The AFFORDABLE CARE ACT vs AHCA The American

The AFFORDABLE CARE ACT vs. AHCA (The American Health Care Act) 1

Part 4: Comparing the ACA to AHCA and What it Means for Colorado 2

Comparing the ACA and AHCA 3 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 4 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 5 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Colorado Center on Law And Policy. CCLP-Heads-Up, April 28, 2017

Comparing the ACA and AHCA 6 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Miller, Blair, Despite concerns over pre-existing conditions Rep. Mike Coffman leaning yes on AHCA as vote looms, The Denver Channel, May 3, 2017

Comparing the ACA and AHCA 7 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Farwell, Jackie, Bangor Daily News, How a Maine experiment fuels the new GOP bid to replace Obamacare, May 2017 Source: Hall, Jean Commonwealth Fund: Why a National High-Risk Insurance Pool Is Not a Workable Alternative to the Marketplace, Dec. 2014

Comparing the ACA and AHCA 8 Source: Luhby, Tami, High-risk pools won't match Obamacare's protections for pre-existing conditions, CNN Money, May 3, 2017:

Comparing the ACA and AHCA 9 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Shuham , Martin TPM, READ: Full Text Of The Upton Amendment, May 4, 2017 Source: CCHI email statement on Mac. Arthur Amendment, April 26, 2017, Colorado Consumer Health Initiative

Comparing the ACA and AHCA 10 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 11 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source : Semro, Robert, Will Older Coloradans be Winners or Losers, Glenwood Springs Post Independent, March 2017

Comparing the ACA and AHCA 12 Source: Health Affairs: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficient, April 25, 2017

Impact of AHCA on Age Rated Premiums 13

Comparing the ACA and AHCA 14 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 15 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source : Semro, Robert, Will Older Coloradans be Winners or Losers, Glenwood Springs Post Independent, March 2017

Colorado Counties That Benefit the Most From ACA Subsidies 16 Source: Colorado Health Institute: The Impact of the Affordable Care Act March 2017

AHCA Helps Higher Income Coloradans More Source: Colorado Health Institute, The AHCA in Colorado, March 16, 2017 17

Tax Credits Much Lower for Americans of All Ages Who Make $40, 000 or Less Per Year 18

Under AHCA Tax Credits Will Grow More Slowly than the ACA as Health Care and Insurance Costs increase 19

Tax Credits Under AHCA Will Shift From High Cost Rural Counties to Lower Cost Counties 20 Source: Colorado Health Institute, The AHCA in Colorado, March 16, 2017

Comparing the ACA and AHCA 21 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 22 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Miller, Blair, Despite concerns over pre-existing conditions Rep. Mike Coffman leaning yes on AHCA as vote looms, The Denver Channel, May 3, 2017

Comparing the ACA and AHCA 23 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017 Source: Miller, Blair, Despite concerns over pre-existing conditions Rep. Mike Coffman leaning yes on AHCA as vote looms, The Denver Channel, May 3, 2017 Source: Farwell, Jackie, Bangor Daily News, How a Maine experiment fuels the new GOP bid to replace Obamacare, May 2017 Source: Hall, Jean Commonwealth Fund: Why a National High-Risk Insurance Pool Is Not a Workable Alternative to the Marketplace, Dec. 2014

Comparing the ACA and AHCA 24 Source: Farwell, Jackie, Bangor Daily News, How a Maine experiment fuels the new GOP bid to replace Obamacare, May 2017 Source: Hall, Jean Commonwealth Fund: Why a National High-Risk Insurance Pool Is Not a Workable Alternative to the Marketplace, Dec. 2014 Source: Luhby, Tami, High-risk pools won't match Obamacare's protections for pre-existing conditions, CNN Money, May 3, 2017:

Comparing the ACA and AHCA 25 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017

Colorado Counties Most Affected by Expanding Medicaid 26 Source: Colorado Health Institute: The Impact of the Affordable Care Act March 2017

Reductions in Colorado’s Medicaid Enrollment Source: Repeal and Replace, But, How. Legislative Town Hall - Colorado Health Institute, March 2017. 27

Medicaid Eligibility Would Return to Pre-ACA Levels 28 Source: Colorado Health Institute: The Impact of the Affordable Care Act March 2017

Comparing the ACA and AHCA 29 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA 30 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, What’s In The Manager’s Amendment To AHCA? Health Affairs, March 21, 2017

Medicaid Expansion and Funding 31 Source: Colorado Health Institute, The AHCA in Colorado, March 16, 2017

Reductions in Colorado’s Medicaid Funding Source: Repeal and Replace, But, How. Legislative Town Hall - Colorado Health Institute, March 2017. 32

Comparing the ACA and AHCA 33 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: CBO, Congressional Budget Office Report on AHCA, March 2017

Comparing the ACA and AHCA 34 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Health Savings Accounts: Growth Concentrated Among High-Income Households And Large Employers Health Affairs, September 2015 34: 91594 -1598

Comparing the ACA and AHCA 35 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017

Comparing the ACA and AHCA 36 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Repealing Essential Health Benefits Means Only the Wealthy Can Afford Good Coverage, Families USA , April 2017 Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017

Comparing the ACA and AHCA 37 Source: Armour and Hackman, GOP Health Bill Jeopardizes Out-of-Pocket Caps in Employer Plans, Wall Street Journal, May 4, 2017

Comparing the ACA and AHCA 38 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Families USA, President Trump’s ACA Changes Will Increase Costs to Consumers, Make It Harder to Enroll in Coverage, April 2017

Comparing the ACA and AHCA 39 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Families USA, President Trump’s ACA Changes Will Increase Costs to Consumers, Make It Harder to Enroll in Coverage, April 2017

Comparing the ACA and AHCA 40 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, The Mac. Arthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients, Health Affairs, April 2017

Comparing the ACA and AHCA 41 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic

Comparing the ACA and AHCA Patient and State Stability Fund 42 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, Examining the House Republican ACA Repeal and Replace Legislation, Health Affairs, March 2017

Comparing the ACA and AHCA 43 Source: Adapted from “How they Stack Up” info graphic, Colorado Health Institute, 2017. NOTE: Text marked in red was not part of the original info graphic Source: Jost, Tim, Examining the House Republican ACA Repeal and Replace Legislation, Health Affairs, March 2017

Colorado Health Institute Conclusions Regarding the American Healthcare Act 44 Source: Excerpt from , Colorado Health Institute, AHCA Would Reduce Medicaid Rolls, Cut Billions in Funding for Colorado MARCH 16, 2017