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Health Policy
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Health Policy
The Graham-Cassidy proposal is a piece of legislation sponsored by senators Lindsey Graham, Bill Cassidy, and other two senators on September 13, 2017, seeking to make major amendments to the health insurance sector (Fielder & Adler, 2017). It has been supported by Republican members of the Senate and a vote scheduled to take place around 25 September to pass the bill into law. The bill targets a considerable decrease in the ratio of those insured.
The Congressional Budget Office estimates the reduction to be around 15 million for 2018 and 2019, with the number potentially being higher considering the disruptions that uncertainties about it would bring to the insurer, including exiting the market. That number will rise to 21 million annually between 2020 and 2026. The main reason the bill will see a tremendous reduction in insurance coverage is that it is structured in a way that will make it expensive and cumbersome to implement.
It first seeks to repeal the major provisions of the Affordable Care Act that has proved to be successful. It will eliminate the expansion and marketplace subsidies as specified in the Affordable Care Act, making it more expensive to administer. This may force some insurer to leave the market. States will receive block grant funding and allow them to get waivers that will stop the insurers from using health status as a basis for varying premiums as well as increase the healthcare services covered (Michener, 2018).

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The block grant funding will be a huge challenge to the states since they will have to set up new systems, programs, and structures in order to accommodate the changes in the bill in time. In the end, the uncertainties around the bill, the cost of implementing it and its provisions such as the non-expansion related Medicaid provisions will greatly reduce insurance coverage.
References
Fielder, M., & Adler, L. (2017). How will the Graham-Cassidy proposal affect the number of people with health insurance coverage?. Retrieved 18 March 2018 from www.brookings.edu/research/how-will-the-graham-cassidy-proposal-affect-the-number-of-people-with-health-insurance-coverage/.
Michener, J. (2018). Fragmented democracy. New York, NY: Cambridge University Press.

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