HR. 1628, the American Health Care Act (AHCA, "TrumpCare"), is the Republican bill to repeal and replace the Affordable Care Act (ACA). Among the major provisions of the bill are:
- Repeal of the ACA's "individual mandate," requiring healthy people to obtain health insurance (a major cost-reduction provision of the ACA).
- Reducing or entirely repealing subsidies for low-income patients, and replacing some subsidies with tax credits.
- Cuts Medicaid funding by $800 billion.
- Allows states to impose a work requirement for Medicaid recipients.
- Prohibits federal funding for Planned Parenthood.
- Allows states to waive "community rating" requirements, increasing premiums for older patients or patients with pre-existing conditions.
- Allows states to waive "essential health benefit" coverage requirements such as maternity care, preventive care, emergency services, hospitalization, mental health services, and prescription drugs.
- Plans in states which have waived essential health benefit requirements would be allowed to reinstate lifetime and annual dollar limits.
- Replaces subsidies and protections for pre-existing conditions with underfunded "high-risk pools."
- Provides $600 billion in tax cuts and tax benefits, mostly to the wealthy.
According to the latest report by the Congressional Budget Office (CBO), 23 million people will lose their coverage under TrumpCare as currently written, while older and sicker patients will see their premiums and other out-of-pocket costs rise significantly.
- Official bill information (original bill)
- Congressional Budget Office Cost Estimate for American Health Care Act (analysis of bill as passed by House, dated May 24, 2017)
- G.O.P. Health Bill Would Leave 23 Million More Uninsured in a Decade, C.B.O. Says (New York Times)
- The GOP health bill is a $600 billion tax cut—almost entirely for the wealthy (Vox)
- Congressional Budget Office Cost Estimate for American Health Care Act (analysis of original bill, dated March 13, 2017)
- Compare Proposals to Replace the Affordable Care Act (Kaiser Foundation comparison of amended AHCA to ACA)
Reported favorably out of the House Budget Committee on March 20, 2017. Debated on the House floor on March 24, 2017.
Passed by the House of Representatives on May 4, 2017 on a vote of 217-213. Opposed by all House Democrats, as well as 20 House Republicans. All California House Republicans voted in favor of the bill.
San Diego County MoC Votes:
- Darrell Issa (R-CA-49): Yes
- Duncan Hunter (R-CA-50): Yes
- Juan Vargas (D-CA-51): No
- Scott Peters (D-CA-52): No
- Susan Davis (D-CA-53): No
Call Scripts for House Representatives
MoC voted against the bill:
"Hi, my name is _____ and I'm calling from _____ (zip code). I'm calling to thank _____ (MoC name) for voting against TrumpCare. I'm glad I could count on _____ (MoC name) to protect our healthcare, and I want [him/her] to continue to fight in every possible way to stop this bill from becoming law. Thank you."
MoC voted for the bill:
"Hi, my name is _____ and I'm calling from _____ (zip code). I'm calling to express my deep disappointment that _____ (MoC name) voted in favor of the AHCA. The new CBO report estimates that the bill would cause 23 million Americans to lose their health insurance, and by allowing insurers to raise prices on seniors and people with pre-existing conditions, this bill will price even more hard-working American citizens out of their healthcare. I'm calling on _____ (MoC name) to immediately hold a town hall meeting, because [he/she] owes it to [his/her] constituents to explain to our faces why [he/she] voted for this disaster of a bill."
Call Script for Senators
"Hi, my name is _____ and I'm calling from _____ (zip code). I'm calling to ask _____ (Senator name) to protect our healthcare in the Senate. The new CBO report estimates that the AHCA as passed by the House would cause 23 million Americans to lose their health insurance, and by allowing insurers to raise prices on seniors and people with pre-existing conditions, this bill will price even more hard-working American citizens out of their healthcare. I urge _____ (Senator name) to vote against the AHCA and to make sure that any Senate health bill protects Medicaid, senior citizens, people with pre-existing conditions, and actually helps Americans access health care instead of providing a tax break for the wealthy. Thank you."