Washington (AP) – Les Républicains de la Chambre unveiled the centerpiece of the attribution of costs of President Donald Trump “” Large and beautiful bill Late Sunday, at least $ 880 billion in largely Medicaid discounts to help cover the cost of $ 4.5 billion in tax reductions.
Count Hundreds of pagesThe legislation affects the greatest political fight on health care since the Republicans have tried to repeal and replace the affordable care law, or Obamacare, during Trump's first mandate in 2017 – which ended with failure.
While the Republicans insist that they are simply rooted “Waste, fraud and abuse” To generate savings with new works and eligibility conditions, democrats warn millions of Americans will lose coverage. A preliminary estimate of the non -partisan congress budget office said that the proposals would reduce the number of people with 8.6 million health care during the decade.
“Savings like these allow us to use this bill to renew Trump's tax reductions and keep the Republicans' promise to working-class working families,” said Kentucky Brett Guthrie representative, president of the GOP of the energy and trade committee that manages health expenses.
But the Democrats said that the cuts are “shameful” and essentially constitute another attempt to repeal Obamacare.
“In any case, millions of Americans will lose their health care coverage,” said New Jersey's Frank Pallone representative, the best Panel Democrat, “hospitals will close, the elderly will not be able to access the care they need and the premiums will increase for millions of people if this bill will adopt.”
Republicans run towards Chamber Mike Johnson Deadline of the Memorial Day to adopt the big bill for Trump's tax alternatives and expense discounts, preparing to flood the area with 24 -hour public hearings this week on various sections before they are assembled in what will become a massive set.
THE The coming policy is uncertain. More than a dozen Republicans told the president Mike Johnson and the leaders of the GOP that they will not support Cup with health care safety net programs that residents at home depend. Trump himself rejected a rehearsal of his first mandate, promising that there will be no MEDICAID cuts.
All in all, 11 chamber committees compiled their package sections while the Republicans are looking for at least 1.5 billion of dollars in savings to help cover the cost of preserving tax alternatives of 2017, approved during Trump's first term, but which expire at the end of the year.
But the powerful energy and trade committee, which manages health care, energy and other programs in the country, was among the most monitored.
The Committee was invited to find $ 880 billion in savings and achieved this objective, mainly with health cuts, but also by returning to the green energy programs in the Biden era. CBO's preliminary analysis said that the committee's proposals would reduce the deficit of $ 912 billion during the decade – with at least $ 715 billion from health provisions.
At the heart of savings, changes to Medicaid, which provide almost free health care to more than 70 million Americans, and the affordable care law, which has been extended during the 15 years since it was approved for the first time to cover millions of others.
To be eligible for Medicaid, there would be new “community engagement requirements” of at least 80 hours per week of work, education or service for valid adults without load. People should also check their eligibility to be part of the program twice a year, rather than once.
This is likely to lead to more unsubscription in the program which presents obstacles so that people remain covered, especially if they have to go far to a local benefits office to check their income in person. But the Republicans say that this will guarantee that the program is administered to those who qualify.
Many states have expanded their Medicaid lists thanks to federal incentives, but legislation would reduce an increase of 5% which was implemented during the Pandemic COVID-19. Federal funding in the United States for Immigrants Who has not shown proof of citizenship would be prohibited.
There would be a frost on the so -called service providers tax that some states use to help pay large parts of their Medicaid programs. The additional tax often leads to higher payments of the federal government, which, according to criticism, is an escape which creates abuse in the system.
The energy parties of the legislation work much less pages, but include massive withdrawals of climate change strategies, Joe Biden, reported the law in the law on the reduction of inflation.
It proposes to cancel funds for a range of energy loans and investment programs while offering an accelerated permit for the development of natural gas and oleagnes.
__ The author of the Associated Press Amanda Seitz contributed to this report.
