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house Bill H.R. 596

Should Congress Repeal The Affordable Care Act And Start Working On A Replacement?

Argument in favor

Repealing and replacing the ACA will force the government to find a healthcare system that actually serves the people by offering better service for less money.

DonaldTrump's Opinion
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06/17/2015
"I would repeal and replace the big lie... Obamacare" [youtube.com/watch?t=12&v=w0GMcYD2Oz8]
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ScottWalker's Opinion
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04/26/2015
"#ObamaCare is a failure and it hasn’t made healthcare more affordable. "
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Diana's Opinion
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03/11/2015
Our copays and deductions have sky rocketed Everything I knew about this bill has become known and it is a nightmare for most people.
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Argument opposed

The ACA has helped countless people access healthcare that would have been impossible before. Besides, why should the current system be repealed when there isn’t a clear replacement ready?

BarackObama's Opinion
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02/25/2015
"By repealing the Affordable Care Act it will be destroying all the progress we have made in providing healthcare to millions of Americans who couldn't afford healthcare before. It should not be repealed completely without an alternative."
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Tj's Opinion
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05/17/2015
Find a better replacement first, then talk about repealing it.
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ilkogan's Opinion
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03/05/2015
I wasn't aware that you had to repeal a bill completely before improving any of its provisions or anything it effects.
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
  • The house Passed February 3rd, 2015
    Roll Call Vote 239 Yea / 186 Nay
      house Committees
      Committee on Administration
      Indigenous Peoples of the United States
      Committee on Appropriations
      Committee on Education and Labor
      Health, Employment, Labor, and Pensions
      Higher Education and Workforce Investment
      Committee on the Budget
      Committee on Energy and Commerce
      Health
      Committee on Natural Resources
      Committee on Rules
      Committee on the Judiciary
      Committee on Ways and Means
      Health
    IntroducedJanuary 28th, 2015

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What is House Bill H.R. 596?

This bill would repeal the Patient Protection and Affordable Care Act (PPACA or ACA), and all healthcare related provisions of the Health Care and Education Reconciliation Act of 2010 (HCERA). Laws that had been repealed by the enactment of the PPACA and HCERA would be restored as if they hadn’t been eliminated in the first place.

Congressional committees — including Education and the Workforce, Energy and Commerce, Ways and Means, and the Committee on the Judiciary — would be directed to think of replacement healthcare proposals to present to the House of Representatives that satisfy the following guidelines:

  •  Lower healthcare premiums through increased competition and choice;
  •  Preservation of a patient’s ability to keep his or her health plan if they want to;
  •  Offer people with pre-existing conditions access to affordable health coverage;
  •  Reform the medical liability system to reduce unnecessary and wasteful spending;
  •  Increase the number of insured people in the U.S., and protect the doctor-patient relationship;
  •  Offer states greater flexibility to administer Medicaid programs;
  •  Expand incentives for personal responsibility for health care coverage and costs.

Additional guidelines that committees should consider when dreaming up replacement legislation would include:

  • Foster economic growth and private sector job creation;
  • Prohibit taxpayer funding for abortions and provide conscience protections for healthcare providers;
  • Eliminate redundant government programs and wasteful spending;
  • Not accelerating the insolvency of entitlement programs or increasing the tax burden on Americans;

Impact

People in the U.S. who have or will have medical needs, those who receive Medicare benefits, people buying or offering health insurance through their businesses, healthcare providers, state government agencies administering Medicaid, congressional committees.

Cost of House Bill H.R. 596

$109.00 Billion
A current CBO cost estimate for this bill is unavailable. However, in 2012 the CBO estimated that repealing the ACA would lead to $1.2 trillion in savings over the following 10 years, and costs of $1.3 trillion over the same 10 years. This comes to a projected net cost of approximately $109 billion over that period, which breaks down to more than $10 billion annually.

More Information

Of Note:

As the Affordable Care Act (ACA) progresses in its implementation, it still lacks the widespread support that President Obama would have hoped his signature law would achieve. According to the RealClearPolitics average of the law’s approval - only 39.7 percent of Americans support the law, while 51.3 percent oppose it.

The ACA’s turbulent roll-out has not bolstered public confidence in the law. The administration estimated that as many as 93 million Americans who had been covered by health insurance policies that did not conform to the ACA’s coverage requirements would face the cancellation of their plans. The employer mandate to provide health insurance to employees was postponed, then postponed again. The federal health insurance exchange’s website — Healthcare.gov — experienced problems at its launch. Some of the state exchanges fared no better, as Oregon was forced to scrap its website, and Maryland had to completely rebuild theirs.

Challenges to the ACA have arisen both in Congress and in the U.S. Supreme Court. In Congress, House Speaker John Boehner (R-OH) has announced that three of the leading Republican committee chairs will begin drafting an alternative to the ACA. The Supreme Court will begin hearings in early March on a case known as King v. Burwell — a suit that questions whether the federal government can provide subsidies to states that declined to set up their own health insurance exchanges. A ruling on the case is expected by June or July of 2015, and is considered to the most severe legal challenge to the ACA yet.

So far the ACA has been a mixed bag for consumers in terms of their health insurance premiums. According to HealthPocket, unsubsidized 30 year old women faced an average premium increase from 2013 to 2014 of $76 per month, while their male counterparts faced an increase of $124 per month. In 2015, 30 year olds will see bronze plan premiums decrease by an average of $30 per month, while silver and gold plans will be essentially unchanged.

There also have been many success stories about Americans who couldn’t get health insurance because of pre-existing conditions, or would have had to pay substantial monthly premiums for their coverage. Others have been able to save money on their medications, or be able to undergo surgery that wouldn’t have been practical before the ACA came into effect.


Media:

(Photo Credit: Flickr user ✖ Daniel Rehn

Official Title

To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, and for other purposes.

    "I would repeal and replace the big lie... Obamacare" [youtube.com/watch?t=12&v=w0GMcYD2Oz8]
    Like (163)
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    "By repealing the Affordable Care Act it will be destroying all the progress we have made in providing healthcare to millions of Americans who couldn't afford healthcare before. It should not be repealed completely without an alternative."
    Like (427)
    Follow
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    Find a better replacement first, then talk about repealing it.
    Like (158)
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    I wasn't aware that you had to repeal a bill completely before improving any of its provisions or anything it effects.
    Like (85)
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    If it wasn't for the Affordable Healthcare Act my brother would most likely be dead by a cyst growing on top of his pituitary gland; unchecked the cyst would have grown to the point of killing him, but thanks to having very affordable insurance it has shrunk significantly and may disappear all together. I myself may not be alive today too because of the healthcare that I was able to afford; I suffer from severe depression and panic disorder which I can tell you is not an easy thing to live with. To me those who are against AHA are against myself and my family.
    Like (79)
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    "Five years ago I watched Pres. Obama sign the Affordable Care Act. We should all be proud of the difference it's made in millions of lives." [twitter.com/JoeBiden]
    Like (73)
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    Why, as an 100% disabled veteran, should a broken VA system be my only choice? Without the ACA, I can not get private insurance due to preexisting conditions (the 100% DAV thing gets in the way). With ACA, not only can I have private insurance but if I'm not happy with the regional va system, I can seek care through private doctors because of my ACA insurance.
    Like (30)
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    The affordable care act now allows self employed Americans to be insured without paying an arm and a leg - this encourages entrepreneurship, and therefore improves our economy and means of innovation.
    Like (27)
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    "#ObamaCare is a failure and it hasn’t made healthcare more affordable. "
    Like (21)
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    The ACA needs a lot of work, that much is clear. But how is it logical to offer millions of people healthcare, then proceed to yank it out from under them with no alternative? Provide me with a sufficient replacement and I will absolutely vote in favor.
    Like (20)
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    Our copays and deductions have sky rocketed Everything I knew about this bill has become known and it is a nightmare for most people.
    Like (19)
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    Why would anyone choose to strip people who are covered already? NO, instead, find a way to expand Medicare once and for all and bring us to the 21st century along with every other "western democracy" by covering all people universally with a single-payer system.
    Like (12)
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    How about they come up with a replacement first and institute it, then have a discussion about repealing the ACA?? If the brakes on your car are too noisy do you take them off and drive around with no brakes at all? Or, do you install new quieter brakes before taking the old ones off? Thereby avoiding driving your car around with no way to stop it. Common sense is so rare these days it's almost a super power!
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    I'd like to see the replacement legislation ASAP, but if it simplifies the healthcare industry and leads to better outcomes for patients I'd be eager to support the ACA alternative.
    Like (11)
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    The federal government has no constitutional right to be in the health insurance business. Obama care is a blatant attempt at expanding government reach, and increasing dependence for millions of Americans
    Like (11)
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    I vote for a full repeal of Obamacare, and then the government should get OUT of the healthcare business!
    Like (10)
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    Until we have an alternative that is cheaper and increases coverage ACA should remain in effect!
    Like (9)
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    I favor continuation of ACA, as it is is serving the health care needs of citizens.
    Like (9)
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    Congress should focus on the creation of new laws / productive ideas. It's unhelpful to dedicate attention to past legislation that's provenly effective and legal.
    Like (9)
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    We have an effective system in place; replacing it will be very expensive.
    Like (8)
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