On January 13, the House passed the fiscal year 2017 budget resolution, by a vote of 227 to 198, that was passed by the Senate the day before. The budget resolution begins the process of repealing the Affordable Care Act (ACA) and may result in other harmful provisions for people with disabilities. The measure provides “reconciliation instructions” to four authorizing committees so that ACA repeal legislation can move through a fast-track process and can advance with only a simple majority in the Senate instead of the usual 60 votes required to avoid a filibuster:
- House Ways and Means
- House Energy and Commerce
- Senate Finance
- Senate Health, Education, Labor, and Pensions
Each of these committees is charged with developing legislation to achieveat least $1 billion in deficit reduction over 10 years and submitting it to their respective budget committees by January 27, 2017. These instructions are intended to produce repeal of parts of the ACA that impact mandatory spending or revenue such as the individual mandate to have health insurance, federal subsidies to purchase health insurance, funding for Medicaid expansion, and various taxes that help fund the ACA. However, since the instructions are broad, the resulting legislation could include other provisions that could be threat to Medicaid or other federal.