Graham-Cassidy would start banning abortion coverage in Obamacare plans in 3 months

by Anna North at Vox

https://www.vox.com/policy-and-politics/2017/9/21/16340488/graham-cassidy-obamacare-health-care-abortion

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The eleventh-hour Obamacare repeal bill sponsored by Sens. Lindsey Graham (R-SC) and Bill Cassidy (R-LA) would reduce Americans’ access to reproductive health care in a number of ways. But one particular provision would take effect fast, and could plunge patients, insurers, and state governments into chaos.

Starting in 2018, the bill would bar the use of Obamacare’s premium tax credits to pay for plans that include coverage for abortion except in the cases of rape, incest, or a threat to the mother’s life, as health care analyst Charles Gaba notes at ACASignups.net. This would mean no plan offered on the exchanges could cover abortion. This is a problem in itself, as a lack of insurance coverage for abortion can cause a number of problems for patients, such as forcing them to choose between paying for the procedure and paying rent.

But the timing could cause another problem. As Gaba points out, the deadline for insurers to sign up for participation in the 2018 exchanges is in less than a week. If Graham-Cassidy passes, it will most likely happen after that. So plans that were legal days before will suddenly become illegal, just over a month before the 2018 enrollment period starts.

Twenty-five states already bar exchange plans from covering abortion, said Laurie Sobel, the associate director for women’s health policy at the Kaiser Family Foundation. So this particular provision of Graham-Cassidy won’t change anything there. (In six other states, no plans available on the exchanges in 2016 included abortion coverage.) But in 25 states, plans that cover abortion are allowed, and it’s not at all clear how insurers will respond if their plans suddenly violate federal law.


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