GOP Health Plan CBO Score


Earlier today, the nonpartisan Congressional Budget Office (CBO) released its assessment (commonly referred to as a ‘score’) of how the House Republican health care plan, the American Health Care Act (AHCA), will impact the healthcare market and it’s cost estimates. The CBO found that the plan, which repeals the Obama era ACA law and is replaced with AHCA, would result in over 24 million individuals being uninsured by the year 2026.

The House Republican plan would make cuts to Medicaid, cutting the deficit by $337 billion over the next decade. The CBO also found that premiums in the individual market will rise by 15%-20% over the current law; the rise in premiums is attributed to the repeal of the ACA’s individual mandate.

The CBO estimates present a political challenge for House Republicans, with the immediate effects of an ACA repeal and an AHCA replacement resulting in 14 million more uninsured individuals by next year. A sizable shift in the uninsured population could translate in to a backlash in the lead up to the 2018 midterm election. The plan would likely also face significant opposition from Republican and Democratic Governors alike.

We’ll continue to closely monitor developments around healthcare reform, and urge you to continue to following Capitol Beat and our RN Action twitter account for the updates.

House GOP Health Reform Update


On Monday, the House Republican caucus unveiled their long awaited health reform plan that would repeal and replace the Affordable Care Act. The bill, titled the American Health Care Act (AHCA), subsequently passed the two primary House committees of jurisdiction. The House Energy & Commerce Committee and the House Ways & Means Committee held marathon hearings on Wednesday and Thursday, with the former lasting more than 27 hours while they considered amendments offered by Democrats (none of which were accepted). The vote approving the bill out of committee fell along party lines, with House Republicans voting unanimously in favor of the bill and every Democratic member opposing it.

Next week, we expect the bill to have a similar markup hearing in the House Budget committee, paving the way for the legislation to be introduced for a floor vote by the full House before the end of the month. On Monday, the nonpartisan Congressional Budget Office (CBO) is expected to release its score assessing the impact of the AHCA on the healthcare system, and it is expected to show a loss of health coverage reaching as many as 15 million individuals.

The Conservative House Freedom Caucus, which famously pushed Speaker Boehner out of office, has continued to push for a provision that would halt state Medicaid expansion by the end of this year. That provision would make it even more difficult for the AHCA to pass the Senate, where Republican Senators from Medicaid expansion states have said that provision would be a non-starter. With the bill expected to face a close vote in the Senate, the slim two-vote Republican majority means that only two Senators can defect.

Following the expected House vote before the end of the month, the Senate will likely try to bring it up for a vote in the first half of April, before Congress breaks for Easter recess.

ANA Announces Opposition to GOP Health Reform Bill


Earlier today, ANA submitted a letter from President Pamela F. Cipriano, PhD, RN, FAAN to Congressional leaders detailing our concerns over the House healthcare reform legislation introduced earlier this week. The letter details the bills shortcomings and expresses our opposition to the legislation in its current form.

ANA has serious concerns with a number of the bill’s key provisions that seek to do the following:

  • Replace pre-existing condition discrimination protections with continuous coverage buy-in penalties
  • Wind-down Medicaid expansion and fundamentally shift the program to a per-capita block grant funding structure for states
  • Eliminate the Prevention and Public Health Fund
  • Restrict access to women’s health services
  • Repeal income-based subsidies in exchange for age-based tax credits

We’ll continue to closely monitor developments around healthcare reform, and urge you to continue to following Capitol Beat and our RN Action twitter account for the updates.