There is a Republican plan to cover pre-existing conditions — and the House already passed it
Here is a fact that Democrats are desperately trying to keep from the public: Not only do Republicans support providing health insurance coverage for those with preexisting conditions, but Republicans in the House actually passed legislation that did just that.
The American Health Care Act included an amendment that Rep. David Schweikert, R-Ariz., and I introduced. It ensured that anyone with a preexisting condition could purchase health insurance. The Palmer-Schweikert amendment established a risk-sharing plan that allowed any individual with a preexisting condition to purchase insurance at the same price as a healthy individual. This was not an unproven idea — in fact, the plan was modeled after a successful state-level program.
Instead of billions of dollars in bailouts for health insurance companies, the Republican plan was funded by having the majority of the premiums paid by those with preexisting conditions transferred into a fund. This represents an alternative approach to Obamacare’s guaranteed-issue provision, which priced everyone as sick, resulting in far more expensive premiums.
Our amendment put the money in a risk-sharing plan that targeted assistance to cover those with preexisting conditions, but also required the insurers to have some skin in the game. The result was more affordable premiums for all.
By setting up this arrangement, the Republican plan not only guaranteed coverage to people with preexisting conditions, it reduced premiums for everyone else in every age group. According to an analysis by Milliman, one of the nation’s top independent actuarial firms, the Republican risk-sharing plan would have provided prompt assistance for people with high-cost claims, lowered premium costs by 12-31 percent, and increased the number of people with health insurance by up to 2.2 million.
The Republican bill with this amendment passed the House on May 4, 2017 without a single Democrat vote in favor. Even though the ACHA stalled in the Senate, the risk-sharing plan will be part of a legislative package that I, along with others, intend to reintroduce in the next Congress along with provisions that will be a huge step toward repairing and restoring health care in America.