions of people with Medicaid and sell skeleton would remove their insurance. A lot of those people are entrepreneurs and their employees. The conduct of a Small Business Majority in California, Mark Herbert, says a health appropriation cuts are bad for a economy, too.

MARK HERBERT: It would be massively destabilizing to a ability of tiny employers to attract talent. It would be really formidable for entrepreneurs and self-employed folks to entrance some turn of coverage.

DEMBOSKY: Under a Affordable Care Act in California, a million and a half tiny business owners and employees got health coverage, and a state’s altogether uninsured rate forsaken by some-more than half. For NPR News, I’m Apr Dembosky in San Francisco.

ASHLEY LOPEZ, BYLINE: I’m Ashley Lopez in Austin. At initial glance, it looks like Texas comes out as one of a large winners. Texas will get a asset of $35 billion to assistance reinstate Obamacare exchanges and other programs, some-more than any other state. State officials get to confirm how they wish to spend that money. But Stacey Pogue with a Center for Public Policy Priorities in Austin says that doesn’t indispensably meant this is an improvement.

STACEY POGUE: Regardless of a distance of a retard grant, there’s only no declaration that it would interpret into good coverage or coverage that’s affordable as what we have today.

LOPEZ: Texas already has a top series of uninsured folks, and Pogue says a state only doesn’t have a infrastructure in place to enhance coverage to some-more people. It didn’t enhance Medicaid, and a state didn’t set adult a possess exchange. They used healthcare.gov.

POGUE: There’s no formulation and no suspicion put into, how would we emanate affordable coverage for low-income Texans distinct a 31 states that have stretched Medicaid, have finished some executive planning? And Texas would be starting from scratch.

LOPEZ: She says it will also take a lot of domestic will to make certain a state is expanding health care. Pogue says that has been lacking among state lawmakers for years. And in sequence to get a retard grant, states need to emanate something applicable by 2020. For comparison, it took Massachusetts 4 years to set adult a pre-Obamacare word market.

STACY WILSON: We are really concerned.

LOPEZ: That’s Stacy Wilson. She’s a boss of a Children’s Hospital Association of Texas. She says this pot of income from Cassidy-Graham also doesn’t solve problems for Medicaid, 70 percent of that covers children. Wilson says that’s since a sovereign supervision would compensate a bound volume per chairman per capita cap, that thatch in how most a state gets per Medicaid enrollee.

WILSON: We have really low per-capita costs already, and we get sealed into that forever.

LOPEZ: A regressive routine organisation in Texas is also not happy about a bill. However, their regard is that it indeed doesn’t go distant adequate to dissolution Obamacare. For NPR News, I’m Ashley Lopez in Austin.

CHANG: This story is partial of a partnership with NPR, internal member stations and Kaiser Health News.

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