Repealing and replacing the Affordable Care Act (ACA) was an oft-repeated promise on the campaign trail, invoked by the President as well as congressional Republicans. Even before the President’s inauguration, conversations had begun about a quick timeline to repeal and replace the ACA. The events of last year demonstrated the difficulty of making improvements to our healthcare system. After initially failing on the floor, the House of Representatives passed H.R. 1628, the American Health Care Act (AHCA), to repeal and replace the ACA in May 2017. The Senate later brought the House bill to the floor but was unable to pass it, despite several amendments to allay concerns of several Republican Senators. CDA lobbied in support of the bill because it repealed the employer mandate and made other changes that reflect a free market approach to healthcare.

While unable to pass a wholesale repeal and replace bill, Republicans were able to repeal the ACA’s individual mandate via H.R. 1, the Tax Cuts and Jobs Act, which was signed into law in late 2017.

The President has also taken several administrative actions to unravel the ACA. In early July, the Administration decided to freeze subsidies to insurance companies through an ACA cost-sharing reduction (CSR) to shore up the exchanges. His Administration also elected to slash

While it seems likely that there will be disruption in the marketplace due to these actions, it seems unlikely that legislative action will be taken, despite uncertainty for insurers and upheaval for participants in the exchanges, due primarily to the upcoming midterm elections.

CDA will continue to work to ensure that federal healthcare laws and regulations do not unduly burden employers.