Low- and middle-income Americans who are not covered by government health care programs would receive an advanceable, refundable tax credit so they could go out and buy their own insurance. The credits increase with age, and are capped at $14,000 per family.
The CBO report states that many "reductions in insurance coverage between 2018 and 2026 would stem in large part from changes in Medicaid enrollment – because some states would discontinue their expansion of eligibility." However, states would receive funds to cover low-income residents, and to cover those with serious health conditions. People could be covered at lower cost with state programs than under Medicaid. Seema Verma, architect of Indiana's successful Healthy Indiana Plan for low-income residents, has just been confirmed to lead the Centers for Medicare and Medicaid Services, and will be able to spearhead this effort.
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