Senate Republicans released a new version of their health care bill Thursday, unveiling a proposed rollback of Medicaid expansion and funding, while ensuring hefty tax cuts for health care companies. Among other things, the bill reduces the number of middle-income people eligible to get tax credits for private health insurance, eliminates the individual and employer mandates, and bans Planned Parenthood from receiving any federal funding for one year.
The Senate bill is similar to the one the House passed in May, and to the original Senate version unveiled last month. The new Senate bill would cut Medicaid more than the House measure, allow insurers to charge older people higher rates, permit states to waive rules guaranteeing insurance covers a basic set of benefits, and allow health insurance companies to go back to rejecting people with preexisting conditions.
This is an update of an article published on June 22.
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1912
Former President Theodore Roosevelt champions national health insurance as he unsuccessfully tries to ride his progressive Bull Moose Party back to the White House.
1935
President Franklin D. Roosevelt favors creating national health insurance amid the Great Depression but decides to push for Social Security first.
1942
Roosevelt establishes wage and price controls during World War II. Businesses can't attract workers with higher pay so they compete through added benefits, including health insurance, which grows into a workplace perk.
1945
President Harry Truman calls on Congress to create a national insurance program for those who pay voluntary fees. The American Medical Association denounces the idea as "socialized medicine" and it goes nowhere.
1960
John F. Kennedy makes health care a major campaign issue but as president can't get a plan for the elderly through Congress.
1965
President Lyndon B. Johnson's legendary arm-twisting and a Congress dominated by his fellow Democrats lead to creation of two landmark government health programs: Medicare for the elderly and Medicaid for the poor.
1974
President Richard Nixon wants to require employers to cover their workers and create federal subsidies to help everyone else buy private insurance. The Watergate scandal intervenes.
1976
President Jimmy Carter pushes a mandatory national health plan, but economic recession helps push it aside.
1986
President Ronald Reagan signs COBRA, a requirement that employers let former workers stay on the company health plan for 18 months after leaving a job, with workers bearing the cost.
1988
Congress expands Medicare by adding a prescription drug benefit and catastrophic care coverage. It doesn't last long. Barraged by protests from older Americans upset about paying a tax to finance the additional coverage, Congress repeals the law the next year.
1993
President Bill Clinton puts first lady Hillary Rodham Clinton in charge of developing what becomes a 1,300-page plan for universal coverage. It requires businesses to cover their workers and mandates that everyone have health insurance. The plan meets Republican opposition, divides Democrats and comes under a firestorm of lobbying from businesses and the health care industry. It dies in the Senate.
1997
Clinton signs bipartisan legislation creating a state-federal program to provide coverage for millions of children in families of modest means whose incomes are too high to qualify for Medicaid.
2003
President George W. Bush persuades Congress to add prescription drug coverage to Medicare in a major expansion of the program for older people.
2008
Hillary Clinton promotes a sweeping health care plan in her bid for the Democratic presidential nomination. She loses to Barack Obama, who has a less comprehensive plan.
2009
President Barack Obama and the Democratic-controlled Congress spend an intense year ironing out legislation to require most companies to cover their workers; mandate that everyone have coverage or pay a fine; require insurance companies to accept all comers, regardless of any pre-existing conditions; and assist people who can't afford insurance.
2010
With no Republican support, Congress passes the measure, designed to extend health care coverage to more than 30 million uninsured people. Republican opponents scorned the law as "Obamacare."
2012
On a campaign tour in the Midwest, Obama himself embraces the term "Obamacare" and says the law shows "I do care."
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