The Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act is an alternative to the Affordable Care Act (ACA) offered by Sens. Richard Burr (R--N.C.) and Orrin Hatch (R--Utah) and Rep. Fred Upton (R--Mich.). It would eliminate the ACA's individual and employer mandates, loosen regulations on insurers, roll back funding for Medicaid expansion, eliminate taxes and fees, and offer tax credits to low-income individuals to help them purchase insurance. We analyzed the effects of the CARE Act on insurance enrollment, premiums, federal spending, and out-of-pocket costs, relative to current law. We estimate that, in 2018, the CARE Act would reduce federal spending but increase the deficit by $17 billion, relative to current law. It also would increase the number of uninsured individuals by 9 million, and leave some population segments, including low-income individuals and older adults, with substantially higher costs for health insurance and medical care.
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