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Wednesday, Jan 4 2017

Full Issue

Repeal And Replace Top The GOP To-Do List... But Completing That Task Brings Some Risks, Challenges

This ambitious and complicated undertaking, which would have significant impact on both the insurance marketplace and political landscape, is leading to differences in opinion among Republican lawmakers about how best to proceed.

Congressional Republicans, despite pledging to quickly repeal the Affordable Care Act, are struggling with聽what parts of the law to roll back聽and how to lock up the votes they will need, particularly in the Senate,聽to push their ambitious plans. Settling these questions may delay any major repeal vote for months. Just as importantly, a protracted debate could force President-elect Donald Trump and GOP lawmakers to preserve parts of the healthcare law they once swore to eliminate. And this聽all must be resolved before they even turn to the question of how to replace the law. (Levey, 1/3)

The Patient Protection and Affordable Care Act of 2010, known as Obamacare, reshaped the U.S. health-insurance market. The November election handed Congress and the White House to Republicans, who have vowed to repeal and replace the law. As President Obama heads to the Hill to defend his signature legislation, here are some things to know. (Evans, 1/3)

Republicans began their efforts to repeal the Affordable Care Act Tuesday. Problem is, now that they have the political power to do it, some lawmakers are realizing they need to replace elements of the law. (Gorenstein, 1/3)

The so-called "repeal and delay" tactic, however, is not sitting well with some in Congress, particularly a few top GOP senators. Senator Lamar Alexander, who chairs the health committee, said if the process is rushed, harm may be done or mistakes made. These senators would like to wait until a more solid replacement plan is in hand so it's possible they will try to slow down the reconciliation process. (Luhby, 1/3)

Sens. Susan Collins (R-Maine), Bill Cassidy (R-La.) and Rand Paul (R-Ky.) expressed hesitation about repealing the health care law without having a replacement plan ready to go, citing concerns about how the market would react to the swift repeal without an alternative to take its place. While none have said they would vote against a repeal measure without an alternative in place, several sit on key committees that will work directly on the law鈥檚 repeal and replacement. (McIntire, 1/3)

The 115th Congress started work Tuesday with Republican majorities in both the House and Senate in agreement on their top priority 鈥斅爐o repeal and replace the 2010 health law, the Affordable Care Act. 鈥淭he Obamacare experience has proven it鈥檚 a failure,鈥 House Majority Leader Kevin McCarthy, R-Calif., told reporters at an opening day news conference. But that may be where the agreement among Republicans ends. Nearly seven years after its passage, Republicans still have no consensus on how to repeal and replace the measure. (Rovner, 1/3)

President-elect Donald Trump on Tuesday focused his rhetoric on the Affordable Care Act, calling the insurance plans offered under the law 鈥渓ousy healthcare.鈥 鈥淧eople must remember that ObamaCare just doesn鈥檛 work, and it is not affordable,鈥 Trump said in a tweet Tuesday morning. (McIntire, 1/3)

The phrase 鈥渞epeal and replace鈥 the Affordable Care Act long has been popular among Republicans. But the 鈥渞eplace鈥 part has always been thorny. With Republicans taking control of the White House and having majorities in the Senate and House, the prospect of leaving up to 30 million people without healthcare appears to have chilled the rhetoric.聽Still, members of the newest Congress took swift action Tuesday to make good on their longtime promise of repealing the ACA. But more Republicans are suggesting a slow death of the landmark legislation and a gradual replacement. That opens the door to keeping key provisions of the ACA, such as subsidies to help people buy insurance and the provision allowing people to stay on their parents' plans until they're 26. (Muchmore, 1/3)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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