The GOP’s health-care reckoning

Proposals by Sens. Ron Johnson (R., Wis.) and Ben Sasse (R., Neb.) follow the first approach. Both plans provide financial support for people who lose their insurance because of any Supreme Court decision. Sen. Johnson’s extends coverage until August 2017; Sen. Sasse’s keeps it for 18 months after the court’s decision ends the subsidies.

Both plans link transitional coverage with changes to ObamaCare that would allow a new Republican president time to craft a full replacement. Sen. Johnson’s reforms are more extensive. He would repeal the individual and employer mandates. States would be allowed to revise ObamaCare’s “essential benefits” provision that drives up costs by mandating extensive—and expensive—coverage that is often unnecessary.

Reps. Paul Ryan,John Kline and Fred Upton, all of whom are committee chairmen, follow the second approach by matching a tax credit to provide temporary transitional assistance with a robust package to reduce federal involvement in health care. Their plan would let states opt out of ObamaCare’s individual and employer mandates, give small businesses the ability to pool risk, and allow people to buy policies across state lines. It would preserve the option to keep a child on the family policy until age 26, as well as protections for people with pre-existing conditions and the ban on lifetime limits on payments for care.