Will October 1 Bring Another Repeal Effort?

It could . . .

With the Senate vote tomorrow canceled on the Graham – Cassidy ACA defunding bill, the effort to defund and repeal the ACA will cease for the rest of this budget year ending September 30, 2017. With the passage of a new budget and a new resolution the effort could go onward in an attempt to repeal the ACA.

As I have said, there can only be one resolution per year. Let me clarify the one reconciliation per budget year statement. Unless the Senate passes more than one budget resolution, there can be only one Reconciliation per year for each of three subjects; spending, revenues, and debt limit in one or multiple bills. Since there was no budget passed last year, the Republicans had a unique opportunity to do two Reconciliations . . . one to defund the ACA and the 2nd one to do Tax Reform. The present Reconciliation affected Spending and Revenues thereby killing those two subjects for Reconciliation in 2017.

If one bill covers spending and revenue, Reconciliation using a budget resolution is expended for those two subjects. Budgets end September 30 of each year.

2018 is a different year and again Congress could take up the repeal of the ACA. And why not when they can get 49 votes to pass it any time they wish to do so. Maybe one of the remaining three Republican Senators will side with them or a Dem may have a weak moment. Since Republicans want to do tax reform, they will use Reconciliation again as it only requires a majority vote and defund the ACA to provide the revenue for it. The opportunity to do two Reconciliations due to two budget resolutions will not be available for Republicans. It may end up being both ACA and Tax Reform in one Reconciliation of just one meaning the ACA or Tax Reform.

Martin Longman at Washington Monthly does a good job of explaining Reconciliation. I believe I beat him in predicting a new run at Reconciliation which can be found in the comments section in early September. I was happy he did write on it as few people have done so till the very end. If still interested, here is a detailed primer on the topic also.

Did the effort to repeal the ACA hurt it going forward? Trump’s threats to kill the CSR which funds out-of-pocket expenses for those between 100% FPL and 250% FPL would not be impacted by this move. For those between 100% and 250% FPL, healthcare insurance premium increases would be picked up by the ACA. Those above 250% to 400% FPL would have premiums limited by the a ratio of ~9% of income. Above 400% FPL, some of our readers and everyone else would take on the full impact of the premium increase. Trump has done everything possible to cause issues with the ACA and this would include lying to the public as well.

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