2017 Affordable Care Act replacement proposals
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The following is a list of plans which were considered to replace the
Background
President Donald Trump and many Republicans have vowed to repeal and replace Obamacare; President Trump signed an executive order on January 20, 2017, his first day in office, that according to White House Press Secretary Sean Spicer would "ease the burden of Obamacare as we transition from repeal and replace". Spicer would not elaborate further when asked for more details.[2][3][4]
On January 12, 2017, the Senate voted 51 to 48 to pass an
Plans
Several media outlets have reported widespread opposition in Congress and the American public against repealing the Affordable Care Act without replacing it. Barack Obama has stated that "The Republicans will own the problems with the health care system if they choose to repeal something that is providing health insurance to a lot of people".[11]
Early proposals
The proposed CARE Act reverts many of the benefits of the Affordable Care Act.[citation needed]
Senator Rand Paul had said he planned to introduce a replacement plan during the week of January 9, 2017.[12] One key provision in his plan was to offer cheaper, less robust insurance plans for people.[13]
Senators Susan Collins (Maine) and Bill Cassidy (La.) introduced their plan, the Patient Freedom Act of 2017, on January 23, 2017, which would offer states the option to retain the Affordable Care Act, if they chose, or receive a block grant to be used on an alternative plan they prefer.[14][15]
House legislation
American Health Care Act
A comprehensive plan to replace the Affordable Care Act was announced by the House Republican leadership on March 6, 2017. It retains many features of the Affordable Care Act, but replaces ACT's system of subsidies with tax credits and federally-funded Medicaid coverage with a system of block grants to states based on the nature and number of recipients served. Conservative critics such as Rand Paul characterized the plan as "Obamacare Light" and continued to advocate total repeal, while other Republicans such as Cory Gardner from states which had accepted Medicaid expansion expressed worry about whether the new plan would adequately fund services for Medicaid patients.[19]
The
On May 4, 2017, the United States House of Representatives narrowly voted to repeal the Patient Protection and Affordable Care Act and passing the American Health Care Act with a narrow vote of 217 to 213, sending the bill to the Senate for deliberation.[30] The Senate indicated they would write their own version of the bill, instead of voting on the House version.[31]
Other legislation
On March 7, 2017
Senate legislation
In response to the passage of the AHCA in the House, Republican leadership in the Senate stated that they would draft their own version of the legislation instead of bringing the House's version to a vote. Thirteen senators began meeting behind closed doors to draft the legislation.[34] The group was criticized for not including women senators.[35][36] In a meeting of the Senate Finance committee, Senator Claire McCaskill asked chairman Senator Orrin Hatch why no congressional hearings had been held on the proposed legislation.[37][38] Video of the exchange went viral.[39] In addition to forgoing normal hearings and legislative markup, Senate Republicans instituted new rules to limit the ability of reporters to ask senators about the legislation.[40] When asked if Senate Republicans planned to release the text of the bill to the public, a Senate aide told Axios, "We aren't stupid."[41] According to Don Ritchie, Historian Emeritus of the Senate, such a secretive process has not been seen in the Senate in over a hundred years.[42]
On June 16, 2017, a
On July 18, 2017, the healthcare bill in the Senate collapsed following the defections of Senators Mike Lee of Utah and Jerry Moran of Kansas, making them the third and fourth Republicans to defect. President Donald Trump expressed his disappointment and indicated he would "let Obamacare fail".[45]
On July 25, a procedural vote was passed by the Senate to begin debate on the healthcare bill, 51โ50 with Vice President Mike Pence breaking the tie. The same day, the bill was soundly defeated 43โ57, with nine Republicans defecting and no Democrats or Independents voting for the bill. As the effort to repeal and replace the Affordable Care Act was stalled, Senate Majority Leader Mitch McConnell scheduled a vote on a partial-repeal amendment. This too was defeated, 45โ55, with 7 Republicans defecting. Subsequently, a "skinny repeal" of the healthcare bill was voted on in the early hours of July 28. The decisive vote against their own party's bill was cast by Senators John McCain, Susan Collins and Lisa Murkowski; their vote along with the Democrats defeated the bill 49โ51.[citation needed]
On September 13, 2017, an amendment to the American Health Care Act, commonly known as
On September 26, 2017, Senate Majority Leader Mitch McConnell announced that the Senate would not vote on the Graham-Cassidy bill.[51]
- Senators drafting the legislation[35]
- Mitch McConnell (R-KY)
- John Cornyn (R-TX)
- John Thune (R-SD)
- John Barrasso (R-WY)
- Lamar Alexander (R-TN)
- Mike Enzi (R-WY)
- Orrin Hatch (R-UT)
- Ted Cruz (R-TX)
- Mike Lee (R-UT)
- Tom Cotton (R-AR)
- Cory Gardner (R-CO)
- Rob Portman (R-OH)
- Pat Toomey (R-PA)
Administration
The administration ended subsidy payments to health insurance companies, in a move expected to raise premiums in 2018 for middle-class families by an average of about twenty percent nationwide and cost the federal government nearly $200 billion more than it saved over a ten-year period.[52] The administration made it easier for businesses to use health insurance plans not covered by several of the ACA's protections, including for preexisting conditions,[53] and allowed organizations not to cover birth control.[54] In justifying the action, the administration made false claims about the health harms of contraceptives.[55]
The administration proposed substantial spending cuts to Medicare, Medicaid and Social Security Disability Insurance. Trump had previously vowed to protect Medicare and Medicaid.[56][57] The administration reduced enforcement of penalties against nursing homes that harm residents.[58] As a candidate and throughout his presidency, Trump said he would cut the costs of pharmaceuticals. During his first seven months in office, there were 96 price hikes for every drug price cut.[59] Abandoning a promise he made as candidate, Trump announced he would not allow Medicare to use its bargaining power to negotiate lower drug prices.[60]
References
- ^ Carl Hulse (January 15, 2017). "'Repeal and Replace': Words Still Hanging Over G.O.P.'s Health Care Strategy". The New York Times. Retrieved January 16, 2017.
- ^ Diaz, Daniella; Tatum, Sophie; Wills, Amanda; Love, Alysha (January 20, 2017). "Trump inauguration". CNN.
- ^ Luhby, Tami (January 6, 2017). "Americans split over Trump's ability to fix health care". CNNMoney. Retrieved January 9, 2017.
- ^ Luhby, Tami (January 9, 2017). "How Trump could use his executive power on Obamacare". CNNMoney. Retrieved January 9, 2017.
- ^ "S.Con.Res.3 โ A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026". United States Congress. January 3, 2017. Retrieved January 12, 2017.
- ^ Snell, Kelsey; DeBonis, Mike (January 12, 2017). "Obamacare is one step closer to repeal after Senate advances budget resolution". Washington Post. Retrieved January 12, 2017.
- ^ a b Andrew Taylor (January 12, 2017), Congress presses ahead on dismantling health care law, St. Louis, MO: St. Louis Today, retrieved January 13, 2017
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ignored (help) - ^ 115th Congress (2017) (January 3, 2017). "S.Con.Res. 3 (115th)". Legislation. GovTrack.us. Retrieved January 13, 2017.
A concurrent resolution setting forth the congressional budget for the United States Government for fiscal ...
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: CS1 maint: numeric names: authors list (link) - ^ Redhead, C. Stephen; Kinzer, Janet (January 9, 2017), Legislative Actions to Repeal, Defund, or Delay the Affordable Care Act (PDF), Congressional Research Service, p. 23, retrieved January 13, 2017
- ^ "Senate opens Obamacare repeal drive with overnight marathon". January 12, 2017. Retrieved January 15, 2017.
- ^ "Why the GOP Still Lacks an ACA Replacement Plan". RealClearPolitics. Retrieved January 10, 2017.
- ^ Carney, Jordain (January 9, 2017). "Rand Paul rolling out ObamaCare replacement this week". TheHill. Retrieved January 10, 2017.
- ^ Gregory Krieg (January 15, 2017). "Rand Paul previews Obamacare replacement plan". CNN. Retrieved January 16, 2017.
- ^ Jordain Carney (January 17, 2017). "GOP senators introducing ObamaCare replacement Monday". The Hill. Retrieved January 18, 2017.
- ^ "Senators Collins, Cassidy to Introduce ACA Replacement Plan to Expand Choices, Lower Health Care Costs" (press release). collins.senate.gov. Senator Susan Collins. January 17, 2017. Retrieved January 18, 2017.
- ^ "American Healthcare Act Cost Estimate (May 2017)" (PDF). Congressional Budget Office. May 24, 2017. Retrieved May 24, 2017.
- ^ "Who gains and who loses under the AHCA". taxpolicycenter.org. March 23, 2017.
- ^ "The GOP health plans' impact on the uninsured, in one chart". July 27, 2017.
- ^ Robert Pear and Thomas Kaplan (March 6, 2017). "House Republicans Unveil Plan to Replace Health Law". The New York Times. Retrieved March 7, 2017.
- ^ a b Thomas Kaplan, Abby Goodnough and Jennifer Steinhauer (March 9, 2017). "Health Bill Clears House Panel in Pre-Dawn Hours". The New York Times. Retrieved March 9, 2017.
- ^ Jessie Hellmann (March 9, 2017). "Second committee advances ObamaCare repeal legislation". The Hill. Retrieved March 9, 2017.
- ^ Thomas Kaplan (March 13, 2017). "Health Bill Would Raise Uninsured by 24 Million but Save $337 Billion, Report Says". The New York Times. Retrieved March 13, 2017.
The House Republican plan to repeal and replace the Affordable Care Act would raise the number of people without health insurance by 24 million within a decade, but would trim $337 billion from the federal deficit over that time, the nonpartisan Congressional Budget Office said on Monday.
- ^ Congressional Budget Office (March 13, 2017). "Congressional Budget Office Cost Estimate". Congressional Budget Office. Archived from the original (PDF) on February 15, 2021. Retrieved March 13, 2017.
CBO and JCT estimate that enacting the legislation would reduce federal deficits by $337 billion over the 2017-2026 period. CBO and JCT estimate that, in 2018, 14 million more people would be uninsured under the legislation than under current law. Most of that increase would stem from repealing the penalties associated with the individual mandate. In 2026, an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.
- ^ Margot Sanger-Katz (March 14, 2017). "No Magic in How G.O.P. Plan Lowers Premiums: It Pushes Out Older People". The New York Times. Retrieved March 14, 2017.
The C.B.O. estimates that the price an average 64-year-old earning $26,500 would need to pay after using a subsidy would increase from $1,700 under Obamacare to $14,600 under the Republican plan.
- ^ Peter Sullivan (March 14, 2017). "Five key findings from the CBO's healthcare score". The Hill. Retrieved March 14, 2017.
- ^ a b Jessie Hellman (March 16, 2017). "Budget panel advances ObamaCare bill with three GOP defections". The Hill. Retrieved March 16, 2017.
- ^ Taylor, Jessica (March 23, 2017). "Obama: 'America Is Stronger Because Of The Affordable Care Act'". National Public Radio. Archived from the original on March 31, 2017. Retrieved March 31, 2017.
- ^ Teague Beckwith, Ryan (March 23, 2017). "Read Barack Obama's Statement on the Anniversary of Obamacare". Time Magazine. Archived from the original on March 31, 2017. Retrieved March 31, 2017.
- ^ Daniella Diaz and Amanda Wills (March 24, 2017). "Trump and GOP pull health care bill". CNN. Retrieved March 24, 2017.
- ^ "House Republicans repeal Obamacare, hurdles await in U.S. Senate", Reuters. Retrieved May 6, 2017.
- ^ Bryan, Bob (May 4, 2017). "Senate Republicans signal they plan to scrap bill the House just passed and write their own". Business Insider.
- ^ "H.R.1275 โ World's Greatest Healthcare Plan of 2017". Congress.gov. March 3, 2017. Retrieved March 9, 2017.
- ^ DeBonis, Mike; Costa, Robert; Weigel, David (March 7, 2017). "House GOP proposal to replace Obamacare sparks broad backlash". Washington Post. Retrieved March 9, 2017.
- ^ Litvan, Laura (June 13, 2017). "Senate Republicans Are Writing Obamacare Repeal Behind Closed Doors". Bloomberg.com. Retrieved June 13, 2017.
- ^ a b Dana Bash; Lauren Fox; Ted Barrett (May 9, 2017). "GOP defends having no women in health care group". CNN. Retrieved June 13, 2017.
- ISSN 0362-4331. Retrieved June 13, 2017.
- ^ "McCaskill on Senate GOP health-care proposal: 'We have no idea what's being proposed'". Washington Post. June 11, 2017. Retrieved June 13, 2017.
- ^ Scott, Dylan (June 13, 2017). "The Senate GOP's plan to repeal Obamacare: don't let anyone see their plan". Vox. Retrieved June 13, 2017.
- ^ Meyer, Ken (June 10, 2017). "Video of McCaskill Ripping GOP 'Back Room' Tactics Goes Viral". Mediaite. Retrieved June 13, 2017.
- ^ Bolton, Alexander (June 13, 2017). "Senate Republicans crack down on press access". The Hill. Retrieved June 13, 2017.
- ^ Owens, Caitlin (June 12, 2016). "Senate GOP won't release draft health care bill". Axios. Retrieved June 15, 2017.
- ISSN 0458-3035. Retrieved June 16, 2017.
- ^ Beaumont, Thomas (June 16, 2017). "GOP, Dem governors call for changes in House health bill". Associated Press. Archived from the original on July 2, 2017. Retrieved June 16, 2017.
- ^ "Letter to Majority Leader McConnell and Minority Leader Schumer" (PDF). governor.ohio.gov. June 16, 2016. Archived from the original (PDF) on July 28, 2017. Retrieved June 16, 2016.
- ^ "Trump on Senate's health care failure: "Let Obamacare fail"". www.cbsnews.com. July 18, 2017.
- ^ "S.Amdt.1030 to H.R.1628 โ 115th Congress (2017โ2018)". United States Congress. September 13, 2017. Retrieved September 23, 2017.
- ^ Viebeck, Elise (September 20, 2017). "Why Senate Republicans are in such a rush this month on health care". Washington Post. Retrieved September 23, 2017.
- ^ Nwanevu, Osita (September 20, 2017). "Senate to Vote on Obamacare Repeal Again Next Week". Slate. Retrieved September 23, 2017.
- ^ Everett, Burgess. "Senate girds for final Obamacare repeal vote". Politico.
- ^ Killough, Ashley (September 19, 2017). "Where Republicans stand on Graham-Cassidy". CNN. Retrieved September 23, 2017.
- ^ Fox, Lauren (September 26, 2017). "Senate won't vote on GOP health care bill". CNN. Retrieved September 26, 2017.
- ^ Kodjak, Alison (October 13, 2017). "Halt In Subsidies For Health Insurers Expected To Drive Up Costs For Middle Class". NPR. Retrieved October 14, 2017.
- ^ Klein, Betsy (October 18, 2018). "Trump: 'All Republicans' support pre-existing conditions, but White House policy says otherwise". CNN. Retrieved October 29, 2018.
- ^ Kodjak, Alison (October 6, 2017). "Trump Guts Requirement That Employer Health Plans Pay For Birth Control". NPR. Retrieved October 6, 2017.
- ^ Carroll, Aaron E. (October 10, 2017). "Doubtful Science Behind Arguments to Restrict Birth Control Access". The New York Times. Retrieved October 10, 2017.
- ^ Pramuk, Jacob (March 12, 2019). "Trump 2020 budget proposes reduced Medicare and Medicaid spending". www.cnbc.com. Retrieved March 16, 2019.
- ^ Costa, Robert; DeBonis, Mike (March 29, 2019). "With social program fights, some Republicans fear being seen as the party of the 1 percent". The Washington Post.
- ISSN 0362-4331. Retrieved December 26, 2017.
- ^ Alonso-Zaldivar, Ricardo; Riechmann, Deb (October 26, 2018). "Trump says goal of proposal is to lower some US drug prices". The Washington Post. Associated Press. Archived from the original on November 6, 2018. Retrieved November 5, 2018.
- ISSN 0190-8286. Retrieved May 14, 2018.