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Trump is making a big promise about his healthcare plan — but it's not in the GOP bill

Trump says the American Health Care Act will be "every bit as good on preexisting conditions as Obamacare," but that's not what the bill looks like.

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President Donald Trump has made some huge promises for healthcare overhaul, but his new guarantee for people with preexisting conditions may not reflect the reality of the GOP's current legislation.

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Trump has promised that the plan to repeal and replace the Affordable Care Act, the law also known as Obamacare, will bring down premiums, deductibles, and the cost to the government, and will eventually cover "everybody."

Most health-policy experts agree that hitting all four of these marks is next to impossible.

Now, with the White House and congressional leaders apparently readying an effort to bring the American Health Care Act to the House floor, Trump is making another promise that is contradicted by the actual legislation.

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In an interview with CBS's "Face the Nation" on Sunday, Trump guaranteed protections for patients with preexisting conditions, something he has done since the campaign.

"Preexisting conditions are in the bill," Trump said. "And I just watched another network than yours, and they were saying, 'Preexisting is not covered.' Preexisting conditions are in the bill. And I mandate it. I said, 'Has to be.'"

Trump reiterated those comments during an interview with Bloomberg on Monday, saying the AHCA has to cover preexisting conditions just as well as or better than Obamacare.

"I want it to be good for sick people. It's not in its final form right now," Trump said. "It will be every bit as good on preexisting conditions as Obamacare."

But those guarantees run in opposition to recent adjustments to the AHCA.

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An amendment to the bill written by moderate Republican Rep. Tom MacArthur would allow states to waive certain protections of Obamacare, including aspects of its community-rating provisions that mandated all people who are the same age be charged the same price by insurers.

If a state were given a waiver for those protections, experts agree that insurers could price plans for people with illnesses above those for healthy people and, in the worst case, make it unaffordable for people with preexisting conditions to access insurance.

Speaking with CBS, Trump said the addition of "pools" could offset the issue.

The new version of the AHCA would allow for the implementation of an "invisible high-risk pool," which would function as a way to subsidize insurers covering people with preexisting conditions to keep costs down for others.

That could reduce costs for people without preexisting conditions, but unless the government adequately funded the plan, it would likely leave people with preexisting conditions with higher costs or unable to enroll. According to experts at the Kaiser Family Foundation, a nonpartisan health-policy think tank, the current iteration of the AHCA's pools would not provide enough funds to keep costs down.

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In response to Trump's comments to Bloomberg, AshLee Strong, a spokeswoman for House Speaker Paul Ryan, told NBC that the AHCA would take care of people with preexisting conditions.

"The Republican plan protects people with preexisting conditions," Strong said. "States can't opt out without a high-risk pool to take care of them. And waivers never apply to someone who has been continuously covered. We believe there is more than one way to address this problem."

House Republicans are attempting to wrangle enough votes to pass the AHCA at some point this week. Both administration and congressional officials have pushed for a vote in the coming days, and reports suggest it could be as soon as Wednesday.

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