CHA created a summary of the Patient Freedom Act of 2017, introduced on Jan. 23 by Sens. Bill Cassidy (R-LA) and Susan Collins (R-ME), highlighting those provisions with implications for children’s health. The bill repeals the individual and employer mandates, essential health benefits, Exchange requirements and network adequacy standards, among other key Affordable Care Act provisions. It retains some insurance market reforms, such as the prohibition on pre-existing conditions and lifetime benefit caps.
States would have the option to:
- Continue their Exchanges and the receipt of premium subsidies for their residents
- Accept federal funds to create Health Savings Accounts for the individual and small and large group markets
- Design their own program without federal funds
The bill does not make structural changes to the broader Medicaid program. It retains the Medicaid expansion but allows states to move that population into the HSA program.