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The Senate will not vote on the Republican plan to repeal and replace the Affordable Care Act before the July 4 recess. Majority Leader Mitch McConnell, R-Kentucky, informed his Republican colleagues at a June 27 lunch, according to multiple news outlets.

Some 22 million more people would be uninsured by 2026, deductibles and out-of-pocket costs would sharply rise while premiums would be lower and certain markets could be unstable if the Senate’s version of an Affordable Care Act repeal-and-replace plan becomes law, according to the Congressional Budget Office.

Reaction to the Senate’s version of an Affordable Care Act repeal-and-replace plan, titled the Better Care Reconciliation Act (BCRA) ranged from strong opposition from physician and hospital groups to outrage from Democrats, while one insurance organization saw some positives in the legislation.

Groups representing physicians, hospitals, internists and health IT were quick to praise the proposed rule for the second year of the new payment tracks under the Medicare Access and CHIP Reauthorization Act (MACRA). The American Medical Group Association, however, has a decidedly different take.

The legislation takes many provisions from the House-passed American Health Care Act (AHCA) under a new name: the Better Care Reconciliation Act (BCRA).


Recent Headlines

The potential impact of the Republican ACA replacement

Health policy analyses predict 15 million people could lose their health coverage and 30 million could be subject to surcharges on top of premiums if the Republican-sponsored American Health Care Act (AHCA) goes into effect.

‘Critically flawed’: Industry groups blast Republican ACA replacement

The initial reaction to the American Health Care Act (AHCA), the legislation to repeal and replace the Affordable Care Act (ACA) introduced by Republican leaders in Congress and supported by President Donald Trump, is negative across several major medical organizations, including the American Medical Association and the Federation of American Hospitals. 

5 things hospitals, insurers should know about Republicans' ACA replacement

House Republicans have released the full text of the long-awaited legislation to repeal and replace the Affordable Care Act (ACA). Titled the “American Health Care Act (AHCA),” the bill would eliminate the ACA’s mandate for individuals to buy insurance and roll back the expansion of Medicaid, while restoring disproportionate share hospital (DSH) payments.

ACA replacement plan expected to be detailed this week

A legislative aide, speaking to Reuters on condition of anonymity, said there have been a series of phone calls finalizing the Affordable Care Act (ACA) replacement plan involving Speaker Paul Ryan, HHS Secretary Tom Price, White House budget chief Mick Mulvaney, President Donald Trump’s domestic policy adviser Andrew Bremberg and others.

ACA’s future hot topic at HIMSS 2017—but HIMSS itself doesn’t take a stance

Many panels at HIMSS 2017 in Orlando included references to the ongoing policy debate over the Affordable Care Act (ACA) and how that’s affecting all corners of the industry. For HIMSS itself, however, it feels health IT is better off staying out of much of the discussion.

No more meaningful use? MedPAC floats idea in MACRA discussion

Physicians wouldn’t be measured on meaningful use of electronic health records (EHRs) in the new Merit-based Incentive Payment System (MIPS) under a proposal floated by the Medicare Payment Advisory Commission (MedPAC).

HIMSS 2017: Ex-HHS Secretary Mike Leavitt predicts ‘less disruptive’ ACA repeal, survival of CMMI

The era of President Donald Trump in healthcare policy may not go as predicted, either for Republicans in Congress or Democrats critical of his pick for HHS Secretary, according to the last Republican who ran the agency, Mike Leavitt.

Medical malpractice legislation advancing in Congress

The House Judiciary Committee has approved legislation that would cap punitive damages in medical malpractice cases at $250,000 when it involves patients covered under Medicare, Medicaid, veterans or military health plans or plans on Affordable Care Act (ACA) exchanges.

The impact of Trump’s 5-point healthcare proposal

President Donald Trump didn’t advocate for a specific piece of legislation on healthcare in his Feb. 28 joint address to Congress, but he did outline several parts of plan similar to what House Republican leaders have already proposed.

HIMSS 2017: Q&A with CEO of Physicians for Fair Coverage on why doctors favor limiting ‘surprise’ bills

At the state level, one of the hottest policy topics discussed at HIMSS 2017 in Orlando was legislation on so-called “surprise” medical bills incurred when a patient unexpectedly receives care from an out-of-network physician.