News | Business | July 26, 2017

Senate Opens Debate on Better Care Reconciliation Act

First full Obamacare repeal-and-replace legislation voted down following opening of debate; multiple versions expected to be unveiled in quick succession

Senate Opens Debate on Better Care Reconciliation Act

July 26, 2017 — The U.S. Senate voted Monday, with a tiebreaking vote from Vice President Mike Pence, to begin debate on the Better Care Reconciliation Act (BCRA), the legislation drafted by Senate Republicans to repeal and replace the Affordable Care Act (ACA). Senate Majority Leader Mitch McConnell immediately called a vote on the first version of the bill, which was defeated 57-43.

Since the 115th Congress began session in January, Republicans in the House and Senate have made repealing the ACA, also known as Obamacare, a top priority. The House passed its version of a repeal-and-replace bill, called the American Health Care Act (AHCA) in April after lengthy debate and the withdrawal of the first version by Speaker Paul Ryan (R-Wis.). Both chambers have seen progress stalled by extensive disagreements between moderates and the most conservative members of the Republican party.

The version of the BCRA defeated on Tuesday was designed to appease the moderate Republican faction by adding back Obamacare taxes removed from prior iterations, including the net investment income tax, the additional Medicare Health Insurance Tax and a tax on high-earning health insurance executives. The bill included an amendment, introduced by Sen. Ted Cruz (R-Texas), that would have allowed insurance providers to sell stripped-down plans that did not comply with ACA requirements as long as they offer at least one policy that does. The final major piece was a $70 billion allotment for states to help consumers with paying out-of-pocket healthcare costs in the form of cost-sharing or health savings accounts.

Intact from the first version of the Senate bill was the gradual rollback of the ACA’s Medicaid expansion. Under McConnell’s vision, Medicaid would be changed from an open-ended entitlement program to a fixed amount of money granted to states based on enrollment or as a block grant. The BCRA would reduce the annual growth rate of those funds beginning in 2020.

With the failure of the full repeal-and-replace legislation, Republican leadership may eventually introduce a “skinny” version that only repeals a few ACA requirements to try to ensure passage. These would include the individual and employer insurance mandates, the medical device tax and the public health fund, according to the Washington Post.

Read about the "Affordable Care Act "Skinny Repeal" Defeated in Senate," news from July 28, 2017.

For more information: www.senate.gov

Related Content

Radiography Education Enrollment Shows Marginal Rise in 2017
News | Business | February 15, 2018
Directors of radiography educational programs report the number of enrolled students increased slightly in 2017, while...
AHRA and Canon Medical Systems Announce 2017 Putting Patients First Grant Winners
News | Patient Engagement | February 14, 2018
The Association for Medical Imaging Management (AHRA) and Canon Medical Systems recently announced the tenth annual...
Patients Lack Information About Imaging Exams
News | Patient Engagement | February 14, 2018
Patients and their caregivers desire information about upcoming imaging examinations, but many are not getting it,...
Amazon, Berkshire Hathaway and JPMorgan Chase to Form New Healthcare Company
News | Business | January 30, 2018 | Jeff Zagoudis, Associate Editor
Amazon, Berkshire Hathaway and JPMorgan Chase & Co. announced that they are partnering on ways to address ...
RLI Executive Leadership Symposium Addresses Modern Business Challenges
News | Business | January 25, 2018
January 25, 2018 — Radiology Leadership Institute (RLI) Executive Leadership Symposium attendees can learn best-pract
National Clinical Decision Support Company (NDSC) has an exclusive deal with the American College of Radiology (ACR) to provide medical imaging appropriate use criteria (AUC).

National Clinical Decision Support Company (NDSC) has an exclusive deal with the American College of Radiology (ACR) to provide medical imaging appropriate use criteria (AUC). 

Feature | Clinical Decision Support | January 18, 2018
January 18, 2018 — Change Healthcare announced the acquisition of National Decision Support Company (NDSC), a leader
CMS Launches New Voluntary Bundled Payments Model
News | Business | January 10, 2018
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center)...
The artificial intelligence (AI) smart algorithm onboard the Infervision stroke product calculates the volume of bleed on the basis of multiple brain CT slices.

The AI smart algorithm onboard the Infervision stroke product calculates the volume of bleed on the basis of multiple brain CT slices. The size of the bleed volume indicates the urgency and type of treatment required.

Feature | Artificial Intelligence | January 10, 2018 | Greg Freiherr
Exhibitors at the 2017 Radiological Society of North America (RSNA) meeting rode the...
WEBINAR: Neuroimaging from a Clinical MRI Perspective, sponsored by Philips Healthcare. How to better manage your MRI department.
Webinar | Magnetic Resonance Imaging (MRI) | January 08, 2018
The webinar "Neuroimaging from a Clinical MRI Perspective," explains how imaging departments can become more creative
Toshiba Medical Systems Changes Name to Canon Medical Systems Corp.
News | Business | January 08, 2018
Canon Inc. and Canon Medical Systems Corp. announced the official corporate name (trade name) change of Canon Group...
Overlay Init