With just days to go in Congress’s final work of the year, Republicans have unveiled their alternative plan to the current healthcare options available for Americans to purchase. Before we begin, we have to remind people that this is a concept of a plan and does not address the criminal costs of healthcare in the United States it also does not include at all an extension on the subsidies many depend on.
The Lowdown
With insurance premiums set to spike for millions of Americans in just a short amount of time, House Republicans have unveiled their concept of a plan. One important note from the plan is that healthcare subsidies which are at the centre of the healthcare fight in Washington would not be extended.
Republicans as a whole remain committed to not extending the healthcare subsidies. In short terms, these subsidies help roughly 22million American people afford healthcare so they can stay healthy and alive. The subsidies are particularly targeted at people who are not eligible for healthcare through their respective employers.
In Republican fashion, this proposal was hashed out behind those doors. Their plan is set to be put up for consideration next week just as the House wraps up its final work and days of 2025. News of their plan comes as the Senate failed to advance either the Republican or Democratic proposals that were put forward. In the Democratic proposal, Democrats sought to extend said subsidies by at least three years.
With the year’s end just around the corner, there’s no consensus that a healthcare agreement will actually be reached. Elsewhere in the Republican proposal here are 5 things people should know.
- In this bill, Republicans want to enhance access to employer-sponsored health insurance plans.
- They want to clamp down on pharmacy benefit managers (PBMs.)
- Republicans want to expand what’s known as an association health plan. This plan would allow small businesses and self-employed individuals to group up and buy health insurance for those involved.
- Republicans claim this increases the leverage businesses have to negotiate lower rates overall. However, the proposal appears to actually provide a less generous version of said plans than what is actually required under law right now by the Affordable Care Act.
- The proposal would also require more info and data from PBMS in an effort they claim will help lower overall drug costs. People have long argued that PBMs in America have been out for the money therefore threatening the existence of independent pharmacists.
IMPORTANT: This proposal does include cost-sharing reductions for certain lower-income people . This would not actually take flight until January 2027.
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