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2017 Affordable Care Act replacement proposals

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574: 644:. Thus, only material which affects the budget can be included and only a simple majority vote will be required in the Senate. Despite his vow not to get involved into day-to-day politics former President Obama became a part of the discussion on March 23, 2017 (the seventh anniversary of ACA and one day prior to the vote on the American Health Care Act) by hailing among other things 20 million more people insured, preexisting conditions covered, young people staying on their parents' plans until 26, lowered costs for women's health care and free preventive care as progress due to the Affordable Care Act. On March 24, 2017, the bill was withdrawn by Speaker 557: 980:. Trump had previously vowed to protect Medicare and Medicaid. The administration reduced enforcement of penalties against nursing homes that harm residents. 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. Abandoning a promise he made as candidate, Trump announced he would not allow Medicare to use its bargaining power to negotiate lower drug prices. 34: 616:
would be due to reductions in Medicaid enrollment, elimination of the individual mandate penalty, subsidy reduction, and higher costs for some persons. By 2016 the CBO estimates that the average amount paid for medical insurance would decrease by about 10%. That results from increased prices for older patients and reduced credits which is predicted to increase the proportion of younger people in the pool and reduce the proportion of older people. The bill was approved by the
565: 357: 368: 683:, which taxed individuals without health insurance. Moreover, it maintains some aspects of the ACA including ensuring insurance coverage for pre-existing conditions, allowing children to stay on their parents' health care until they are 26 years old, and banning the use of lifetime spending limits by insurance companies. 1588:
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
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billion more than it saved over a ten-year period. 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, and allowed organizations not to cover birth control. In justifying the action, the
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On July 25, a procedural vote was passed by the Senate to begin debate on the healthcare bill, 51–50 with Vice President Mike Pence breaking the tie. The same day, the bill was soundly defeated 43–57, with nine Republicans defecting and no Democrats or Independents voting for the bill. As the effort
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in the Senate. In spite of efforts during the vote-a-rama (a proceeding in which each amendment was considered and voted upon for about 10 minutes each until all 160 were completed) that continued into the early hours of the morning, Democrats could not prevent "the GOP from following through on its
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released its evaluation of the proposal. It projected a rise in uninsured by 24 million by 2028, but savings of $ 337 billion over ten years. In 2018, most of the reduction would be caused by the elimination of the penalties for the individual mandate, both directly and indirectly. Later reductions
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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. The Senate indicated they would write their
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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. The group was criticized for not including women
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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
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scheduled a vote on a partial-repeal amendment. This too was defeated, 45–55, 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
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AHCA (Republican healthcare bill) impact on income distribution, as of the year 2022. Net benefits would go to families with over $ 50,000 income on average, with net costs to those below $ 50,000. Those earning over $ 200,000, the top 6%, would get about 70% of the
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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
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The Trump 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 $
2619: 2476: 720:, Senate Republicans instituted new rules to limit the ability of reporters to ask senators about the legislation. When asked if Senate Republicans planned to release the text of the bill to the public, a Senate aide told 1941: 1096:"S.Con.Res.3 – 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" 298: 2564: 2604: 396: 2217: 2541: 245: 134: 1618:
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.
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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.
240: 2106: 1151: 543:, 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. 528:
had said he planned to introduce a replacement plan during the week of January 9, 2017. One key provision in his plan was to offer cheaper, less robust insurance plans for people.
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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".
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of Kansas, making them the third and fourth Republicans to defect. President Donald Trump expressed his disappointment and indicated he would "let Obamacare fail".
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CBO estimated in May 2017 that the Republican AHCA would reduce the number of persons with health insurance by 23 million during 2026, relative to current law.
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from states which had accepted Medicaid expansion expressed worry about whether the new plan would adequately fund services for Medicaid patients.
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approved one portion of the bill on March 9, 2017, after an all-night session. The second portion of the bill was also approved March 9 by the
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would "ease the burden of Obamacare as we transition from repeal and replace". Spicer would not elaborate further when asked for more details.
429:. "Repeal and replace" has been a Republican slogan since March 2010 when the ACA was signed into law and had been adopted by former President 153: 76: 1713: 1345: 1293: 754:
criticizing the House's legislation and requesting a bi-partisan effort in the Senate to reform healthcare. The signatories include Governors
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On September 26, 2017, Senate Majority Leader Mitch McConnell announced that the Senate would not vote on the Graham-Cassidy bill.
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coverage with a system of block grants to states based on the nature and number of recipients served. Conservative critics such as
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CBO projections of persons without health insurance under 65 years of age (%) under various legislative proposals and current law.
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On July 18, 2017, the healthcare bill in the Senate collapsed following the defections of Senators Mike Lee of Utah and
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said that a vote is planned for, before September 30 which is the deadline to pass bills under budget reconciliation.
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characterized the plan as "Obamacare Light" and continued to advocate total repeal, while other Republicans such as
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Notecard from the Republican brain-storming session on which the "Repeal and replace" slogan originated, March 2010
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A concurrent resolution setting forth the congressional budget for the United States Government for fiscal ...
1095: 1778: 333: 2190: 2073:"Republican secrecy faces mounting criticism as GOP senators work behind closed doors to repeal Obamacare" 649: 506: 328: 273: 68: 1371:"Senators Collins, Cassidy to Introduce ACA Replacement Plan to Expand Choices, Lower Health Care Costs" 803: 481: 460: 310: 190: 717: 361: 305: 184: 2569: 2536: 2481: 1830: 1717: 422: 410: 1764: 1568: 1248: 564: 2369:"Trump: 'All Republicans' support pre-existing conditions, but White House policy says otherwise" 1002: 680: 672: 372: 1796: 2574: 2505: 2080: 1916: 1197: 787: 725: 477: 1779:"Senate Republicans signal they plan to scrap bill the House just passed and write their own" 2477:"With social program fights, some Republicans fear being seen as the party of the 1 percent" 779: 701: 640:, then to the full House. The bill, once it passed the House, would go to the Senate under 436: 898: 874: 854: 822: 747: 721: 338: 509:
and the American public against repealing the Affordable Care Act without replacing it.
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Please help update this article to reflect recent events or newly available information.
1942:"McCaskill on Senate GOP health-care proposal: 'We have no idea what's being proposed'" 846: 842: 841:
On September 13, 2017, an amendment to the American Health Care Act, commonly known as
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to repeal and replace the Affordable Care Act was stalled, Senate Majority Leader
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Diaz, Daniella; Tatum, Sophie; Wills, Amanda; Love, Alysha (January 20, 2017).
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The proposed CARE Act reverts many of the benefits of the Affordable Care Act.
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administration made false claims about the health harms of contraceptives.
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of Louisiana as a co-sponsor. A spokesman for the Senate Majority Leader
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Thomas Kaplan, Abby Goodnough and Jennifer Steinhauer (March 9, 2017).
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Legislative Actions to Repeal, Defund, or Delay the Affordable Care Act
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had been held on the proposed legislation. Video of the exchange went
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The following is a list of plans which were considered to replace the
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have vowed to repeal and replace Obamacare; President Trump signed
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Legislation attempting to reform or repeal the Affordable Care Act
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and John McCain indicated that they would vote against the bill.
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own version of the bill, instead of voting on the House version.
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on January 20, 2017, his first day in office, that according to
1995:"Video of McCaskill Ripping GOP 'Back Room' Tactics Goes Viral" 1826:"House GOP proposal to replace Obamacare sparks broad backlash" 1714:"Read Barack Obama's Statement on the Anniversary of Obamacare" 838:; their vote along with the Democrats defeated the bill 49–51. 2401: 2373: 2345: 27: 2532:"Trump says goal of proposal is to lower some US drug prices" 2530:
Alonso-Zaldivar, Ricardo; Riechmann, Deb (October 26, 2018).
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DeBonis, Mike; Costa, Robert; Weigel, David (March 7, 2017).
1443:"The GOP health plans' impact on the uninsured, in one chart" 1249:"Senate opens Obamacare repeal drive with overnight marathon" 675:
the Patient Protection and Affordable Care Act entitled the "
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Several media outlets have reported widespread opposition in
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On January 12, 2017, the Senate voted 51 to 48 to pass an
413:(commonly referred to as the ACA or Obamacare) during the 1045:"Americans split over Trump's ability to fix health care" 968:
The administration proposed substantial spending cuts to
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Proposed legislation of the 115th United States Congress
1513:"Second committee advances ObamaCare repeal legislation" 1346:"GOP senators introducing ObamaCare replacement Monday" 1294:"Rand Paul rolling out ObamaCare replacement this week" 1152:"Congress presses ahead on dismantling health care law" 16:
2017 plans considered to replace a U.S. federal statute
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Redhead, C. Stephen; Kinzer, Janet (January 9, 2017),
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3, that contained language allowing the repeal of the
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United States House Committee on Energy and Commerce
1632:"Five key findings from the CBO's healthcare score" 1883:"GOP defends having no women in health care group" 1881:Dana Bash; Lauren Fox; Ted Barrett (May 9, 2017). 1487:"Health Bill Clears House Panel in Pre-Dawn Hours" 1400:"American Healthcare Act Cost Estimate (May 2017)" 1154:. St. Louis, MO: St. Louis Today. Associated Press 2047:"Senate GOP won't release draft health care bill" 1739:Daniella Diaz and Amanda Wills (March 24, 2017). 1271:"Why the GOP Still Lacks an ACA Replacement Plan" 1121:Snell, Kelsey; DeBonis, Mike (January 12, 2017). 620:19 to 17 on March 16, 2017. Three members of the 2475:Costa, Robert; DeBonis, Mike (March 29, 2019). 2071:Levey, Noam N.; Mascaro, Lisa (June 16, 2016). 2021:"Senate Republicans crack down on press access" 1456:Robert Pear and Thomas Kaplan (March 6, 2017). 1320:"Rand Paul previews Obamacare replacement plan" 679:". The bill's current format removes the ACA's 605:United States House Committee on Ways and Means 2270:"Senate girds for final Obamacare repeal vote" 1567:Congressional Budget Office (March 13, 2017). 716:. In addition to forgoing normal hearings and 652:) after failing to gain enough support in the 1654: 1652: 1571:. Congressional Budget Office. Archived from 636:(Ala.) voted against it. It went next to the 390: 19:For replacement proposals prior to 2017, see 8: 216:Health Care and Education Reconciliation Act 2315:"Senate won't vote on GOP health care bill" 2289:"Where Republicans stand on Graham-Cassidy" 1569:"Congressional Budget Office Cost Estimate" 1405:. Congressional Budget Office. May 24, 2017 1202:: CS1 maint: numeric names: authors list ( 1480: 1478: 1145: 1143: 845:, was submitted. The bill is sponsored by 397: 383: 63: 1380:. Senator Susan Collins. January 17, 2017 1173:115th Congress (2017) (January 3, 2017). 21:Efforts to repeal the Affordable Care Act 1712:Teague Beckwith, Ryan (March 23, 2017). 1425:"Who gains and who loses under the AHCA" 677:World's Greatest Healthcare Plan of 2017 555: 2287:Killough, Ashley (September 19, 2017). 1689:. National Public Radio. Archived from 988: 75: 2423:Carroll, Aaron E. (October 10, 2017). 1195: 611:on a party-line vote. On March 13 the 417:. The plans were considered after the 2242:Nwanevu, Osita (September 20, 2017). 2216:Viebeck, Elise (September 20, 2017). 1876: 1874: 1741:"Trump and GOP pull health care bill" 1601:Margot Sanger-Katz (March 14, 2017). 7: 978:Social Security Disability Insurance 745:Senate Majority and Minority Leaders 2339:Kodjak, Alison (October 13, 2017). 2019:Bolton, Alexander (June 13, 2017). 1344:Jordain Carney (January 17, 2017). 1292:Carney, Jordain (January 9, 2017). 724:, "We aren't stupid." According to 671:sponsored an alternate proposal to 160:America's Affordable Health Choices 2395:Kodjak, Alison (October 6, 2017). 2313:Fox, Lauren (September 26, 2017). 2105:Beaumont, Thomas (June 16, 2017). 1685:Taylor, Jessica (March 23, 2017). 1318:Gregory Krieg (January 15, 2017). 1150:Andrew Taylor (January 12, 2017). 691:In response to the passage of the 154:Affordable Health Care for America 116:Social Security Amendments of 1965 14: 2496:Rau, Jordan (December 24, 2017). 2367:Klein, Betsy (October 18, 2018). 1767:, Reuters. Retrieved May 6, 2017. 1659:Jessie Hellman (March 16, 2017). 1630:Peter Sullivan (March 14, 2017). 1511:Jessie Hellmann (March 9, 2017). 868:Senators drafting the legislation 539:(La.) introduced their plan, the 2563:Paletta, Damian (May 14, 2018). 2449:Pramuk, Jacob (March 12, 2019). 2045:Owens, Caitlin (June 12, 2016). 1537:Thomas Kaplan (March 13, 2017). 730:Historian Emeritus of the Senate 583:American Health Care Act of 2017 366: 355: 32: 2146:. June 16, 2016. Archived from 1852:Litvan, Laura (June 13, 2017). 1716:. Time Magazine. Archived from 1069:Luhby, Tami (January 9, 2017). 1043:Luhby, Tami (January 6, 2017). 996:Carl Hulse (January 15, 2017). 1967:Scott, Dylan (June 13, 2017). 1228:Congressional Research Service 696:senators. In a meeting of the 236:Obama administration proposals 1: 1993:Meyer, Ken (June 10, 2017). 1907:Pear, Robert (May 8, 2017). 642:budget reconciliation rules 613:Congressional Budget Office 541:Patient Freedom Act of 2017 492:process, which disallows a 465:White House Press Secretary 415:Donald Trump administration 2636: 1777:Bryan, Bob (May 4, 2017). 580: 323:Third-party payment models 135:Medicare Modernization Act 18: 2615:2017 in American politics 654:House of Representatives. 648:(with the endorsement of 279:Health insurance exchange 41:This article needs to be 849:of South Carolina, with 698:Senate Finance committee 552:American Health Care Act 362:United States portal 179:American Health Care Act 78:Healthcare reform in the 67:This article is part of 739:group of seven current 704:asked chairman Senator 2195:United States Congress 1175:"S.Con.Res. 3 (115th)" 1100:United States Congress 710:congressional hearings 650:President Donald Trump 618:House Budget Committee 578: 570: 561: 441: 373:Health care portal 329:All-payer rate setting 284:Nationalized insurance 246:Reform advocacy groups 638:House Rules Committee 576: 567: 559: 490:budget reconciliation 439: 299:Canadian vs. American 191:Healthy Americans Act 2610:2017 in American law 2197:. September 13, 2017 1578:on February 15, 2021 1026:"Trump inauguration" 735:On June 16, 2017, a 185:Medicare for All Act 2570:The Washington Post 2544:on November 6, 2018 2537:The Washington Post 2482:The Washington Post 1429:taxpolicycenter.org 1273:. RealClearPolitics 486:Affordable Care Act 423:government trifecta 411:Affordable Care Act 210:Affordable Care Act 197:Health Security Act 2502:The New York Times 2429:The New York Times 2268:Everett, Burgess. 1913:The New York Times 1607:The New York Times 1543:The New York Times 1491:The New York Times 1462:The New York Times 1378:collins.senate.gov 1251:. January 12, 2017 1003:The New York Times 718:legislative markup 687:Senate legislation 681:individual mandate 673:repeal and replace 579: 571: 562: 461:an executive order 442: 256:Insurance coverage 166:Baucus Health Bill 2144:governor.ohio.gov 2077:Los Angeles Times 1720:on March 31, 2017 1693:on March 31, 2017 1431:. March 23, 2017. 1102:. January 3, 2017 788:John Hickenlooper 743:sent a letter to 667:On March 7, 2017 663:Other legislation 547:House legislation 478:budget resolution 421:gained a federal 407: 406: 187:(2021, H.R. 1976) 81: 62: 61: 2627: 2590: 2589: 2587: 2585: 2560: 2554: 2553: 2551: 2549: 2540:. Archived from 2527: 2521: 2520: 2518: 2516: 2493: 2487: 2486: 2472: 2466: 2465: 2463: 2461: 2446: 2440: 2439: 2437: 2435: 2420: 2414: 2413: 2411: 2409: 2392: 2386: 2385: 2383: 2381: 2364: 2358: 2357: 2355: 2353: 2336: 2330: 2329: 2327: 2325: 2310: 2304: 2303: 2301: 2299: 2284: 2278: 2277: 2265: 2259: 2258: 2256: 2254: 2239: 2233: 2232: 2230: 2228: 2213: 2207: 2206: 2204: 2202: 2187: 2181: 2180: 2179:. July 18, 2017. 2169: 2163: 2162: 2160: 2158: 2153:on July 28, 2017 2152: 2141: 2133: 2127: 2126: 2124: 2122: 2113:. 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Index

Efforts to repeal the Affordable Care Act
a series
Healthcare reform in the
United States

History
Debate
Social Security Amendments of 1965
EMTALA
HIPAA
Medicare Modernization Act
PSQIA
Affordable Health Care for America
America's Affordable Health Choices
Baucus Health Bill
American Health Care Act
Medicare for All Act
Healthy Americans Act
Health Security Act
Affordable Care Act
Health Care and Education Reconciliation Act
Obama administration proposals
Public opinion
Reform advocacy groups
Rationing
Insurance coverage
Free market
Health insurance exchange
Nationalized insurance
Publicly-funded
Single-payer
Canadian vs. American

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