Historic Legislation Contains Most Significant Health Care Reform in a Decade
Washington, DC — Today, the Senate passed the American Rescue Plan, providing desperately needed pandemic relief and historic measures to strengthen the Affordable Care Act. The American Rescue Plan includes key health care provisions that will lower health care costs, expand coverage, and address inequities in care. In response, Protect Our Care Chair Leslie Dach issued the following statement:
“After shameless obstruction from Republican Senators, Senate Democrats did what needed to be done to fight the pandemic and restart our economy. The American Rescue Plan is a historic improvement to the American health care system. It will lower health insurance premiums for millions, get more Americans covered, and help address racial inequities. After a decade of Republicans waging a war on the Affordable Care Act, President Biden and Democrats are delivering on their promises to lower health care costs and expand coverage. The American Rescue Plan has overwhelming bipartisan support in red states and blue states, and it will get vaccines in people’s arms, cash into families’ pockets, and kids back to school. Republicans have shown they have no positive ideas and are willing to play games with people’s lives and livelihoods in the middle of a pandemic.”
The American Rescue Plan Will Expand Coverage, Dramatically Reduce Health Care Costs For Americans
As part of the American Rescue Plan, Democrats included major provisions to lower health care costs and expand coverage, building on the strong foundation of the Affordable Care Act (ACA). This legislation will lower premiums for people purchasing coverage through the ACA marketplaces and expand access to financial assistance for more middle-class families. Additionally, the American Rescue Plan includes robust financial incentives for the 14 states that have not yet implemented Medicaid expansion.
Making health insurance more affordable and accessible is especially important as the country continues to battle the coronavirus pandemic and millions have lost their jobs and their health insurance. Measures to increase affordability also reduce racial disparities in health care access. Despite significant progress after the implementation of the ACA, Black and Hispanic adults are more likely than white adults to have low incomes and face financial barriers to receiving care.
Increasing financial assistance on the ACA marketplaces means more people will be able to get the affordable coverage they need during the pandemic. Similar legislation previously passed by the House would lower costs for more than 10 million Americans and provide affordable options for uninsured Americans at a time when access to health care is paramount. The Congressional Budget Office estimates that 1.3 million uninsured people will gain coverage as a result of these provisions alone.
- Guarantee coverage that costs less than 8.5 percent of income. This legislation lowers the cost of premiums for Americans purchasing coverage through the ACA marketplaces, ensuring enrollees have the option to purchase health care for less than 8.5 percent of their income for the next two years.
- Make coverage more affordable by temporarily expanding the eligibility for premium tax credits above 400 percent of the federal poverty level — roughly $51,000 for a single person or $105,000 for a family of four. Under current law, families earning just above 400 percent of the federal poverty level spend an average of 15 percent of their incomes on health insurance. According to estimates from the Center on Budget and Policy Priorities:
- The average 45-year-old earning $60,000 will save $86 in monthly premiums.
- A 60-year-old couple with a household income of $75,000 will save $1,389 in monthly premiums.
- A family of four with a household income of $120,000 will save $595 in monthly premiums.
- Improve affordability for low- and middle-income Americans by increasing the size of the tax credits for all income brackets for the next two years. This means a typical family of four with a household income of $75,000 will save $248 on monthly premiums, while a single adult earning $30,000 will save $110 per month.
- Eliminate premiums in the exchanges for people earning up to 150 percent of the federal poverty level (roughly $19,000 for a single person and $39,000 for a family of four) and for those receiving unemployment insurance in 2021.
In addition to providing affordable coverage options for millions of uninsured Americans through the ACA, the American Rescue Plan provides robust financial incentives for the 14 states that have not yet implemented Medicaid expansion. Research confirms that Medicaid expansion increases access to care, improves financial security, and leads to better health outcomes. Medicaid expansion has played a vital role in reducing racial disparities in health care access and has served as a critical safety net during the pandemic.
An estimated four million uninsured adults — including 640,000 frontline workers— could gain coverage if the remaining holdout states adopted expansion. Importantly, people of color make up nearly 60 percent of this group.