NALC Legislative Dept
Vote likely coming later this week
Senate Majority Leader Mitch McConnell (R-KY) introduced the Better Care Reconciliation Act last week, following seven years of promising the repeal of the Affordable Care Act (ACA, also known as Obamacare) and after weeks of negotiations following the House of Representatives’ passage of the American Health Care Act (H.R. 1628), a bill that the Senate said it could not and would not pass.
The Senate’s legislation, which is different from what the House passed in May, is expected to be voted on in the Senate in the coming days, before senators depart Washington, DC, for the July 4 recess. Following that vote, the Senate and House bills will need to be reconciled before a single bill heads to President Donald Trump’s desk for a signature. Both measures are projected to increase the number of Americans who are uninsured by about 23 million.
Among the defining characteristics of the legislation are provisions to deregulate insurance companies, which would allow them to charge older and sicker Americans more for health insurance, and to eliminate the individual mandate to buy health insurance and the mandate for larger companies (with 50 or more employees) to provide employer-sponsored health coverage.