Washington (AP) – Les Républicains de la Chambre unveiled the economic center 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 working and eligibility conditions, Democrats warn that 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 families in the middle class,” said Kentucky Brett Guthrie representative, president of the GOP of the Energy and Trade Committee, which manages health care expenses.
But the Democrats said that the cuts are “shameful” and essentially constitute another attempt at Obamacare abrogation.
“In any case, millions of Americans will lose their health care coverage,” said New Jersey’s Frank Pallone representative, the best Democrat in Panel. He said, “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 is adopted.”
While the Republicans are heading towards Chamber Mike Johnson Deadline of the Memorial Day to adopt the major tax bill and Trump spending discounts, they prepare to flood the area with 24 hours a day, this week on various sections before being assembled together in what will become a massive set.
THE The coming policy is uncertain. More than a dozen republicans of the room told the leaders of Johnson and the GOP that they will not support Cup with health care safety net programs that residents at home depend. Trump himself has moved away from a rehearsal of his first mandate, promising that there will be no cuts to Medicaid.
All in all, 11 Chamber Committees have 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, which were approved during Trump’s first mandate and expire at the end of the year.
But the powerful energy and trade committee was among the most monitored. The Committee was invited to find $ 880 billion in savings and achieved this objective, mainly with health care 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 month 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 unsubscribe in the program and to present 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 have 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 the 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.
