7 March 2017 - House Republicans’ plans to dismantle core parts of the Affordable Care Act would provide more government help for Americans to buy health insurance than some conservatives want, but the assistance would take a sharply different form, with clear winners and losers.

The architecture of the tax credits in the legislation, which House committees are to begin debating Wednesday morning, would offer less help to lower-income Americans than the subsidies provided by the current law. It would steer more money to young adults at the expense of older ones. And it would most benefit consumers living in states in which insurance prices already are relatively low.

Such on-the-ground implications began to emerge Tuesday, as health-policy analysts, economists and interest groups absorbed the details of what House GOP leaders hope to do — and not do — to fulfil their long-standing pledge to redirect the nation’s health policies in a more conservative direction.

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