Republican efforts to pass health-care legislation are in jeopardy again, in part because of controversy over its potential impact on Medicaid. But the Republican reforms are more moderate, and more worthwhile, than they are getting credit for.

The CBO is exaggerating the effects of the Republican legislation on Medicaid enrollment, it’s worth putting Medicaid on a firmer footing, and any additional resources for health insurance for low earners should be directed toward enabling them to buy private coverage rather than pumped into Medicaid. On Medicaid, in short, the Republicans are on the right track.

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Senate conservatives wish the health-care bill was more ambitious on deregulation, and so do we, though the benefits of its state waiver feature are underappreciated and worth more explanation. This booster shot of federalism could become the greatest devolution of federal power to the states in the modern era.

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Top Senate Republicans are signaling that they are willing to dramatically increase funding for a special state innovation fund in order to persuade wavering moderates to support their floundering healthcare reform bill, according to sources involved in negotiations.

One Republican senator said leaders could double the amount of money in the bill’s long-term state innovation fund. The legislation, as currently drafted, dedicates $62 billion over eight years to encourage low-income people with high healthcare costs to buy insurance, according to a summary posted by the Senate Budget Committee.

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The ACA instituted, for the first time in over half a century, a tax on the value of employer-sponsored health insurance, known as the Cadillac tax. This step represented a significant shift in policy that has the potential to affect more than 150 million Americans covered by such insurance. While there are strong justifications for either repealing or reforming the Cadillac tax, policymakers should be apprised of the potential benefits and pitfalls of each approach. In this paper, we review the history of employer-sponsored health insurance and offer three options for replacing the Cadillac tax without returning to the undesirable pre-ACA status quo: 1) Eliminate the Cadillac Tax and the ESI tax exclusion; 2) Eliminate the Cadillac Tax and cap the ESI tax exclusion; and 3) Replace the Cadillac Tax and the ESI tax exclusion with income-based subsidies.

Senate Republicans and the White House have agreed to add at least $45 billion to their Obamacare repeal bill to address the opioid crisis and are near agreement on allowing consumers to use Health Savings Account money to pay for their premiums, according to people familiar with the matter.

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America faces an urgent crisis in its health-care system. Costs are skyrocketing and choices are disappearing on the individual and small-group markets. Many people now confront the real challenge of having no choice in their health coverage. This year more than 1,000 counties had only one insurer in the ObamaCare market, meaning millions of Americans had no meaningful choice. Meanwhile, the insurers that did stay in the market increased premiums for their midlevel plans by an average of 25%. Premiums on the individual market are up about $3,000 since ObamaCare was implemented.

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Senate Republicans on Tuesday delayed a vote on their health-care bill until after the July 4 recess, and the timidity and opportunism of too many Senators suggest they may never get 50 GOP votes. We hope they understand that if they fail, Republicans will be entrusting their political health-care future to the brutal generosity of Democratic Leader Chuck Schumer. The idea persists in some media and GOP ranks that if the Senate bill dies, this will produce a blossoming of bipartisanship. But if Republicans fail, Democrats will have zero political incentive to cooperate except on their policy terms. Americans know that Republicans run Congress and the White House, and that they promised to do something about the problems of ObamaCare. Do Republicans really believe voters in 2018 will blame GOP failure on the President who left town two years ago?

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For decades American conservatives have sought to restore meaning to the 10th Amendment, which recognizes the states’ right to manage their affairs free from Washington’s interference. Passing the Republican Senate’s health-care bill would represent historic progress toward that goal.

Governors and state legislatures ask Washington every year for the right to receive their Medicaid funds in the form of a block grant, which would give them autonomy to manage the spending as they see fit. The Senate bill, for the first time, would allow that.

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It’s not a stretch to say that ultimately, keeping Obamacare on the books will take us to a single-payer healthcare system.

Conversely, enactment of the Senate GOP healthcare legislation embraces a vision that empowers individuals and families to make their own healthcare decisions. It will move individuals and families away from government programs and toward private markets. While it doesn’t achieve all the policy goals that the free market movement would like, it takes a huge step in the right direction and puts the nation on a path toward a market-based, consumer-oriented healthcare system.

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You won’t hear this from the establishment media but the Senate’s ObamaCare repeal bill contains massive tax relief for middle class families.

When it was signed into law seven years ago, ObamaCare implemented a health care system with top-down, bureaucratic command and control. The government told you what insurance you must have. And what you cannot have.

ObamaCare suppressed individual choice, competition, and state flexibility, and imposed a long list of taxes on businesses and families.

Republican Senators now have the chance to repair this damage by passing the Better Care Reconciliation Act (BCRA).

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