Health Reform Hub: Repeal, Replace, or Repair?

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House and Senate Bills, ACA Comparison Chart

US_Capitol_west_sideA Crosswalk of ACA Provisions with Proposed Language Under the House American Health Care Act and the Senate Better Care Reconciliation Act.

The National Academy for State Health Policy (NASHP) has released an updated chart and accompanying fact sheets that reflect a revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals and The Obamacare Repeal Reconciliation Act (ORRA), a bill that would repeal many of the major provisions of the ACA within a two-year period, but does not offer plans to replace those provisions. On July 21, the Senate Parliamentarian ruled several provisions that could be stricken from BCRA under reconciliation rules. This chart has been updated to include those provisions. View the chart here.


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The Senate’s Better Care Reconciliation Act (BCRA) builds on the American Health Care Act (AHCA) but includes some very significant differences. Learn more below.

Support for this work was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Below are our latest tools for states regarding the ACA and the AHCA:

Charts and Additional Resources
  • House and Senate Bills, ACA Comparison Chart (Updated: July 25, 2017)
    On July 21, the Senate Parliamentarian ruled several provisions that could be stricken from BCRA under reconciliation rules. This chart has been updated to include those provisions.
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