On March 24, House Speaker Paul Ryan (R-WI) announced that there will not be a vote on H.R.1628, the American Health Care Act because he lacked the votes to pass the bill. It is not expected that another bill to repeal the Affordable Care Act will be considered in the near future. In the days before the bill was pulled, several changes were made including allowing a Medicaid block grant, adding incentives for states to institute work requirements, eliminating the requirement that health plans cover basic health services, and ending the extra funding for the Medicaid expansion earlier. The Arc opposed H.R.1628 because it would have cut and capped federal spending in the Medicaid program which jeopardizes services for people with I/DD and their families. The Arc also opposed using cuts in the Medicaid program to pay for the repeal of the ACA, including the repeal of the taxes it imposed. The replacement plan provided inadequate and unaffordable health insurance, and about 24 million people would lose their health insurance by 2024. The Arc and its members, along with members of numerous human service coalitions representing beneficiaries of the Affordable Care Act and the Medicaid program, view the decision to pull the AHCA as a victory for people who need health care and their families. The Arc appreciates the work of those who voiced their opinions through weeks of emailing, phone calls, and town hall meetings and helped make this happen.