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"The nasty new twist in his version is a provision that, in effect, frees states from having to provide many of the protections now guaranteed by the A.C.A & further tighten the screws on vulnerable Americans by letting insurance companies charge older people and people with pre-existing conditions much higher premiums than they charge younger and healthier people. It would also give insurers the freedom not to cover essential health services like maternity care and cancer treatment.Like the original, the bill slashes Obamacare subsidies, making insurance much more expensive for many individuals and families AARP says that 40 % between the ages of 50& 64, or about 25 million people, have the kinds of pre-existing medical conditions that would put them at risk of losing affordable health insurance under the House bill."