If Republicans repeal key elements of Obamacare without enacting a replacement plan, the health insurance exchanges may fall apart before they get a chance to legislate new reforms.
That’s the assessment of conservative scholar James Capretta, who works for the free-market oriented American Enterprise Institute. Capretta spoke at a recent AEI briefing on priorities for President-elect Donald Trump and Republicans who will run the White House and Congress in 2017.
Republicans have pledged they will repeal and replace the Affordable Care Act since it was signed into law by President Barack Obama in 2010. But they would probably need a 60-vote majority under Senate rules to enact replacement measures proposed by some Republicans, such as House Speaker Paul Ryan (R-Wis.).
Senate Republicans are likely to have a 52-48 majority in 2017, which means they will only be able to pass legislation that has a budget impact. They are expected to move forward with legislation similar to what the House and Senate passed in 2015 that would have repealed key elements of the ACA had it not been vetoed by Obama.
The bill would have rolled back subsidies received by low- and moderate-income people to buy health insurance through the ACA exchanges, repealed the law’s Medicaid expansion as well as the individual and employer mandates to buy or provide health insurance, and it would have repealed taxes imposed under the ACA.
But while Republicans are likely to delay implementation of a repeal law by a couple of years, health insurers may drop out of the ACA health insurance exchanges, which are already financially unstable, Capretta said.
Some 20 million people have gained coverage under the ACA, and it’s far from certain that there would be agreement on a replacement two years down the line, Capretta argued. Republicans need to get some Democratic support to move forward with a replacement plan, he said.
“That’s not going to be free of any political controversy,” he said. “Some people might lose their seats because they vote for it. That’s just the way it is.”
Read the full story at http://www.bna.com/repealing-aca-without-n73014448012/.
Stay on top of new developments in health law and regulation with a free trial to the Health Law Resource Center.
Learn more about Bloomberg Law and sign up for a free trial.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to email@example.com.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to firstname.lastname@example.org.
Put me on standing order
Notify me when new releases are available (no standing order will be created)