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Low-income people and older Americans would find it more difficult to win lawsuits for injuries caused by medical malpractice or defective drugs or medical devices under a bill drafted by House Republicans as part of their plan to replace the Affordable Care Act. (Pear, 4/15)

Republican efforts in Congress to replace the Affordable Care Act include a Michigan-inspired policy that would let states across the nation remove from Medicaid rolls individuals who win big in the lottery. Rep. Fred Upton, R-St. Joseph, has sponsored a bill — included in the House Republican health care overhaul plan — that he says, over a decade, could save the government hundreds of millions of dollars in payments for Medicaid, the health care program for low-income Americans. But one budget expert says the change could end up being a hassle for states. (Burke, 4/17)