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May 4, 2017

House Passes American Health Care Act (AHCA)

On May 4, 2017, the U.S. House of Representative passed the American Health Care Act (AHCA, H.R. 1628) by a vote of 217-213.

The text of the bill as well as the amendments that were ultimately adopted in order to secure passage are available here. These amendments include one by Rep. Tom MacArthur (R-NJ) that allows states to waive the requirement that insurers provide essential health benefits and to permit plans to underwrite based on health status, and one by Rep. Fred Upton (R-MI) that adds $8 billion to existing funds for state high risk pools.

As discussed in more detail when the first version of this bill was considered in March, among other provisions, the AHCA would repeal the enhanced federal funding for Medicaid expansion, cap the amount of federal funds available to states for their Medicaid programs, and reduce and redistribute the premium assistance available to low income individuals under the ACA to purchase insurance.

The Congressional Budget Office has not yet determined the federal costs and impact on coverage of H.R. 1628 (see CBO report on March version of the bill for reference).