Tag

#repeal

Rule of Law
Major Abuse of Power

ACA Repeal Failure: Skinny Repeal Defeated, 23 Million Would Have Lost Coverage

The Republican-led repeal effort over seven months produced several bills that the CBO estimated would cause tens of millions of Americans to lose health insurance. The final attempt — 'skinny repeal' — was a bill so limited in scope that even its Republican proponents did not want it to become law; its stated purpose was to pass something into conference. John McCain, who had returned from brain cancer treatment to cast the deciding vote, gave a thumbs-down at 1:30 AM to defeat the bill 51-49. Trump's response was to blame Republicans and to threaten to withhold the cost-sharing reduction payments that stabilized the ACA market, causing premiums to rise.

Sources
4
ACAhealthcareMcCainrepealfirst-term
Updated December 18, 2019 Federal Dismantlement
Critical Rights and Rule-of-Law Concern

ACA Repeal Failures and Sabotage: Losing 51-49, Then Dismantling Piece by Piece

The administration's attempt to repeal and replace the ACA failed through three separate legislative vehicles: the American Health Care Act (AHCA) passed the House but died in the Senate; the Better Care Reconciliation Act failed to advance in the Senate; and the 'skinny repeal' (Health Care Freedom Act) failed 51-49 when McCain, Murkowski, and Collins voted against it. Following legislative failure, the administration cut the Navigator program (enrollment assistance) from $63 million to $10 million, reduced the open enrollment window, and created an association of short-term health plans that could deny coverage for pre-existing conditions. Termination of cost-sharing reduction payments to insurers triggered premium increases and a complex subsidy dynamic that ultimately cost the government more than the payments themselves.

Sources
4
ACAhealthcarerepealfirst-termfederal-dismantlement