Feature

A health plan ‘down payment’ is one way states are retooling individual mandate


 

As President Donald Trump and congressional Republicans tirelessly try to dismantle the Affordable Care Act, a number of states are scrambling to enact laws that safeguard its central provisions.

The GOP tax plan approved by Congress in the last days of 2017 repealed the ACA penalty for people who fail to carry health insurance, a provision called the “individual mandate.” On Jan. 30, in Trump’s first State of the Union address, he claimed victory in killing off this part of the health law, saying Obamacare was effectively dead without it.

But before that federal action kicks in next year, some states are enacting measures to preserve the effects of the mandate by creating their own versions of it.

Maryland is on the cutting edge with legislation moving through both chambers of the Statehouse.

“We’ve been just struggling since Trump became president with how to protect the ACA in our state,” said Vincent DeMarco, president of the Maryland Citizens’ Health Initiative, a nonprofit organization that has been instrumental in pushing the measure.

Pages

Recommended Reading

Expert argues for improving MACRA, not scrapping it
MDedge Neurology
Americans support the right to affordable health care
MDedge Neurology
Risking it all on the miracle of teamwork
MDedge Neurology
Defensive medicine’s stranglehold on the realities of practice
MDedge Neurology
CMS issues split decision on Arkansas Medicaid waiver
MDedge Neurology
Preparing to respond to workplace violence
MDedge Neurology
Payers part of the drug-pricing problem, says FDA commissioner
MDedge Neurology
MDedge Daily News: High deductibles harm breast cancer care
MDedge Neurology
Opioid prescriptions got shorter in 2017
MDedge Neurology
MDedge Daily News: Time to raise the bar on diabetes blood sugar levels
MDedge Neurology