ACA to AHCA Comparison by Insurance Type
Insurance Type |
Who is impacted |
Benefits with ACA |
What would be lost with AHCA |
To Learn More |
Individual insurance market |
Adults who are not insured through work or are unemployed |
Healthcare.gov or state exchanges to buy insurance online with subsidies to help pay premiums based on income. Private insurance rules:
|
Private insurance rules:
|
|
Medicaid |
Low income adults (includes those who are mentally ill, disabled, or elderly) |
|
|
|
Medicare |
Older adults 65+ and the disabled |
|
Reductions to Medicare provider payments and Medicare Advantage payments are not changed AHCA would repeal the Medicare payroll surtax on high-income earners. Repealing this surtax would reduce revenue to the Medicare Hospital Insurance (Part A) trust fund by $117 billion between 2017 and 2026 |
|
Employer sponsored insurance |
Employees working 30+ hours per week |
|
Repeal tax credits for low-wage small employers, effective January 1, 2020. Requires that small business tax credits cannot be used to purchase plans that cover abortions, beyond Hyde limitations, effective in 2018 |
References