You can do that in a single payer system. France does this already. The ACA isn't a universal healthcare system. It's built on the private insurance model, but with subsidies, which private insurers do not offer.
Who will lose out when ACA health insurance subsidies expire?
- Thread starter C_Clayton_Jones
- Start date
You can do that in a single payer system. France does this already. The ACA isn't a universal healthcare system. It's built on the private insurance model, but with subsidies, which private insurers do not offer.
Cougarbear
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That's all you got? I'm correct.
debbiedowner
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You said illegals can get ACA through welfare. You are dead wrong.
Seymour Flops
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So what is the problem?
The Democratic Party CR seeks to reverse that upcoming change, so that people who crossed the border illegally and were - en masse - given "legal status" can continue to get the ACA Subssidies.
That is what Schumer and Jeffries are willing to starve children in New York to use as leverage to get.
Cougarbear
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I didn't say that. Comprehension issues again. What a downer. Illegals get healthcare through welfare. Actually, Medicaid. It's a simple procedure. Look it up.
Seymour Flops
Diamond Member
Both the original subsidies (which still remain in effect), and the supplementary COVID subsidies are a huge gift that is paid directly to the insurance comapanies - not to the consumers. That is why the insurance companies did not put their lobbyists in high gear to stop Obamacare the way Big Pharma had theirs make sure they were untouched by that legislation.
The health insurance providers especially profit from the phantom policies that are issued by dishonest brokers paid by the insurance companies. These are the "zero premium" policies that Democrats are so protective of. Minus the broker's cut, they are pure profit for the insurance companies. The policiy holders do not know they have the policies, so of course they never apply for benefits.
Illegal immigrants are barred from receiving medicaid, by federal law.
Frankenstein
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They don't
And the states run by lib governors work around that. California overbilled American taxpayers by $500 million for Medicaid in order to fund their insurance giveaways to illegals.
California overbilled Medicaid $500 million to provide care for undocumented immigrants — and now Trump is cracking down | Fortune
It’s not clear whether that money has been repaid.
debbiedowner
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Don't know where you got this from but not all this is fact at least in states that use the Federal exchange but I suspect it's not true in state based exchanges either as they have to follow federal rules. One lie is anyone under 100% of FPL has never received a subsidy, whether white, black or brown. If the dems said they were then the dems are wrong. I do know some things are still being held up in the courts that were suppose to take affect for 2026 and 2027.
debbiedowner
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Yes and no. If they visit and ER the cost will revert to Medicaid. But that's it unless California allows it.
debbiedowner
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Some of those scamming agents are going to prison and some have lost their licenses but I doubt they have all been caught.
Seymour Flops
Diamond Member
What are you saying about people with incomes around the poverty level? That they do or do not get ACA subsidies? Maybe a link would explain what you mean?
My understanding is that right now, people making 400% of the poverty level, including people making six figures are getting the Obamacare temporary supplemental covid subsidies. Republicans want to end temporary program that for obvious reason.
(Understanding that no individual person gets the ACA supplements, they go directly to the insurance companies, as a gift/bribe).
HikerGuy83
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Yeah....we've been losing a lot lately......
We lost the WH
We lost the senate
We lost the house
Lefties run the SCOTUS....
Oh, wait
HikerGuy83
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Frankenstein
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Subsidies were for the covid era and were sunseted by Democrap vote. They know if they expire, the premiums will expose the ACA for what it is, a steaming pile of poo!
Seymour Flops
Diamond Member
Not if they were given "legal status" under Biden/Harris, mass migration program.
They won't lose Medicaid until January. Hopefully, losing that will convince them to take the money and run back to their socialized medicine at home.
Frankenstein
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Yes, hospitals are required to provide emergency medical care to everyone, regardless of their immigration status
. A 1986 federal law, the Emergency Medical Treatment and Labor Act (EMTALA), mandates that emergency rooms must screen and stabilize any patient who has an emergency medical condition, such as one that is life-threatening, without considering their ability to pay or their immigration status. Hospitals receive government reimbursement for this care through a program known as Emergency Medicaid for individuals who are otherwise ineligible due to their immigration status.
debbiedowner
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People under 100% of the FPL do not qualify for any subsidies and in states that did not expand Medicaid go without insurance unless someone can pick up the tab for them at full price. . Yes, these expanded ones went to a little over 600%. But whether or not someone making that kind of money would receive a subsidy depended on what all the agencies the application runs through said at the end.
The states that did expand Medicaid the lower FPL is I believe 138%, but if below they could receive Medicaid.
To understand how eligibility is determined.
Start with your name and if other family members are going to have coverage.
Social security numbers are mandatory and if you put in Paco Sanchez but you are using a stolen SS number you are caught right then and there.
Let's say you get all the way to the end and submit the application to determine subsidy a eligibility letter is going to pop up and ask for proof for socials, legal status, income and such. If you cannot produce proof sometime in 30-90 days you're not going to get insurance. If they want proof of your legal status you must submit copies of green cards or naturalization papers.
Up until this year your insurance could be effective Jan 1 regardless of all the above but would lose it if you didn't submit it. Rules have changed for 2026 as you won't have insurance until all proof is submitted and cleared through the govt agencies but the effective date will revert back to January 1st. So if they did not submit until end of February and had a premium they will have to pay back to Jan 1.
The application runs through CMS, IRS, DOL, DHS, etc and if you have kids on the application and you are under 250% of FPL the application automatically shoots them to state Medicaid to determine their eligibility.
