Republican ACA Replacement Scorecared American Health Care Act (AHCA) Edition

On Thursday, two U.S. House of Representatives committees approved legislation to “repeal and replace” the Patient Protection and Affordable Care Act (ACA). The bill, named the American Health Care Act (AHCA), would repeal all taxes created by the ACA, including the individual mandate. It retains all of the health insurance consumer protection provisions of the ACA, including prohibitions on lifetime caps and annual limits. The bill would radically change the funding of Medicaid, setting fixed per capita payments, which would not vary according to geographic differences in health costs or utilization. States would have the option to set annual or lifetime limits for Medicaid beneficiaries. The bill subsidizes health insurance through tax credits which are based upon age and income. Analysis for these tax credits appear to favor younger individuals and individuals with higher incomes. The individual mandate is replaced with a continuous coverage requirement, which would allow insurers to raise premiums by 30% over a one year period if payment was lapsed for 63 days or more. It appears that this requirement may not survive the legislative reconciliation process, nor will it provide enough financial incentives for healthy individuals to maintain health insurance coverage.

Although this legislation is supported by President Trump and U.S. House and Senate Republican leaders, there has been much opposition to the AHCA by both Democrats and Republicans. Passage of this bill by both the U.S. House and Senate is still in question. The ACA Replacement Scorecard has been revised to remove both the Cassidy-Collins bill and the CARES Act as the AHCA appears to be the Republican bill which is receiving support from Republican leaders.

Originally published at

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