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”
- 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.
A Senate majority would also give Dems their first chance to “fix” the ACA in more than a decade since it passed. Biden’s plan to lower premiums and deductibles would yield savings for just about everyone buying their own coverage, +12M w/employer plans. https://www.kff.org/health-reform/issue-brief/affordability-in-the-aca-marketplace-under-a-proposal-like-joe-bidens-health-plan/
Even without a Dem majority, Biden would be able to take a number of health policy actions administratively. But with control of the Senate, Democrats will be able to make much more substantial changes to the ACA. https://www.kff.org/report-section/potential-health-policy-administrative-actions-under-president-biden-issue-brief/
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.