Congress has initiated the process of repealing the Affordable Care Act (ACA) through budget reconciliation. Pursuing repeal through reconciliation will allow Republicans to eliminate components of the law with a simple majority in the Senate, although they can only target tax and budget related measures under the rules of this process.
No formal legislation has been released, but Republicans are likely to adhere closely to past repeal proposals. These proposals have targeted subsidies available for purchasing insurance on the public exchanges, elimination of penalties associated with the individual and employer mandates, and elimination of new taxes, including the Cadillac Tax. The future of Medicaid expansion and payment reform remain harder to predict.
Republicans hope to finalize repeal by late February, but the timing and content of a replacement plan remains the subject of considerable debate.
Congress continues to debate how quickly it could craft replacement legislation, with proposals ranging from concurrent replacement to a several year delay.