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First and foremost, the Republican Senate’s “better care” bill cuts taxes on the wealthy, almost $1 trillion in tax cuts. Even Fox News points out the boon to the rich: Senate Health Bill Gives Huge Tax Cuts to Businesses, High-Income Households Former President Obama called it “a massive transfer of wealth from middle-class and poor families to the richest people in America.” An editorial in The New York Times stated: “It is, plain and simple, a plan to cut taxes for the wealthy by destroying critical federal programs that help provide health care to tens of millions of people.”Second: even the 159 million Americans who get health insurance at work will likely lose a number of protections mandated by the Affordable Care Act (Obamacare). It may end up depending on which state you live/work in. If a state applies for waivers, insurance companies underwriting policies in those states can “opt-out” of providing various consumer protections and benefits currently required by Obamacare. It will be legal in states that apply for waivers for employers to, for example, set different premium levels for workers with pre-existing conditions, or dramatically reduce current coverage and benefits.The Republican Act would enact changes that include, but are not limited to: allow higher premiums for pre-existing conditions; allow states to opt-out of minimum coverage requirements, “essential health benefits” coverage, so some types of care, such as maternity benefits, prescription drugs, or addiction treatment, might not be covered; reinstatement of lifetime maximums (states can eliminate the Obamacare rule against limits); allow insurers to charge older customers five times as much as younger ones; eliminate penalties for large employers who do not offer affordable insurance to their employees. All of these, and more, would apply to employer-provided policies as well as those offered to individuals.Third: Americans who earn too much to qualify for premium assistance could face double-digit rate increases when the government stops making cost-sharing payments. Subsidies are preserved through 2019 — which takes them past the 2018 mid-term elections — then eliminates them altogether. The formula for subsidies will be changed, to make them less generous, and lowers the threshold for people who can receive financial assistance from 400 percent to 350 percent of the federal poverty level.Fourth: Guts Medicaid. The bill sharply curtails federal support for Medicaid expansion. Medicaid is not only for the poor; it covers 20 percent of all Americans. The cuts will be particularly devastating for older Americans: Medicaid pays for most of the 1.4 million elderly people in nursing homes. It has played an important role in dealing with the opioid epidemic. The disabled and parents who have children with learning disabilities also rely on Medicaid. Senate Health Care Bill Includes Deep Cuts to Medicaid | How Medicaid Works, and Who It Covers | Cuts to Medicaid May Limit Access to Nursing HomesFifth: Defunds Planned Parenthood. Planned Parenthood serves 2.4 million people a year, primarily women, three-quarters of whom have incomes at or below 150 percent of the federal poverty level. The only way to stop abortions is to prevent unwanted pregnancies. Planned Parenthood provides much-needed women’s health care, contraceptive counciling, and other services. How Defunding Planned Parenthood Could Affect Health CareSixth: Kills jobs. A new report from the Milken Institute School of Public Health at George Washington University and the Commonwealth Fund estimated that repeal of the ACA/Obamacare could cost almost 3 million jobs by 2021. Obamacare was never the “job killer” Republicans warned it would be — but Trumpcare will beSeventh: Eliminates individual mandate. No more penalties if you don’t have coverage. But … remember that pre-existing conditions might no longer be covered where you live or work, or only at very high premiums. So, as before Obamacare, if you don’t have continuous coverage, you might not be able to get it (or be able to afford it) after you get sick or develop a chronic condition.How Senate Republicans Plan to Dismantle ObamacareOpinion | The Senate’s Unaffordable Care ActMiddle Class, Not Poor, Could Suffer if Trump Ends Health PaymentsObamaCare repeal bill could affect employer health plans: reportTrumpcare May Bring ‘Lifetime Limits’ to Millions With Employer-Based Insurance

Adult Autism WaiverAdult Autism Waiver (AAW) The Adult Autism Waiver (AAW) is a 1915(c) Home and Community Based Services (HCBS) Medicaid waiver designed to provide long-term services and supports for community living, tailored to the specific needs of adults age 21 or older with Autism Spectrum Disorder (ASD).Adult Autism Waiver (AAW) - PA DHSother abbreviationAutism at Work (AaW) | ChangemakersAutism at Work (AaW): SAPs Employment model for people from the Autism Spectrum Disorder ... Type of organization (e.g. NGO, association, not-for-profit, foundation, social enterprise). not-for profit. Total Number of Full-Time Employees.

As context, you can read everything I’ve written on Quora related to Single Payer Health Care.In addition to actually being willing to do it when it comes time to figure out how to pay the bill (which has been spoken to in other answers), there are actually a series of Federal constraints that make it so that no state actually has the power to simply implement a single payer system without Federal cooperation and waivers. Here are three key issues:The Affordable Care Act’s employer mandate requires employers of a certain size to purchase insurance.The Federal Employer Health Care tax deduction creates a huge problem if tax payments by employers on behalf of employees aren’t deemed eligible as premiums to qualify for that deduction.To truly be single payer, the Federal Government would have to consent to redirecting Medicare and Medicaid funding into the single payer program rather than respectively enrolling eligible beneficiaries (Medicare) and delivering funds to qualifying state-run programs (Medicaid).Absent clearing these Federal hurdles, the single payer objective can’t be realized in any state on its own.