23 Jun Better Care Reconciliation Act: What You Need to Know

At long last, yesterday we all received the first look at the healthcare bill that is the product of the legislative process following the House’s passage of the American Health Care Act (AHCA).  The Better Care Reconciliation Act (BCRA) is the bill born from the Senate – specifically, thirteen senators who worked on the legislation.  Senate Majority Leader Mitch McConnell has expressed an interest in putting the bill up for vote next week, before the nearing 4th of July break.  As stated in the Health Affairs Blog, the Senate bill has the same number as the House bill, but effectively strikes the House bill, replacing it with the Senate bill.

Health Affairs conducted a very thorough comparison of the two bills.  They found that some provisions in both bills are nearly identical, including:

  • A year-long exclusion of Planned Parenthood
  • Elimination of state enrollment streamlining options
  • Elimination of retroactive eligibility
  • A state option to impose work requirements
  • Both contain Medicaid block grant options, but the Senate bill differs in structure and eligible population

 

Modern Healthcare also provided a comparison that took the current law into account, in addition to comparing the AHCA and the BCRA.   They found that the BCRA, in comparison to the Patient Protection and Affordable Care Act (ACA), would mean the following changes (not inclusive of all potential changes):

Senate Majority Leader Mitch McConnell meeting with reporters Thursday on the hill. *Source: NPR

Senate Majority Leader Mitch McConnell meeting with reporters Thursday on the hill. *Source: NPR

 

The Congressional Budget Office (CBO) is expected to issue its estimate of the cost and coverage of the BCRA sometime next week.

 

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