Ongoing Efforts to Repeal ACA

May 9, 2018

Some Conservative groups being led by the Heritage Foundation and the Galen Institute along with a few members of Congress are hoping to release a new Patient Protection and Affordable Care Act (ACA) replacement plan later this month as they try to keep alive the repeal effort.

The plan has essentially no chance of moving in Congress this year. Republican congressional leadership has made clear that it has moved on from the ACA repeal effort this year. And Senate Republicans have an even smaller margin than they did last year when they failed to pass a repeal bill.

Yet, the White House has been said to support the effort of this broad coalition–which also includes former Sen. Rick Santorum (R-Pa.)–working to address the ACA and increase affordable healthcare options for middle-class Americans.

While little details have been released, the plan may include block grants to the states, taking money now being spent on the ACA’s subsidies and Medicaid expansion and instead packaging it into a block grant. Unlike the Graham-Cassidy proposal that failed to gain momentum last year, the new plan would not cap Medicaid spending, known as a per capita cap, taking out one controversial element of the original plan.

This coalition group is still working out other details, such as how many of ACA’s regulations to repeal, and whether to repeal the rules preventing people with pre-existing conditions from being charged higher premiums. Those regulations were a major source of internal Republican debate last year.