Senate passes bill repealing major provisions of Affordable Care Act
Last week, the Senate passed an Affordable Care Act (ACA) repeal bill, with a vote of 52-47. Although largely symbolic, this marks the first time the Senate has been able to pass such a bill.
The Senate voted on a bill previously passed by the House, however, because of the large number of amendments made by the Senate, the legislation now goes back to the House, where it is all but certain to pass. The White House already stated the President will veto any ACA repeal legislation, and because the Republicans do not have enough votes to override such a veto, this will be the end of the movement. Nonetheless, the Republicans will see this as a major step in their attempt to repeal the ACA, as it is the first time Congress will be able to get such a bill to the President’s desk.
What’s more interesting is the parts of the bill which gained some bipartisan support. For example, the “Cadillac tax” repeal amendment was overwhelmingly approved with a vote of 90-10. Although this amendment will not become law this time around, its repeal is already scheduled in talks in tax packages expected to be voted on before the end of the year. It is also unclear how the anticipated funding expected from the Cadillac tax would be replaced. It is estimated such a repeal would remove about $90 billion from the ACA over 10 years, however, the Senate’s tax repeal would not go into effect until 2015.
The passage of the bill also gives a glimpse into the Republican’s ACA repeal agenda should they win the White House bid next year. Some of the major provisions include:
- Defunding of Planned Parenthood
- Repeal of the Medicaid expansion
- Elimination of reinsurance, risk corridors, and risk adjustment programs set up under ACA
- Repeal of Cadillac tax
- End premium subsidies for insurance purchased through the Marketplace and small business tax credits
- Repeal of individual and employer mandates by lowering the penalties for non-compliance to $0
- End of healthcare.gov
Despite the Republican Party’s fulfillment of the promise to get an ACA repeal to the White House, conservatives have yet to offer a replacement plan. The vote on the Medicaid repeal could also create some problems for senators up for re-election in states that have expanded Medicaid, such as Pennsylvania, Illinois, and Wisconsin. At the same time, Medicaid expansion continues to gain more interest from the remaining states yet to expand. Louisiana’s new governor vowed to expand Medicaid on his first day in office. Virginia Hospital and Healthcare Association recently announced their change in position to support a bed tax, which would allow the state to expand Medicaid under ACA without any additional state funding. Utah and Wyoming continue talks to come up with a plan to expand Medicaid in the next year. And although Idaho remains opposed to expanding, the legislature is discussing a plan for the state to cover basic primary care for those who do not qualify for Medicaid but earn too little for subsidies under healthcare.gov, at a cost of $32 per month.
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