Ryan on healthcare: We'll 'end this nightmare'

(16 Mar 2017) House Speaker Paul Ryan reiterated Wednesday the promise Republicans made if elected, to repeal and replace Obamacare, so they can "end this nightmare," and give people the kind of health care they want. Under the Affordable Care Act, 31 states and the District of Columbia expanded their Medicaid programs, providing coverage to about 11 million Americans. The federal government paid the entire cost of the Medicaid expansion for three years under Obama's law and was to continue paying 90 percent of the cost starting in 2020. The Republican plan, which is supported by President Donald Trump, calls for getting rid of the higher match in 2020 for new enrollees who are eligible under the expanded standards. A second Medicaid change would limit the federal aid per enrollee for everyone on Medicaid, with the caps varying by state. Most states don't yet have firm cost estimates on the consequences of the proposal by Republicans in the U.S. House. A Congressional Budget Office analysis released Monday said the GOP plan would lead to 24 million Americans losing health care coverage over the next decade but did not provide a state-by-state breakdown. Find out more about AP Archive: http://www.aparchive.com/HowWeWork Twitter:   / ap_archive   Facebook:   / aparchives   ​​ Instagram:   / apnews   You can license this story through AP Archive: http://www.aparchive.com/metadata/you...