The House Freedom Caucus decided Wednesday afternoon not to take an official position on the House budget, freeing up their members to vote however they want on a resolution crucial to repealing Obamacare, according to a source familiar with their deliberations.
The budget is largely a procedural measure, but sets up a framework to repeal the health care law while avoiding a Senate filibuster. Conservatives in the Freedom Caucus have been pressing leadership to detail how they plan to replace the law before agreeing to go ahead with the budget vote.
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The federal government is poised to start making state-based exchanges pay for using HealthCare.gov’s technology, and that has some states mulling the possibility of sharing services with others to control costs.
The Centers for Medicare and Medicaid Services proposed a rule last year requiring that certain states essentially “lease”HealthCare.gov through a user-fee rate of 3 percent of the monthly premium the issuer charges for each policy plan—meaning that, for the first time, using the federal platform for state-based marketplaces won’t be free.
Last month, marketplace officials from several states gathered in Portland, Oregon to discuss the rule, increased collaboration, and long-term marketplace affordability and sustainability.
Those without health insurance have a lot to consider. On one hand, the fine for remaining uninsured steeply increases for next year. On the other, the cost of the individual mandate penalty is cheaper than buying the least expensive insurance plan for 7.1 million of the nearly 11 million uninsured eligible to enroll in health exchanges, according to a Kaiser Family Foundation analysis released Wednesday.