i need you to pay attention for a few minutes of i m going to tell you about this new bill senator lindsey graham and bill cassidy are pushing a new north carolina bill in a last attempt to repeal and replace the affordable care act. it ends protection on preexisting conditions discrimination. you couldn t discriminate against people with preexisting conditions. 25% of the people under 65 have preexisting conditions. that s 52 million americans. it also ends prohibition on lifetime limits of how much you can get insured for when you have a disability or cancer or rare diseases or if you have prematurely born infant. you can now have lifetime leltsz, which means you can go bankrupt if you happen to be ill. the essential health benefits. you hard about those. they are not going to be mandatory under this. under obamacare every single insurance policy sold in the country had to cover ten thing,
immedia medicaid states. to that point, this isn t negotiation toward some other middle ground. i want to put up on the screen what s in the bill. some of the key points to know no, true protection for pre-existing conditions. a gutting of those essential health benefits. ending the medicaid expansion which is not only people who might have less annual income but also an overwhelming number of seniors and people with disabilities. and then repealing the mandate. as far as i understand it, this is in some ways a harsher version of reform than earlier trump care. it takesthe states who did the right thing and gives it to the states that
private insurance, the overall pool gets larger and the rate goes down. that s part of it. then provide incentives or maybe bonuses as john just suggested, maybe there are ways we can increase the penalties a little bit. i m not talking necessarily about the mandate penalties but people were jumping in and out and in and out of insurance. maybe there should be a stiffer penalty in doing that. there might be a way to navigate that so we don t need as much advertiser money. right now we have never needs for the money. we ve got the broad outlines here is continue those what are called csr payments which have been up in the air, a stabilization fund for two years, a little change in what essential health benefits are. basically many the broad scope of things, not major changes. my question to you governor kasich is this. can you imagine republicans and demeanors in the house voting for this and if that happens, would it represent a final end
essential health benefits are. basically many the broad scope of things, not major changes. my question to you governor kasich is this. can you imagine republicans and demeanors in the house voting for this and if that happens, would it represent a final end to the era of inplaquable destroy obamacare politics? every time you attach a name to something, it raises hack ls. here s what we re want to do. we want to stabilize the insurance market so millions of people don t lose their coverage. it s cratering right now. these insurance companies are uncertain about what the situation is. they want to leave the marketplace. we can t have that. that s number one. number two, give states the power and authority to redesign a program within certain guidelines. you don t want people being stripped of coverage and you want to make sure they have comprehensive coverage.
expanded state waivers. this is interesting. which might include relaxing the essential health benefits. would you go along with this? i do think flexibility for states is a good thing. i was a governor so we all think it s a good thing. the what i would be inclined to look at is there are areas where the statute itself says states should have flexibility, but it s turned out when states have applied to hhs to get the flexibility, they ve been turned away or it s so honorous they just give up. let s take the flexibility they were nts grassed and make sure they actually have it. if you get into talking about relaxing the essential health benefits, you ve got to get into put a proposal on the table and let s look and see what the benefit is that you want to relax and how would it affect people. but i do think many states have a really good argument that they were supposed to have flexibility under the act but in practice it hasn t worked that