Two Republican senators on Monday introduced a plan under which states could choose to maintain the Obamacare exchanges or overhaul the program.
The proposal from Sens. Bill Cassidy (La.) and Susan Collins (Maine) would allow state capitols to decide whether to maintain the Affordable Care Act or to launch a new plan that would automatically enroll people not covered by an employer, Medicare or Medicaid in a plan.
Under their plan, known as the Patient Freedom Act, states could opt to continue receiving federal premium tax credits, cost-sharing subsidies and Medicaid dollars as they have under the ACA, or enact a new system under which states would receive funds through advanceable, refundable tax credits or per beneficiary grants. Patients would receive funding directly through a health savings account.
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