2017 Affordable Care Act replacement proposals

Last updated

The following is a list of plans which were considered to replace the Affordable Care Act (commonly referred to as the ACA or Obamacare) during the Donald Trump administration. The plans were considered after the Republican Party gained a federal government trifecta in 2016. "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 Donald Trump. [1]

Contents

Notecard from the Republican brain-storming session on which the "Repeal and replace" slogan originated, March 2010 Repealandreplacenotecard.jpeg
Notecard from the Republican brain-storming session on which the "Repeal and replace" slogan originated, March 2010

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 FY2017 budget resolution, S.Con.Res. 3, that contained language allowing the repeal of the Affordable Care Act through the budget reconciliation process, which disallows a filibuster in the Senate. [5] [6] [7] [8] [9] 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 repeal plans." [7] [10]

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

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. CBO AHCA Health Insurance Coverage Impact.png
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.
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 benefits. AHCA Effect by Income Level v1.png
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 benefits.
CBO projections of persons without health insurance under 65 years of age (%) under various legislative proposals and current law. CBO Projections of Persons Uninsured Under 65 years of Age - v1.png
CBO projections of persons without health insurance under 65 years of age (%) under various legislative proposals and current law.

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 United States House Committee on Ways and Means approved one portion of the bill on March 9, 2017, after an all-night session. [20] The second portion of the bill was also approved March 9 by the United States House Committee on Energy and Commerce on a party-line vote. [21] On March 13 the Congressional Budget Office 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 would be due to reductions in Medicaid enrollment, elimination of the individual mandate penalty, subsidy reduction, and higher costs for some persons. [22] [23] 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. [24] [25] The bill was approved by the House Budget Committee 19 to 17 on March 16, 2017. Three members of the Freedom Caucus, Dave Brat (Va.), Mark Sanford (S.C.) and Gary Palmer (Ala.) voted against it. [26] It went next to the House Rules Committee, [26] then to the full House. [20] The bill, once it passed the House, would go to the Senate under budget reconciliation rules. 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. [27] [28] On March 24, 2017, the bill was withdrawn by Speaker Paul Ryan (with the endorsement of President Donald Trump) after failing to gain enough support in the House of Representatives. [29]

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 Pete Sessions sponsored an alternate proposal to repeal and replace the Patient Protection and Affordable Care Act entitled the "World's Greatest Healthcare Plan of 2017". [32] The bill's current format removes the ACA's individual mandate, 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. [33]

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 bi-partisan group of seven current governors sent a letter to Senate Majority and Minority Leaders Mitch McConnell and Chuck Schumer criticizing the House's legislation and requesting a bi-partisan effort in the Senate to reform healthcare. The signatories include Governors John Kasich (Ohio), Steve Bullock (Montana), Brian Sandoval (Nevada), John Bel Edwards (Louisiana), John Hickenlooper (Colorado), Charlie Baker (Massachusetts), and Tom Wolf (Pennsylvania). [43] [44]

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, 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 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, 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 John McCain, Susan Collins and Lisa Murkowski; their vote along with the Democrats defeated the bill 49–51.[ citation needed ]

On September 13, 2017, an amendment to the American Health Care Act, commonly known as Graham-Cassidy, was submitted. The bill is sponsored by Lindsey Graham of South Carolina, with Bill Cassidy of Louisiana as a co-sponsor. [46] A spokesman for the Senate Majority Leader Mitch McConnell said that a vote is planned for, before September 30 which is the deadline to pass bills under budget reconciliation. [47] [48] [49] Rand Paul and John McCain indicated that they would vote against the bill. [50]

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]

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]

Related Research Articles

<span class="mw-page-title-main">Shelley Moore Capito</span> American politician and educator (born 1953)

Shelley Wellons Moore Capito is an American politician and retired educator serving in her second term as the junior United States senator from West Virginia, a post she has held since 2015. A member of the Republican Party, Capito served seven terms as the U.S. representative from West Virginia's 2nd congressional district from 2001 to 2015. The daughter of three-term West Virginia governor Arch Alfred Moore Jr., she is the dean of West Virginia's congressional delegation.

<span class="mw-page-title-main">Pat Tiberi</span> American politician

Patrick Joseph Tiberi is an American lobbyist and politician who served as the U.S. representative for Ohio's 12th congressional district from 2001 to 2018. His district included communities north and east of Columbus. He is a member of the Republican Party, and previously served in the Ohio House of Representatives from 1993 to 2000. He briefly served as Chair of the new Republican Main Street Congressional Caucus from September 7, 2017.

<span class="mw-page-title-main">Tom Price (American politician)</span> American politician (born 1954)

Thomas Edmunds Price is an American physician and Republican Party politician who served as the U.S. representative for Georgia's 6th congressional district, encompassing the northern suburbs of Atlanta, from 2005 to 2017. While in Congress, Price chaired the House Committee on the Budget, Republican Study Committee and Republican Policy Committee. He was appointed Secretary of Health and Human Services by President Donald Trump and served in that role from February to September 2017.

<span class="mw-page-title-main">Dean Heller</span> American politician (born 1960)

Dean Arthur Heller is an American businessman and politician who served as a United States senator representing Nevada from 2011 to 2019. A member of the Republican Party, he served as the 15th secretary of state of Nevada from 1995 to 2007 and U.S. representative for Nevada's 2nd congressional district from 2007 to 2011. He was appointed to the U.S. Senate by Governor Brian Sandoval and elected to a full term in the 2012 election. Heller unsuccessfully ran for a second term in 2018, losing to Democrat Jacky Rosen. He was an unsuccessful candidate for governor of Nevada in 2022.

<span class="mw-page-title-main">Bill Cassidy</span> American physician and politician (born 1957)

William Morgan Cassidy is an American physician and politician serving as the senior United States senator from Louisiana, a seat he has held since 2015. A member of the Republican Party, he served in the Louisiana State Senate from 2006 to 2009 and in the U.S. House of Representatives from 2009 to 2015.

<span class="mw-page-title-main">Affordable Care Act</span> U.S. federal statute also known as Obamacare

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965.

<span class="mw-page-title-main">Political positions of Paul Ryan</span> Political positions of Paul Ryan, U.S. Representative from Wisconsin

The political positions of Paul Ryan, the U.S. representative from Wisconsin's 1st congressional district from 1999 to 2019 and the 54th speaker of the United States House of Representatives from 2015 to 2019, were generally conservative, with a focus on fiscal policy. Ryan was Chairman of the House Budget Committee from 2011 to 2015 and of Ways and Means in 2015. Ryan was the Republican nominee for Vice President as the running mate of Mitt Romney in the 2012 presidential election.

<span class="mw-page-title-main">Exchange Information Disclosure Act</span>

The Exchange Information Disclosure Act is a bill that would require the United States Department of Health and Human Services to submit weekly reports to Congress about how many people are using HealthCare.gov and signing up for health insurance. These reports would be due every Monday until March 31, 2015, and would be available to the public. The bill would "require weekly updates on the number of unique website visitors, new accounts, and new enrollments in a qualified health plan, as well as the level of coverage," separating the data by state. The bill would also require reports on efforts to fix the broken portions of the website.

<span class="mw-page-title-main">Rod Blum</span> American politician (born 1955)

Rodney Leland Blum is an American businessman and politician who served as the U.S. representative for Iowa's 1st congressional district from 2015 to 2019. A member of the Republican Party, he was first elected in 2014 and won a second term in the 2016 elections.

<span class="mw-page-title-main">Roger Marshall</span> American politician and physician (born 1960)

Roger Wayne Marshall is an American politician, physician, and former military officer serving as the junior United States senator from Kansas since 2021. A member of the Republican Party, he served from 2017 to 2021 as the U.S. representative for Kansas's 1st congressional district, a mostly rural district covering much of the western and northern parts of the state.

The 2017 United States federal budget is the United States federal budget for fiscal year 2017, which lasted from October 1, 2016 to September 30, 2017. President Barack Obama submitted a budget proposal to the 114th Congress on February 9, 2016. The 2017 fiscal year overlaps the end of the Obama administration and the beginning of the Trump administration.

The following is a list of efforts to repeal the Affordable Care Act, which had been enacted by the 111th United States Congress on March 23, 2010.

<span class="mw-page-title-main">American Health Care Act of 2017</span> Proposed U.S. law

The American Health Care Act of 2017 was a bill in the 115th United States Congress. The bill, which was passed by the United States House of Representatives but not by the United States Senate, would have partially repealed the Affordable Care Act (ACA).

The "Jimmy Kimmel test" is a political litmus test used in political discourse in the United States during 2017 efforts to repeal the Affordable Care Act. First proposed by United States Senator Bill Cassidy, the test was used throughout 2017 to frame political debate over health care reform, and Cassidy's use of it in September 2017 prompted comedian and late-night talk show host Jimmy Kimmel to publicly attack a Senate health care bill co-sponsored by Cassidy. The resulting public debate contributed to the failure of the Senate bill.

<span class="mw-page-title-main">Graham–Cassidy health care amendment</span>

Graham–Cassidy or Graham–Cassidy–Heller–Johnson is the common name for Senate Amendment 1030 to the American Health Care Act of 2017. S.Amdt. 1030 was introduced on September 13, 2017, sponsored by Lindsey Graham (R-SC), with Bill Cassidy (R-LA) as a co-sponsor, after whom the amendment is named. The other three co-sponsors are Dean Heller (R-NV), Ron Johnson (R-WI), and Roy Blunt (R-MO). The amendment would repeal the Affordable Care Act (ACA), also known as Obamacare. It would also return control of the Medicaid program to the states and cap the program's funding. The amendment would also redistribute federal money differently to different states, with some states that expanded Medicaid under the ACA losing federal money to states that did not.

<span class="mw-page-title-main">Executive Order 13813</span> Executive order from 2017

The Executive Order Promoting Healthcare Choice and Competition, also known as the Trumpcare Executive Order, or Trumpcare, is an Executive Order signed by Donald Trump on October 12, 2017, which directs federal agencies to modify how the Patient Protection and Affordable Care Act of the Obama Administration is implemented. The order included a directive to federal agencies to end rules forbidding employers from using health reimbursement arrangements (HRAs) to pay individual insurance premiums.

<span class="mw-page-title-main">Bipartisan Health Care Stabilization Act of 2017</span>

The Bipartisan Health Care Stabilization Act of 2017 was a 2017 proposed compromise reached by senator and HELP Committee chairman Lamar Alexander and senator and HELP Committee ranking member Patty Murray to amend the Affordable Care Act to fund cost-sharing reductions subsidies. The plan will also provide more flexibility for state waivers, allow a new "Copper Plan" or catastrophic coverage for those under 30, allow interstate insurance compacts, and redirect consumer fees to states for outreach. President Trump had stopped paying the cost sharing subsidies and the Congressional Budget Office estimated his action would cost $200 billion, cause insurance sold on the exchange to cost 20% more and cause one million people to lose insurance.

The cost sharing reductions (CSR) subsidy is the smaller of two subsidies paid under the Patient Protection and Affordable Care Act (ACA) as part of the healthcare system in the United States. The subsidies were paid from 2013 to 2017 to insurance companies on behalf of eligible enrollees in the ACA to reduce co-payments and deductibles. They were discontinued by President Donald Trump in October 2017. The nature of the subsidy as discretionary spending versus mandatory was challenged in court by the Republican-controlled House of Representatives in 2014, although payments continued when the ruling in favor of the GOP was appealed by the Obama administration. The non-partisan Congressional Budget Office (CBO) estimated that ending the payments would increase insurance premiums on the ACA exchanges by around 20 percentage points, resulting in increases in the premium tax credit subsidies, thereby adding nearly $200 billion to the budget deficits over the following decade. Critics argued the decision was part of a wider strategy to "sabotage" the ACA.

The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965. Once the law was signed, provisions began taking effect, in a process that continued for years. Some provisions never took effect, while others were deferred for various periods.

California v. Texas, 593 U.S. ___ (2021), was a United States Supreme Court case that dealt with the constitutionality of the 2010 Affordable Care Act (ACA), colloquially known as Obamacare. It was the third such challenge to the ACA seen by the Supreme Court since its enactment. The case in California followed after the enactment of the Tax Cuts and Jobs Act of 2017 and the change to the tax penalty amount for Americans without required insurance that reduced the "individual mandate" to zero, effective for months after December 31, 2018. The District Court of the Northern District of Texas concluded that this individual mandate was a critical provision of the ACA and that, with a penalty amount equal to zero, some or all of the ACA was potentially unconstitutional as an improper use of Congress's taxation powers.

References

  1. ↑ 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.
  2. ↑ Diaz, Daniella; Tatum, Sophie; Wills, Amanda; Love, Alysha (January 20, 2017). "Trump inauguration". CNN.
  3. ↑ Luhby, Tami (January 6, 2017). "Americans split over Trump's ability to fix health care". CNNMoney. Retrieved January 9, 2017.
  4. ↑ Luhby, Tami (January 9, 2017). "How Trump could use his executive power on Obamacare". CNNMoney. Retrieved January 9, 2017.
  5. ↑ "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". United States Congress. January 3, 2017. Retrieved January 12, 2017.
  6. ↑ 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.
  7. 1 2 Andrew Taylor (January 12, 2017), Congress presses ahead on dismantling health care law, St. Louis, MO: St. Louis Today, retrieved January 13, 2017{{citation}}: Unknown parameter |agency= ignored (help)
  8. ↑ 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 ...{{cite web}}: CS1 maint: numeric names: authors list (link)
  9. ↑ 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
  10. ↑ "Senate opens Obamacare repeal drive with overnight marathon". January 12, 2017. Retrieved January 15, 2017.
  11. ↑ "Why the GOP Still Lacks an ACA Replacement Plan". RealClearPolitics. Retrieved January 10, 2017.
  12. ↑ Carney, Jordain (January 9, 2017). "Rand Paul rolling out ObamaCare replacement this week". TheHill. Retrieved January 10, 2017.
  13. ↑ Gregory Krieg (January 15, 2017). "Rand Paul previews Obamacare replacement plan". CNN. Retrieved January 16, 2017.
  14. ↑ Jordain Carney (January 17, 2017). "GOP senators introducing ObamaCare replacement Monday". The Hill. Retrieved January 18, 2017.
  15. ↑ "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.
  16. ↑ "American Healthcare Act Cost Estimate (May 2017)" (PDF). Congressional Budget Office. May 24, 2017. Retrieved May 24, 2017.
  17. ↑ "Who gains and who loses under the AHCA". taxpolicycenter.org. March 23, 2017.
  18. ↑ "The GOP health plans' impact on the uninsured, in one chart". July 27, 2017.
  19. ↑ Robert Pear and Thomas Kaplan (March 6, 2017). "House Republicans Unveil Plan to Replace Health Law". The New York Times. Retrieved March 7, 2017.
  20. 1 2 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.
  21. ↑ Jessie Hellmann (March 9, 2017). "Second committee advances ObamaCare repeal legislation". The Hill. Retrieved March 9, 2017.
  22. ↑ 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.
  23. ↑ 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.
  24. ↑ 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.
  25. ↑ Peter Sullivan (March 14, 2017). "Five key findings from the CBO's healthcare score". The Hill. Retrieved March 14, 2017.
  26. 1 2 Jessie Hellman (March 16, 2017). "Budget panel advances ObamaCare bill with three GOP defections". The Hill. Retrieved March 16, 2017.
  27. ↑ 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.
  28. ↑ 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.
  29. ↑ Daniella Diaz and Amanda Wills (March 24, 2017). "Trump and GOP pull health care bill". CNN. Retrieved March 24, 2017.
  30. ↑ "House Republicans repeal Obamacare, hurdles await in U.S. Senate", Reuters. Retrieved May 6, 2017.
  31. ↑ Bryan, Bob (May 4, 2017). "Senate Republicans signal they plan to scrap bill the House just passed and write their own". Business Insider.
  32. ↑ "H.R.1275 – World's Greatest Healthcare Plan of 2017". Congress.gov . March 3, 2017. Retrieved March 9, 2017.
  33. ↑ DeBonis, Mike; Costa, Robert; Weigel, David (March 7, 2017). "House GOP proposal to replace Obamacare sparks broad backlash". Washington Post . Retrieved March 9, 2017.
  34. ↑ Litvan, Laura (June 13, 2017). "Senate Republicans Are Writing Obamacare Repeal Behind Closed Doors". Bloomberg.com. Retrieved June 13, 2017.
  35. 1 2 Dana Bash; Lauren Fox; Ted Barrett (May 9, 2017). "GOP defends having no women in health care group". CNN. Retrieved June 13, 2017.
  36. ↑ Pear, Robert (May 8, 2017). "13 Men, and No Women, Are Writing New G.O.P. Health Bill in Senate". The New York Times. ISSN   0362-4331 . Retrieved June 13, 2017.
  37. ↑ "McCaskill on Senate GOP health-care proposal: 'We have no idea what's being proposed'". Washington Post. June 11, 2017. Retrieved June 13, 2017.
  38. ↑ 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.
  39. ↑ Meyer, Ken (June 10, 2017). "Video of McCaskill Ripping GOP 'Back Room' Tactics Goes Viral". Mediaite. Retrieved June 13, 2017.
  40. ↑ Bolton, Alexander (June 13, 2017). "Senate Republicans crack down on press access". The Hill. Retrieved June 13, 2017.
  41. ↑ Owens, Caitlin (June 12, 2016). "Senate GOP won't release draft health care bill". Axios. Retrieved June 15, 2017.
  42. ↑ Levey, Noam N.; Mascaro, Lisa (June 16, 2016). "Republican secrecy faces mounting criticism as GOP senators work behind closed doors to repeal Obamacare". Los Angeles Times. ISSN   0458-3035 . Retrieved June 16, 2017.
  43. ↑ 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.
  44. ↑ "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.
  45. ↑ "Trump on Senate's health care failure: "Let Obamacare fail"". www.cbsnews.com. July 18, 2017.
  46. ↑ "S.Amdt.1030 to H.R.1628 – 115th Congress (2017–2018)". United States Congress. September 13, 2017. Retrieved September 23, 2017.
  47. ↑ Viebeck, Elise (September 20, 2017). "Why Senate Republicans are in such a rush this month on health care". Washington Post. Retrieved September 23, 2017.
  48. ↑ Nwanevu, Osita (September 20, 2017). "Senate to Vote on Obamacare Repeal Again Next Week". Slate. Retrieved September 23, 2017.
  49. ↑ Everett, Burgess. "Senate girds for final Obamacare repeal vote". Politico.
  50. ↑ Killough, Ashley (September 19, 2017). "Where Republicans stand on Graham-Cassidy". CNN. Retrieved September 23, 2017.
  51. ↑ Fox, Lauren (September 26, 2017). "Senate won't vote on GOP health care bill". CNN. Retrieved September 26, 2017.
  52. ↑ Kodjak, Alison (October 13, 2017). "Halt In Subsidies For Health Insurers Expected To Drive Up Costs For Middle Class". NPR . Retrieved October 14, 2017.
  53. ↑ Klein, Betsy (October 18, 2018). "Trump: 'All Republicans' support pre-existing conditions, but White House policy says otherwise". CNN . Retrieved October 29, 2018.
  54. ↑ Kodjak, Alison (October 6, 2017). "Trump Guts Requirement That Employer Health Plans Pay For Birth Control". NPR . Retrieved October 6, 2017.
  55. ↑ Carroll, Aaron E. (October 10, 2017). "Doubtful Science Behind Arguments to Restrict Birth Control Access". The New York Times. Retrieved October 10, 2017.
  56. ↑ Pramuk, Jacob (March 12, 2019). "Trump 2020 budget proposes reduced Medicare and Medicaid spending". www.cnbc.com. Retrieved March 16, 2019.
  57. ↑ 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 .
  58. ↑ Rau, Jordan (December 24, 2017). "Trump Administration Eases Nursing Home Fines in Victory for Industry". The New York Times. ISSN   0362-4331 . Retrieved December 26, 2017.
  59. ↑ 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.
  60. ↑ Paletta, Damian (May 14, 2018). "Trump's drug price retreat adds to list of abandoned populist promises". The Washington Post . ISSN   0190-8286 . Retrieved May 14, 2018.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.