mandates. it eliminates the taxes and the penalties, but it preserves the things that as a doctor, i think are very important. people with presenting conditions will be protected, there will be any lifetime limits for people who are ill and also young people can stay on their parents plan. i think those things are very, very important. this is a monumental shift away from obamacare and toward the freedom and choice the patient s want. jon: if it doesn t have the individual mandate, it does contain a penalty provision for anybody who drops their insurance, right? if you drop your insurance for a couple of months, you have to be a 30% penalty. if you try to get that insurance back. i think this plan is set up in a way to protect patients who continue with insurance, who have insurance, but we have seen so many people gaining the system under obamacare, that s one of the reasons so many insurance companies say we re not going to sell anymore. and my home state of wyoming, we
innovation in the health care system, through both transparency and accountability. joining me now is tammy lubby, thank you so much for joining me i should tell our viewers that you are definitely an expert. will this deliver on prices promised? well, let s go over some to have basics first, it s just for the individual market and medicaid market but the republican plan keeps kids under 26 can stay on their parents plan, those with preexisting conditions protected no annual lifetime limits on coverage and keep the cap on out of pocket costs but does get rid of employer mandates and giving people refundable tax credits
needs to know. what stays? what goes? that s such an important question, kate. especially as you noted that one of the main lines of attack and a catch phrase that s quickly catching on up here on capitol hill among some conservatives is that this bill boils down to, in their words, obamacare 2.0 or obamacare-lite. you heard representative brady trying to beat back on that criticism. defend the bill saying this is obamacare gone. so those semantics aside, here s what would stay and what would go according to this new plan. what stays is this plan still allows children to stay on their parents plan until age 26. it largely keeps the obamacare protections of those with pre-existing conditions in place. and keeps the no annual lifetime limits in place. but there are still many notable differences. it repeals the individual and employer mandate. repeals out-of-pocket subsidies and changes medicaid expansion.
out-of-pocket subsidies and changes the medicaid expansion. but here s what would stay the same. this plan still allows children to stay on their parents plan until the age of 26. it largely would keep obamacare s protections of those with pre-existing conditions. it keeps the no annual lifetime limits and it keeps maternity and preventative care in place. now the mechanics and the math of all of this very important up here on capitol hill. house republican leaders have essentially mapped out how they want to get this through. this bill proposed importantly is done through the budget reconciliation bill. that s important because that means this bill would only need a simple majority in the house. 218 votes. and a simple majority in the senate of 51 votes. that s important because they think they can potentially get this through but certainly every single vote being counted and going forward. then they d institute a piecemeal approach to the
itself. the 23 coops that were created 18 have already collapsed. so then when you look at medicaid i had 18 governors in in a bipartisan meeting this week. if you look at the expansion of medicaid in the ten-year window it s going to cost $1 trillion for one year. a trillion dollars is the equivalent of about as much as we spend for all discretionary government so that is not spend xenab extendable. protect preexisting conditions and make a ban on lifetime limits and don t allow them to ban that. secondly if you re 26 years old and younger you can stay on your parents plan. start with a set of principles that government isn t dictating the plan that individuals can go into the market so you build up the marketplace and actually have choice. when you talk to my constituents with medicaid, not every doctor