New links to be added as they appear or are suggested, just trying to build some references. Most recent additions appear at the bottom of the post.
CBO Analysis of the AHCA https://www.cbo.gov/sites/default/f...7-2018/costestimate/americanhealthcareact.pdf
KFF comparison of proposals Compare Proposals to Replace The Affordable Care Act | The Henry J. Kaiser Family Foundation
[-]HR 1628 (American Health Care Act of 2017 ) summary https://rules.house.gov/sites/republicans.rules.house.gov/files/115/115-AHCA-SxS-Policy2ndDegree.pdf[/-] (see updated version below)
House Energy and Commerce proposal (here) and summary (here)
House Ways and Means proposal (here) and summary (here)
Manager's Amendment to the bills: technical changes (here) and policy changes (here)
New Managers Amendment Text (here) Summary (here)
Health Affairs Blog analysis of proposal Examining The House Republican ACA Repeal And Replace Legislation
Health Affairs Blog post on 3/20 Manager's Amendment What’s In The Manager’s Amendment To AHCA?
Health Affairs Blog post on 3/23 changes House Republicans Tweak AHCA Again; CBO Scores Earlier Changes
Wiki page for the AHCA https://en.wikipedia.org/wiki/American_Health_Care_Act#cite_note-22
HR372 Competitive Health Insurance Reform Act of 2017 (modification of the McCarran-Ferguson Act antitrust exemption for insurers) (Bill) and CBO report (here)
HHS new "Market Stabilization" rule, announced 4/13. rule here, press release here. Health Affairs blog post on this here.
Milliman white paper on "Federal invisible risk pools" https://thefga.org/wp-content/uploads/2017/04/The-Federal-Invisible-High-Risk-Pool.pdf
Below in the current version of the AHCA as of 05/17, not including technical amendments
HR 1628 updated https://www.gpo.gov/fdsys/pkg/BILLS-115hr1628rh/pdf/BILLS-115hr1628rh.pdf
MacArthur Amendment 33 (allows states to waive essential health benefits, increase the age rating ratio, make other changes) (summary here) (text here)
Amendment 32 (Palmer and Schweikert ) Establishes the Federal Invisible Risk Sharing Program (summary here) (text here)
Amendment 5 (Walden and Brady) Medicaid Policy changes (summary here) (text here)
Amendment 31 (Walden and Brady ) Additional modification to Medicaid proposal (summary here) (text here)
HR 2192 (eliminates the waiver in HR 1628 exempting members of congress from being subject to state's modification of essential health benefits or reassignment to risk pools) (summary here) (text here)
Upton Amendment 34, adds $8B to the Patient State and Stability Fund (summery here) (text here)
Website House Bill 1628 https://rules.house.gov/bill/115/hr-1628
CBO estimate of 1628 https://www.cbo.gov/publication/52752
Senate budget committee announcement that the AHCA complies with the Senate reconciliation process https://www.budget.senate.gov/chair...t-complies_with-senate-reconciliation-process
Draft copy of “Better Care Reconciliation Act of 2017," https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf
CBO score for H.R. 1628, Better Care Reconciliation Act of 2017 https://www.cbo.gov/publication/52849
Amended version of Senate Better Heath Care Act. https://www.budget.senate.gov/imo/media/doc/BetterCareReconcilistionAct.6.26.17.pdf (changes include use of stability fund resources and allows insurers to impose a 6 month waiting period when there is a lapse in continuous coverage)
CBO Supplemental on Medicaid spending under the BCRA https://www.cbo.gov/system/files/115th-congress-2017-2018/reports/52859-medicaid.pdf
Very interesting podcast interview of Avik Roy by Ezra Klein, with a discussion of the philosophical underpinnings of the proposed reform. https://art19.com/shows/the-ezra-klein-show/episodes/2290211b-6600-4673-b93a-b010b3867598
Revised (July 13) BCRA links
- overview https://www.budget.senate.gov/bettercare
- the bill https://www.budget.senate.gov/imo/media/doc/BetterCareJuly13.2017.pdf
- section by section summary https://www.budget.senate.gov/imo/media/doc/BCRA Section by Section Summary 7.13.17.pdf
- summary section 301 (Cruz amendment) https://www.budget.senate.gov/imo/media/doc/BCRA Title III Summary ERN17490[2].pdf
- CBO analysis (7/19) https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52939-hr1628amendment.pdf
Senate Parliamentarian ruling on the BCRA https://www.budget.senate.gov/imo/media/doc/Background on Byrd Rule decisions_7.21[1].pdf
Senate Health Care Freedom Act https://www.budget.senate.gov/imo/media/doc/HealthCareFreedomAct.pdf
There is no accompanying summary, here's a link to HSA blog explaining the proposal The Senate’s Health Care Freedom Act
House bipartisan problem solvers health care proposal
Summary https://drive.google.com/file/d/0BzGrAsu82Hmpc3g5OUxHRndjTGRVRUluNFFJNndBSklTRFpv/view
Press release https://costello.house.gov/media-ce...nd-problem-solvers-caucus-announce-bipartisan
AHIP open letter on CSR https://www.ahip.org/csr-joint-statement/
Health Reform Roundtable Media Statement http://www.convergencepolicy.org/wp-content/uploads/2017/06/FINAL-Roundtable-statement-8.7.17.pdf
Graham - Cassidy bill
- summary section by section https://www.cassidy.senate.gov/imo/media/doc/Section by Section Final.pdf
- Text https://www.cassidy.senate.gov/imo/media/doc/LYN17709.pdf
Commonwealth Fund analysis on the impact of Graham - Cassidy What Are the Potential Effects of the Graham-Cassidy ACA Repeal-and-Replace Bill? Past Estimates Provide Some Clues - The Commonwealth Fund
Avelere Health assessmentmof G-C Graham-Cassidy-Heller-Johnson Bill Would Reduce Federal Funding to States by $215 Billion | Avalere Health
Kaiser Foundation Assessment of G - C State-by-State Estimates of Changes in Federal Spending on Health Care Under the Graham-Cassidy Bill | The Henry J. Kaiser Family Foundation
USC - Brookings analysis of G - C https://www.brookings.edu/research/...ber-of-people-with-health-insurance-coverage/
CBO estimates for G - C https://www.cbo.gov/publication/53126
Executive Order for Promoting Health Care Choice and Competition across State Lines. https://www.whitehouse.gov/the-pres...r-promoting-healthcare-choice-and-competition
Two views on the executive order
- Timothy Jost Trump Executive Order Expands Opportunities For Healthier People To Exit ACA
- Avik Roy https://www.forbes.com/sites/theapo...igated-the-obamacare-apocalypse/#1ba201737099
Last updated October 16
New links to be added as they appear or are suggested, just trying to build some references. Most recent additions appear at the bottom of the post.
CBO Analysis of the AHCA https://www.cbo.gov/sites/default/f...7-2018/costestimate/americanhealthcareact.pdf
KFF comparison of proposals Compare Proposals to Replace The Affordable Care Act | The Henry J. Kaiser Family Foundation
[-]HR 1628 (American Health Care Act of 2017 ) summary https://rules.house.gov/sites/republicans.rules.house.gov/files/115/115-AHCA-SxS-Policy2ndDegree.pdf[/-] (see updated version below)
House Energy and Commerce proposal (here) and summary (here)
House Ways and Means proposal (here) and summary (here)
Manager's Amendment to the bills: technical changes (here) and policy changes (here)
New Managers Amendment Text (here) Summary (here)
Health Affairs Blog analysis of proposal Examining The House Republican ACA Repeal And Replace Legislation
Health Affairs Blog post on 3/20 Manager's Amendment What’s In The Manager’s Amendment To AHCA?
Health Affairs Blog post on 3/23 changes House Republicans Tweak AHCA Again; CBO Scores Earlier Changes
Wiki page for the AHCA https://en.wikipedia.org/wiki/American_Health_Care_Act#cite_note-22
HR372 Competitive Health Insurance Reform Act of 2017 (modification of the McCarran-Ferguson Act antitrust exemption for insurers) (Bill) and CBO report (here)
HHS new "Market Stabilization" rule, announced 4/13. rule here, press release here. Health Affairs blog post on this here.
Milliman white paper on "Federal invisible risk pools" https://thefga.org/wp-content/uploads/2017/04/The-Federal-Invisible-High-Risk-Pool.pdf
Below in the current version of the AHCA as of 05/17, not including technical amendments
HR 1628 updated https://www.gpo.gov/fdsys/pkg/BILLS-115hr1628rh/pdf/BILLS-115hr1628rh.pdf
MacArthur Amendment 33 (allows states to waive essential health benefits, increase the age rating ratio, make other changes) (summary here) (text here)
Amendment 32 (Palmer and Schweikert ) Establishes the Federal Invisible Risk Sharing Program (summary here) (text here)
Amendment 5 (Walden and Brady) Medicaid Policy changes (summary here) (text here)
Amendment 31 (Walden and Brady ) Additional modification to Medicaid proposal (summary here) (text here)
HR 2192 (eliminates the waiver in HR 1628 exempting members of congress from being subject to state's modification of essential health benefits or reassignment to risk pools) (summary here) (text here)
Upton Amendment 34, adds $8B to the Patient State and Stability Fund (summery here) (text here)
Website House Bill 1628 https://rules.house.gov/bill/115/hr-1628
CBO estimate of 1628 https://www.cbo.gov/publication/52752
Senate budget committee announcement that the AHCA complies with the Senate reconciliation process https://www.budget.senate.gov/chair...t-complies_with-senate-reconciliation-process
Draft copy of “Better Care Reconciliation Act of 2017," https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf
CBO score for H.R. 1628, Better Care Reconciliation Act of 2017 https://www.cbo.gov/publication/52849
Amended version of Senate Better Heath Care Act. https://www.budget.senate.gov/imo/media/doc/BetterCareReconcilistionAct.6.26.17.pdf (changes include use of stability fund resources and allows insurers to impose a 6 month waiting period when there is a lapse in continuous coverage)
CBO Supplemental on Medicaid spending under the BCRA https://www.cbo.gov/system/files/115th-congress-2017-2018/reports/52859-medicaid.pdf
Very interesting podcast interview of Avik Roy by Ezra Klein, with a discussion of the philosophical underpinnings of the proposed reform. https://art19.com/shows/the-ezra-klein-show/episodes/2290211b-6600-4673-b93a-b010b3867598
Revised (July 13) BCRA links
- overview https://www.budget.senate.gov/bettercare
- the bill https://www.budget.senate.gov/imo/media/doc/BetterCareJuly13.2017.pdf
- section by section summary https://www.budget.senate.gov/imo/media/doc/BCRA Section by Section Summary 7.13.17.pdf
- summary section 301 (Cruz amendment) https://www.budget.senate.gov/imo/media/doc/BCRA Title III Summary ERN17490[2].pdf
- CBO analysis (7/19) https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52939-hr1628amendment.pdf
Senate Parliamentarian ruling on the BCRA https://www.budget.senate.gov/imo/media/doc/Background on Byrd Rule decisions_7.21[1].pdf
Senate Health Care Freedom Act https://www.budget.senate.gov/imo/media/doc/HealthCareFreedomAct.pdf
There is no accompanying summary, here's a link to HSA blog explaining the proposal The Senate’s Health Care Freedom Act
House bipartisan problem solvers health care proposal
Summary https://drive.google.com/file/d/0BzGrAsu82Hmpc3g5OUxHRndjTGRVRUluNFFJNndBSklTRFpv/view
Press release https://costello.house.gov/media-ce...nd-problem-solvers-caucus-announce-bipartisan
AHIP open letter on CSR https://www.ahip.org/csr-joint-statement/
Health Reform Roundtable Media Statement http://www.convergencepolicy.org/wp-content/uploads/2017/06/FINAL-Roundtable-statement-8.7.17.pdf
Graham - Cassidy bill
- summary section by section https://www.cassidy.senate.gov/imo/media/doc/Section by Section Final.pdf
- Text https://www.cassidy.senate.gov/imo/media/doc/LYN17709.pdf
Commonwealth Fund analysis on the impact of Graham - Cassidy What Are the Potential Effects of the Graham-Cassidy ACA Repeal-and-Replace Bill? Past Estimates Provide Some Clues - The Commonwealth Fund
Avelere Health assessmentmof G-C Graham-Cassidy-Heller-Johnson Bill Would Reduce Federal Funding to States by $215 Billion | Avalere Health
Kaiser Foundation Assessment of G - C State-by-State Estimates of Changes in Federal Spending on Health Care Under the Graham-Cassidy Bill | The Henry J. Kaiser Family Foundation
USC - Brookings analysis of G - C https://www.brookings.edu/research/...ber-of-people-with-health-insurance-coverage/
CBO estimates for G - C https://www.cbo.gov/publication/53126
Executive Order for Promoting Health Care Choice and Competition across State Lines. https://www.whitehouse.gov/the-pres...r-promoting-healthcare-choice-and-competition
Two views on the executive order
- Timothy Jost Trump Executive Order Expands Opportunities For Healthier People To Exit ACA
- Avik Roy https://www.forbes.com/sites/theapo...igated-the-obamacare-apocalypse/#1ba201737099
Last updated October 16
New links to be added as they appear or are suggested, just trying to build some references. Most recent additions appear at the bottom of the post.
Last edited:
