GOP leaders add delay penalty for lapsed coverage to health bill

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Dr. Olveen Carrasquillo (L), Chief of General Internal Medicine University of Miami, sits with Juan Gonzalez as he conducts a checkup on him at the University of Miami’s Miller School of Medicine, as the United States House Republicans in Washington, DC were poised to approve a bill repealing the health care law that last year was signed into law overhauling the U.S. health care system on January 18, 2011 in Miami, Florida. Dr. Carrasquillo said that anyone that wants to roll back the gains made by the overhaul of the health care law should spend one morning in a public hospital and you would not want to repeal the bill. (Photo by Joe Raedle/Getty Images)

The new provision is aimed at helping insurance companies and the insurance market by discouraging healthy people from waiting to buy a policy until they get sick. File photo by Joe Raedle/Getty Images

WASHINGTON — Republican leaders added a penalty for people who’ve let their insurance lapse Monday as party leaders prepared to begin pushing the health care measure through the Senate, despite a rebellion within GOP ranks.

Under the new provision, people who’ve had at least a 63-day gap in coverage during the past year and then buy a policy would face a six-month delay before it takes effect. Until now, the measure that Senate Majority Leader Mitch McConnell, R-Ky., introduced last week included no language prodding healthy customers to purchase insurance.

The provision is aimed at helping insurance companies and the insurance market by discouraging healthy people from waiting to buy a policy until they get sick. Insurers need healthy customers who are inexpensive to cover to help pay the costs of people with medical conditions that are costly to treat.

READ MORE: How GOP cuts to nursing home care would hurt the middle class

The GOP bill would roll back much of President Barack Obama’s health care overhaul. It pressures people to buy insurance by imposing a tax penalty on those who don’t, but the Republican legislation would repeal that penalty, effectively erasing Obama’s so-called individual mandate.

The House approved its version of the legislation in May. It would require insurers to boost premiums by 30 percent for those whose coverage lapsed.

McConnell is expected to offer other changes to his proposal as he seeks to nail down support for the package. He can win approval only if he limits Republican no votes to just two of the 52 GOP senators, since Democrats solidly oppose the bill. Debate should begin as early as Tuesday.

Five GOP senators — four conservatives and a moderate — have said they oppose the measure McConnell unveiled last week. Others from both ends of the party’s spectrum have expressed concerns, complicating McConnell’s task because edging the bill in one direction risks alienating GOP lawmakers from the other side.

None of the dissident senators have ruled out supporting the legislation if it is revised.

Earlier Monday, a conservative Republican senator used unusually harsh terms to accuse party leaders of trying to rush the party’s health care bill through the Senate.

“They’re trying to jam this thing through. It is far from a perfect bill,” Sen. Ron Johnson, R-Wis., told conservative talk radio host Hugh Hewitt. Johnson called leadership’s effort “a little offensive” and said conservatives had no input into the package.

McConnell drafted the plan behind closed doors after numerous meetings among GOP senators.

Moderate Sen. Dean Heller, R-Nev., has also said he’s against the proposal, and several others from both wings of the party have expressed qualms. Heller faces a competitive re-election race next year.

In an opinion column in Monday’s New York Times, Johnson wrote that McConnell’s initial draft “doesn’t appear to come close” to the goal of making coverage more affordable. He criticized the measure for increasing federal spending on subsidies for people buying coverage and not eliminating enough of Obama’s regulations on insurers, including protections for consumers with pre-existing medical conditions.

In another important dynamic, lawmakers were awaiting a key analysis from the nonpartisan Congressional Budget Office of the measure’s price tag and the number of people who might lose coverage if it is enacted. The new report was expected as early as Monday.

The Senate legislation resembles a bill the House approved in May that the budget office said would result in 23 million additional Americans without coverage by 2026.

President Donald Trump continued his attacks on congressional Democrats on Twitter Monday, saying: “The Democrats have become nothing but OBSTRUCTIONISTS, they have no policies or ideas. All they do is delay and complain. They own ObamaCare!”

Sen. Susan Collins, R-Maine, said Sunday that seven to eight additional senators were troubled by provisions in the Senate bill, which she said could cut Medicaid for the poor even more than the House version.

Collins, who also opposes proposed cuts to Planned Parenthood, said she was awaiting the CBO analysis before taking a final position.

Addressing reporters Sunday, the Senate’s No. 2 Republican said passing a health care bill won’t get any easier if Republican leaders delay a Senate vote on the GOP health care plan. Sen. John Cornyn of Texas said there is “a sense of urgency” to push forward but acknowledged the outcome is “going to be close.”

The legislation would phase out extra federal money that 31 states receive for expanding Medicaid to additional low-income earners. It would also slap annual spending caps on the overall Medicaid program, which since its inception in 1965 has provided states with unlimited money to cover eligible costs.

The other three GOP conservatives who say they’re against the legislations are Sens. Rand Paul of Kentucky, Mike Lee of Utah and Ted Cruz of Texas. They say the bill doesn’t go far enough if repealing Obama’s 2010 statute.

Collins appeared on ABC’s “This Week.”

Associated Press writer Steve Peoples in Colorado Springs, Colorado, contributed to this report.

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