New reports suggest a further effort is underway to repeal the Patient Protection and Affordable Care Act (ACA). Sens. Bill Cassidy (R-LA), Lindsey Graham (R-SC) drafted the surprise revival of the repeal effort. A summary of the plan by Vox News can be found here. Fitch Ratings describes the current effort as “more disruptive for most states than prior Republican efforts. States that expanded Medicaid access to the newly eligible population under the [ACA] are particularly at risk under this latest bill.” In other words, the Graham-Cassidy repeal effort is a substantial cut to Medicaid.
There are some procedural elements to watch. First: timing. The bill’s sponsors are pursuing its passage as part of a reconciliation package (an expedited, budget-related procedure) that will expire on September 30. Second, if it passes, the House of Representatives would have unlimited time to vote on the bill, but could not make changes. The likely outcomes of the passage of this bill would be a significant increase in expense for states that want to continue the ACA, as well as increased costs for the sick in the individual marketplace. Stay tuned and keep your eyes on this effort, as it could significantly reshape our healthcare system.