On Thursday, December 3, the Senate voted on a budget reconciliation bill that would repeal key provisions of the Affordable Care Act (ACA) and numerous Medicaid provisions authorized by the law. A budget reconciliation bill requires only a simple majority to pass in the Senate. The Senate bill is broader than the House bill that repealed the Prevention Trust Fund, the employer and individual responsibility provisions, various tax provisions, and suspends funding for Planned Parenthood among other provisions.
The Senate bill rolls back the Medicaid expansion to adults up to 133% of poverty, the extra federal matching funds provided to the states for the expansion, and the extra federal matching funds for the Community First Choice Option, among numerous other provisions. The Community First Choice Option gives states an extra 6 percent of federal matching funds to states that take the option to provide comprehensive community-based services as an alternative to facility based services. The provisions would become effective in two years.
The bill would also remove the subsidies and tax credits that make the health insurance available in the private marketplaces affordable. Various tax provisions that helped finance the law would also be repealed. The Senate also considered an additional 18 amendments, with the majority being defeated. The amendment to permanently repeal the tax on high value health insurance passed 90 – 10.
The House is expected to pass the legislation early this week. The President has stated that he will veto the bill.