By Dan Calabrese ——Bio and Archives--April 21, 2017
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The amendment would create an option for states to obtain Limited Waivers from certain federal standards, in the interest of lowering premium costs and expanding the number of insured persons. States could seek Limited Waivers for:
- Reinstate Essential Health Benefits as the federal standard
- Maintain the following provisions of the AHCA:
- Prohibition on denying coverage due to preexisting medical conditions
- Prohibition on discrimination based on gender
- Guaranteed issue of coverage to all applicants
- Guaranteed renewability of coverage
- Coverage of dependents on parents’ plan up to age 26
- Community Rating Rules, except for limited waivers Limited Waiver Option
- Essential Health Benefits
- Community rating rules, except for the following categories, which are not waivable:
- Gender
- Age (except for reductions of the 5:1 age ratio previously established)
- Health Status (unless the state has established a high risk pool or is participating in a federal high risk pool)
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