With a slim majority in the Senate, some ACA charges Democrats might make:
- Change the mandate to moot SCOTUS case
- Boost ACA subsidies to lower premium payments and deductibles
- Extend ACA subsidies to those left out (Medicaid gap and over 400% FPL)
- End the “family glitch”
The case before the Supreme Court aimed at overturning the ACA seemed to be on shaky ground already, but a Democrat majority in the Senate would provide more certainty that the ACA is here to stay.
Like other Democratic presidential candidates, Biden campaigned on creating a Public Option and expanding Medicare eligibility. With such a narrow Democratic majority, though, it’s not clear these would have enough votes in Congress to pass. ACA “fixes” seem more likely.
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