health care reform Archives

Sep 25, 2017

Senate’s Repeal and Replace Bill May Be Dead on Arrival

Senate Republican leaders may not be able to muster the votes needed to pass the latest version of “repeal and replace,” after Sen. Susan Collins (R-Me.) said she couldn’t envision voting for the bill. “It’s very difficult for me to imagine a scenario where I would end up voting for this bill,” Ms. Collins said Sunday on CNN. Senator Rand Paul (R-KY.) has also outlined tough demands to secure his vote on this bill. As a reminder, the Senate Republicans are attempting to pass this bill under the “reconciliation” process, needing only Republican votes to pass. As with prior attempts,… Read more

Sep 21, 2017

Senate’s Last “Gasp” Effort to Repeal and Replace the ACA

Republicans are making a last “gasp” effort to pass “repeal and replace” legislation in the Senate, before the “reconciliation” clock runs out. A new health care “repeal and replace” bill, introduced by Sens. Lindsey Graham, (R-S.C.), Bill Cassidy, (R-La.), and others will be slated for a vote next week. This bill, like earlier Senate versions, would repeal the employer and individual mandate, and eliminate others taxes such as the medical device tax. It’s most controversial provision relates to how the Medicaid expansion of the Affordable Care Act (ACA) and the states’ premium support subsidies will be allocated. The bill provides… Read more

Jul 27, 2017

Senate “Repeal” Failed, Now Try “Skinny” Repeal of Obamacare

Yesterday, the “repeal bill” known as the Obamacare Repeal Reconciliation Act (ORRA) failed to win enough votes for passage, losing 45-55. Now, Republican Senators will try to pass what has been dubbed a “skinny repeal” bill that will eliminate the mandates for employers and individuals to maintain health coverage, and potentially roll back medical device and other corporate taxes. The exact bill has not yet been crafted, but many Republicans appear to be determined to find some way to keep the health care debate alive. As stated by Senator Thom Tillis (R., N.C.), “we need an outcome, and if a so-called… Read more

Jul 25, 2017

Senator McCain To Return for Showdown on Health Care

Senator John McCain (R., Arizona), recently diagnosed with brain cancer, has confirmed that he will return to the Senate this afternoon to vote on bringing health care reform to the floor for debate. Specifically, Senate Majority Leader Mitch McConnell (R., Kentucky) is expected to ask for a procedural vote to approve debate on the Senate’s version of the “repeal and replace” and/or “repeal” bill regarding the Affordable Care Act (ACA). This vote is needed to continue the Republicans’ 7- year promise to repeal and replace the ACA.

Jul 20, 2017

Health Care “Repeal and Replace” Becomes “Repeal, and Replace Later”

After the collapse this week of the Senate’s version of the “repeal and replace” legislation, the Better Care Reconciliation Act (BCRA), a “repeal and replace in 2 years” bill was introduced in the Senate on July 19, 2017. The “Obamacare Repeal Reconciliation Act of 2017” (ORRA) is based on a repeal bill passed in 2015 by the House of Representatives and the Senate but vetoed by then-President Obama. The ORRA would repeal various provisions of the Affordable Care Act (Obamacare) but delay the effective date of repeal for two years, during which Congress would craft replacement legislation. Assuming the Senate… Read more

Jul 14, 2017

Is the New Senate Health Care Bill Already on Life Support?

As soon as the revised health care bill was introduced yesterday, criticism began and the margin for passage may already be compromised. Two Republican senators, moderate Susan Collins of Maine and conservative Rand Paul of Kentucky, have already announced they were not swayed by the revised bill. Republicans must have 50 out of 52 Republican Senators voting for the bill. As mentioned in my blog yesterday, the revised bill includes an amendment from Senator Ted Cruz (R., Tx.) which would allow insurers to sell “skimpy” plans, as long as they also offer at least one which meets the Affordable Care… Read more

Jul 13, 2017

Version 2.0 of Health Care Bill to be Introduced in the Senate Today

As discussed in my blog yesterday, Republican Senators will be introducing a newly revised health care bill today. According to reports from multiple media sources, the bill will include cuts to Medicaid, expansion of the use of health savings accounts and tax credits, and additional funding for states to fight the rising opioid addiction epidemic. Additional funding is also expected to be included beyond the $62 billion currently allocated to states to help low-income individuals afford health care coverage. It is also expected to retain the 3.8% investment tax and the 0.9% Medicare surtax on upper-income earners (see details in… Read more

Jul 12, 2017

Summer Vacation Delayed-Senate to Focus on Health Care Bill

Late yesterday, Mitch McConnell, Senate Majority Leader (R.KY.) announced that the Senate will delay its summer recess for two weeks. The AP (7/11, Taylor) reported that McConnell promised “to wrap up” the Senate’s ACA repeal bill “next week, but a number of neglected items have been left in health care’s wake as that bill has been repeatedly delayed.” The article adds, “Little progress has been made on other legislation, and the Kentucky Republican says the chamber would work on the annual defense policy measure and, perhaps, must-do legislation to increase the government’s borrowing authority.” The revised health care bill, the… Read more

Jul 11, 2017

Health Care Repeal and Replace, or Repair Instead?

According to multiple sources, the Senate Republicans will introduce an updated version of the Senate’s version of the American Health Care Act, called the Better Care Reconciliation Act (H.R. 1628) (BCRA) this week with hopes of voting on the measure next week. Protests during the July 4th recess and continuing in the halls of the Senate now make passage of BCRA less likely. Up to 10 Republican Senators have expressed reservations about the bill-passage in the Senate requires that all but 2 Republican Senators must vote for the measure. Senate Majority Leader Mitch McConnell (R-KY) will be briefing the full 52… Read more

Jun 30, 2017

Senate Leader Needs to Bring the Republicans Together to Pass The Health Care Bill

As mentioned in prior blog posts, the Republicans hold a slim majority in the Senate and need 50 out of 52 Republicans to vote for the health care bill. Both conservatives and centrists want different provisions in the bill, and Senator Majority Leader Mitch McConnell (R.-KY.) is struggling to bring the factions together in a way that will attract the votes of both of these groups. Once rewritten, he still needs to produce a new Congressional Budget Office (CBO) score of the legislation’s impact on coverage levels and federal spending. Senate McConnell is planning on sending a revised version of… Read more