Summary — Republican ACA Replacement Bill
Title 1 Energy and Commerce
Section 101-Recission of Unobligated Funds- end of Fiscal Year 2018
Section 102 — Community Health Center Program - Section 10503 (B) of ACA changed to $28M
Section 103 - Repeal of Medicaid Provisions - Effective January 1, 2020
Section 104 Repeal of Medicaid Expansion
o (b) Termination of the Enhanced Match Rate for Medicaid Expansion
o Sunset of Essential Health Benefits Requirement
Section 105 Repeal of Disproportionate Share Hospital Payments
Section 106 Repeal of Cost Sharing Subsidy - December 31, 2019
Section 107 — Per Capita Based Cap on Medicaid Payments
Section 108 — Prohibited Entity � Looks like Planned Parenthood
Section 109 -State Innovation Grants and Stability Program
o CY2018–2019 $15T
o CY2020–2026 -$10T
Section 110 — Continuous Health Insurance Coverage Incentive
o Allows for 30% increase in monthly premiums if over 63 days in arrears on health insurance payments
Section 111 - Permitting States to Determine Essential Health Benefits
Section 112 — Other Market Reforms
o Changes age variation from 3:1 to 5 to 1 based upon age
o Verification for Eligibility for Enrollment During Special Enrollment Periods
o Allows Pre-ACA Coverage
Title 2 Ways and Means
Recapture of Excess Advance Payments of Premium Tax Credits — Effective December 31, 2017
Section 202 — Modification of Definition of Qualified Health Plan
Section 203 — Premium Tax Credit — Begins CY 2020
Section 204 -Small Business Tax Credit — Repealed after December 31, 2019
Section 205 Individual Mandate - Repealed as of December 31, 2015
Section 206 Employer Mandate -Repealed as of December 31, 2015
Section 207 — Repeal of the Tax on Employee Health Insurance Premiums and Health Plan Benefits � Effective December 31, 2019
Section 208 — Repeal of Tax on OTC Medications — Health Savings Accounts
Section 209 — Repeal of Increase of Tax on Health Savings Accounts
Section 210 — Repeal of Limitations on Contributions to Flexible Savings Accounts
Section 211 Repeal of Tax on Prescription Medications
Section 212 Repeal of Medical Device Excise Tax
Section 213 Repeal of Health Insurance Tax
Section 214 Repeal of Eliminations of Deductions for Expenses Allocable To Medicare Part D Subsidy
Section 215 Repeal of Chronic Care Tax
Section 216 Repeal of Medicare Tax Increase
Section 217 Repeal of Tanning Tax
Section 218 Repeal of Net Investment Tax
Section 219 Remuneration
Section 220 Economic Substance Doctrine
o Subsection (o) of section 7701 IRS of 1986 repealed
o Penalty for underpayments is repealed
o Increased penalty for non-disclosed transactions is repealed
o Reasonable Clause Exception for Underpayments is repealed
Section 221 Refundable Tax Credit for Health Insurance
o $2,000 under 30 years old
o $2,500–30–39
o $3,000 -40–49
o $3,500 -50–59
o $4,000 -60
o $14,000 maximum tax credit per year; limitation on credit equal to 5 oldest individuals in household
Section 7529 Advance Payments of Health Insurance Coverage Credit
Originally published at sterrettinc.com.
