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Biden health care plan would build on Obamacare

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DES MOINES, Iowa — Former Vice President Joe Biden unveiled his anticipated health care plan on Monday, framing it as a more achievable way to expand coverage than those proposed by some of his progressive rivals by building on what he has called the “crown jewel” of the Obama administration —  the Affordable Care Act.

Americans would have the option of buying into a “Medicare-like” plan or keeping their private insurance under the Biden plan, which would also aim to reverse the Trump administration’s efforts to undercut the law. People living in Republican-led states that failed to expand Medicaid would be given premium free access to Medicaid.

The Biden plan would change provisions in the Affordable Care Act to improve access to health care by eliminating the 400 percent income cap on tax credit eligibility, base tax credits on gold plans rather than silver ones and ensure that those buying insurance in the individual marketplace spend 8.5 percent of their income on insurance, which is down from the previous 9.86 percent cap.

The total cost of the Biden plan is estimated to be $750 billion over the next 10 years, which would mostly be paid for by repealing President Donald Trump’s tax cuts for the wealthy and returning the top tax rate to 39.6 percent. 

A Biden campaign official added that as president, Biden would use a combination of executive orders to undo the changes the Trump administration has done to weaken existing health care law.

Biden’s plan also calls for the end of the Hyde Amendment, a provision that prevents federal funding for abortions unless a child is conceived through rape or incest or the mother’s health is in jeopardy. 

Biden’s health care plan rollout coincides with the increase of critiques he has recently launched against his Democratic opponents who support scraping the Affordable Care Act and transitioning to a primarily government-run system like Medicare-for-All. 

“On health care, I admire the rest of the field from Bernie to Elizabeth to Kamala who want Medicare-for-All. But let me tell you, I think one of the most significant things we've done is pass the Affordable Care Act,” Biden told supporters at a house party in Atkinson, NH Saturday.

Biden has repeatedly said since the Democratic debate that he would oppose any Republican or Democrat who wants to get rid of the Affordable Care Act.

Biden plans to unveil his health care plan publicly at several stops in Iowa this week, starting at the AARP forum on Monday and holding a billed “rural health care event” Tuesday.