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Another Senate Showdown: Vote Expected on Graham-Cassidy Repeal Bill

With the Fiscal Year 2017 budget reconciliation instructions expiring on Saturday, September 30, the Senate is making one last push to consider Affordable Care Act (ACA) repeal-and-replace legislation drafted by Senators...more

One Last Attempt at ACA Repeal/Replace, or Pivot to Market Stabilization Bill?

While enthusiasm for pursing another vote on ACA repeal and replace in the Senate appears to have dimmed, hopes for repeal have not yet been extinguished. At the same time, a bipartisan group of Senators is working on a...more

Affordable Care Act Repeal and Replace Will Go Down to the Wire

Congress returns to Washington today, September 5, 2017, and faces a formidable to-do list for the month: Acting on the Administration’s $14.55 billion emergency funding request for disaster assistance for Hurricane Harvey,...more

Update on Cost-Sharing Reduction (CSR) Payments and Graham-Cassidy-Heller Proposal

According to multiple media reports, the Trump administration will make CSR payments for August. President Trump has previously called these expenditures, which help insurers fund coverage for low income individuals,...more

ACA Legislative Path and Cost–Sharing Reduction Payments Both Uncertain

Congress is on recess until September 5, and the outlook for Affordable Care Act (ACA) repeal and replace legislation remains unclear. Moderate Democrats and Republicans want to work together to shore up the ACA insurance...more

Senate Fails to Achieve Consensus on ACA Repeal; Outlook for Healthcare Legislation Uncertain

Last week, the Senate debated and voted upon legislation (1) to repeal-and-replace the Affordable Care Act (ACA); (2) to repeal the ACA without a replacement; and (3) to repeal-and-replace the ACA in a more limited—or...more

Senate to Vote on Motion to Proceed to Debate Healthcare Reform

Following a week in which Senate Republican healthcare reform plans shifted from Affordable Care Act (ACA) repeal and replace, to repeal only, to uncertain, the Senate is expected to vote tomorrow, July 25, 2017, on a motion...more

Senate Timing Uncertain on Revised Better Care Reconciliation Act of 2017

On July 13, 2017, the Senate released its revised Affordable Care Act (ACA) repeal and replace bill, the Better Care Reconciliation Act of 2017 (BCRA), along with updated summaries (Titles I and II, and Title III) of the...more

Outlook and Timing for Affordable Care Act Repeal and Replace Uncertain as Senate Returns from July Fourth Recess

The Senate returns today from its July Fourth recess and will be in session for the next three weeks. Over the recess, the number of senators stating that they could not support the current draft of the Better Care...more

CBO Scores Senate ACA Repeal and Replace Bill; Senate Postpones Legislative Action Until After July 4

On June 27, 2017, Senate Republican leaders postponed a planned vote on the motion to proceed to debate on the Better Care Reconciliation Act of 2017 (BCRA), legislation to repeal and replace the Affordable Care Act, until...more

Senate Unveils Repeal and Replace Legislation, the Better Care Reconciliation Act of 2017

On June 22, the Senate Budget Committee posted the discussion draft, available here, of its Affordable Care Act (ACA) repeal and replace legislation, the Better Care Reconciliation Act of 2017 (BCRA). Similar in structure to...more

Congressional Budget Office Releases Report on American Health Care Act

On May 24, the Congressional Budget Office (CBO) released its analysis - or “score” - of H.R. 1628, the American Health Care Act (AHCA), as passed by the House on May 4, 2017. The CBO score projects that the AHCA would...more

Senators Continue Negotiations on American Health Care Act (AHCA)

Senate Republicans have been meeting in private to find a path to 50 votes to support legislation to repeal and replace the Affordable Care Act (ACA), following the House passage of the AHCA on May 4. Senate Majority Leader...more

House Approves the American Health Care Act to Repeal and Replace the Affordable Care Act

Yesterday, by a vote of 217 to 213, the U.S. House of Representatives approved H.R. 1628, the American Health Care Act (AHCA), to repeal and replace the Patient Protection and Affordable Care Act (ACA). The House action...more

Efforts to Revive American Health Care Act (AHCA) Stall Before Recess

Last week, prior to departing Washington, D.C. for a two week congressional recess, House Republicans and the Trump Administration worked to come to an agreement on the American Health Care Act (AHCA), legislation to repeal...more

House Pulls Vote on ACA Repeal and Replace, Future Uncertain

Following a week of amendments and last-minute deal making, and after postponing a scheduled March 23 vote, the House leadership cancelled a vote on H.R. 1628, the American Health Care Act (AHCA), legislation to repeal and...more

GOP Repeal and Replace Healthcare Bill Advances After Committee Votes

On March 8, 2017, the two House Committees responsible for healthcare policy related to the Affordable Care Act (ACA) held marathon-like deliberations to mark-up their respective portions of the Republicansponsored health...more

Draft GOP Affordable Care Act (ACA) Repeal and Replacement Leaked

On Friday, February 24, 2017, Politico released details of a leaked draft House GOP “repeal and replace” bill (Draft) aimed at dismantling key provisions of the ACA, including Medicaid expansion, the individual mandate,...more

House Republicans Release Obamacare Repeal and Replace Policy Brief; Senate Finance Committee Holds Hearing on Verma CMS...

On February 16, 2017, House Republicans released a policy brief on how to repeal and replace the Affordable Care Act (ACA). The brief builds upon the ideas outlined in the 2016 “A Better Way” proposal and promises action on...more

Price Confirmed as HHS Secretary; Hearing Scheduled on Verma Nomination

Early in the morning of February 10, 2017, the U.S. Senate confirmed Rep. Tom Price (R-GA) to be the Secretary of Health and Human Services. Senators voted along party lines, 52 to 47, to confirm Rep. Price, an orthopedic...more

Transition Update, ACA Repeal and Replace, and Look Ahead

On January 24, 2017, the Senate Finance Committee held a hearing on the nomination of Dr. Tom Price (R-GA) to be Secretary of HHS. The Committee has scheduled a vote for today, January 30, on his nomination. ...more

Congress Passes Budget Resolution as First Step to Repeal the Affordable Care Act (ACA); President-elect Trump to Deliver Own...

Last week, Congress took the first step in a process to repeal and replace the ACA by passing S. Con. Res. 3, a Fiscal Year 2017 budget resolution, to instruct congressional health committees to write legislation, known as...more

Congress to Vote on Budget Resolution to Start Process of Repealing the Affordable Care Act; Vice President-Elect Pence Promises...

This week, the Senate and the House are expected to approve an FY 2017 budget resolution instructing congressional committees to write legislation, known as budget reconciliation bills, to rescind many key components of the...more

President-elect Trump Nominates Representative Tom Price, M.D. as HHS Secretary and Seema Verma as CMS Administrator

President-elect Trump stated that Rep. Price, an orthopedic surgeon, six-term Member of Congress, and Chairman of the Budget Committee, “has earned a reputation for being a tireless problem solver and the go-to expert on...more

CMS Finalizes Policies on Off-Campus Provider-Based Status CMS Will Pay Non-Excepted PBDs in 2017, But Adopts Nearly All Other...

On November 1, 2016, the Centers for Medicare & Medicaid Services (CMS) issued its CY 2017 Outpatient Prospective Payment System (OPPS) Final Rule, which includes the agency’s final policies implementing legislative changes...more

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