The Upton-Long Amendment further strengthens the American Health Care Act’s (AHCA) protections for Americans with pre-existing conditions by providing an additional $8 billion in resources over 5 years to those with pre-existing conditions.  

WHAT DOES THIS AMENDMENT DO? The Upton-Long amendment strengthens the AHCA by reaffirming our commitment to protect patients with pre-existing conditions.

HOW DOES IT WORK? It dedicates $8 billion solely to reduce premiums and other out-of-pocket costs for patients in the individual market with pre-existing conditions who do not maintain continuous coverage and who live in states that receive a waiver to redesign their insurance market.

HOW DOES IT PROTECT HIGH-RISK INDIVIDUALS? This $8 billion is on top of the $130 billion available to states through the AHCA’s Patient and State Stability Fund, which helps states repair their health markets damaged by Obamacare.

States can use the funds to:

  • cut out-of-pocket costs, like premiums and deductibles
  • promote access to preventive services, like getting an annual checkup, as well as dental and vision care
  • promote participation in private health insurance or to increase the number of options available through the market

Further, the AHCA provides a refundable tax credit to those without other health care options so they can get – and stay covered – before they face a serious medical event or suddenly fall ill. These combined resources reaffirm the commitment from House Republicans to ensure Americans with pre-existing conditions are protected.

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