How does the new Republican health care plan, known as the AHCA or Trumpcare, compare to what came before it? Richard Frank, with other economists and the Joint Economic Committee Democrats, published a health care “scorecard”that, in simple terms, lays out what will be affected by the new plan. And it’s a lot.

In short, the bill will negatively impact access, costs and quality:

• The number of people covered, particularly those with pre-existing conditions, will decrease
• Costs will rise, particularly those of low-income and/or with pre-existing conditions
• Uncompensated health care will go up and states’ expenses will increase
• Competition will decrease between providers
• Coverage will narrow, particularly for maternity, mental health and substance abuse costs

In an associated press release initially released by the JEC and published in full by New Mexico’s KRWG, Frank said:

It is likely that the Medicaid per capita cap proposal will create large cost shift from the federal government to the states. Growing payments by MCPI will not account for large demographic shifts and improvement in treatment technologies—so states will have to bear the shortfall as their population of frail elders grows rapidly. The changes in the structure of the tax credit and the age banding for premiums will in effect levy a new tax on older adults.

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