Column: People talk about the cost of that big federal bill but don't know what's in it. So we'll tell you

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Column: People talk about the cost of that big federal bill but don't know what's in it. So we'll tell you
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The middle class, working class, children and the medically underserved have been left behind during the last several decades of economic growth. The Build Back Better Act would start to redress the imbalance, writes columnist hiltzikm.

The bill would make permanent the ACA premium subsidy changesby the American Rescue Plan, the Biden administration’s COVID relief act. That act eliminated the subsidy cliff of the original ACA, which cut off subsidies for households that earned even a penny more than 400% of the federal poverty level .so no household would have to pay more than 8.5% of its income for a benchmark silver ACA plan. The subsidies were therefore made theoretically available to everyone.

over two years for the cost of about $6.8 billion in expansion. Texas, for example, would spend less than $3.2 billion on expansion but gain more than $5 billion from the increased share. The act would take the issue out of the states’ hands by creating a new entirely federal Medicaid program to serve the roughly 2.2 million uninsured adults who fall into the gap in non-expansion states — chiefly Florida, Texas, Georgia and North Carolina — starting in 2025. Some 60% of those uninsured adults, by the way, are people of color.

The act would appropriate $75 million over the next three years for education and outreach about ACA plans, reversing actions by the Trump administration that cut that important spending effectively to nothing as part of Trump’s determined sabotage of the ACA.

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