Affordable Care Act

Phil Masterton / WNIJ

Illinois Governor Bruce Rauner said he doesn't support a repeal of Obamacare without a replacement.

It’s a rare comment from a governor who has stayed away from saying anything in public about national politics. But, as Republicans in Congress debate the issue with President-Elect Donald Trump, Rauner says he doesn’t support a simple repeal.

“I don’t think it works very well to just take it away and have nothing to replace it with," he said. "I don’t think that works.”

The Illinois Hospital Association says there could be significant fiscal and human consequences if Obamacare is repealed and there's no replacement plan.  

President-elect Donald Trump and Congressional Republicans made repealing the Affordable Care Act a key plank in their campaigns. IHA President A.J. Wilhelmi says that could be an expensive proposition.  

"Hospitals faced with cuts have tough decisions to make, and those decisions include laying off staff, reducing services, and putting projects on hold for infrastructure improvement."

"stethoscope" by flickr use rosmary (CC BY 2.0)

Officials say more than 68,000 Illinoisans have selected health plans using the Affordable Care Act's insurance marketplace, up nearly 1,400 compared to the same time last year.

      

The sign-ups are happening as President-elect Donald Trump and Republican leaders in Congress discuss repealing the law known as "Obamacare.'' It's unclear what might replace the law if they do repeal it.

Meanwhile, open enrollment for HealthCare.gov began Nov. 1 and continues through Jan. 31. People must enroll by Dec. 15 if they want their coverage to start Jan. 1.

Aetna / @aetnahelp, twitter.com

Aetna is leaving the Affordable Care Act health insurance exchange in Illinois for 2017. That further reduces competition in the state.

Aetna's announcement late Monday leaves six companies selling plans for next year to individuals and families on the Illinois ACA marketplace. Illinois Department of Insurance spokesman Michael Batkins says two insurers remain selling plans to small businesses. 

The announcement follows UnitedHealthcare's departure from the Illinois exchange. And Chicago-based Land of Lincoln Health is folding after suffering heavy losses. 

"Electronic Stethescope" By Flickr User Ted Eytan / (CC BY 2.0)

More than half of the states have disclosed how much higher their health care premiums could be next year under the Affordable Care Act, but Illinois isn't expected to do so for more than a month.

The Chicago Tribune reports that consumer advocates are frustrated because Illinois residents won't get their first look at proposed 2017 premiums until Aug. 1, about a month before the state Department of Insurance has to complete its review of rate information.

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