A number of states would likely pursue waivers in the House Republican health plan enabling them to charge higher premiums to people with pre-existing conditions who let their coverage lapse, health analysts said.

The waivers are the latest twist to the House GOP proposal that would topple most of the Affordable Care Act and replace it with a new plan that would bring steep Medicaid cuts and refundable tax credits to help people obtain health insurance if they don’t get it from their job.

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