Graham-Cassidy Obamacare Healthcare Reform Bill Proposed Elimination Of Many Key Affordable Care Act Provisions; Abandoned By Senate Republicans

 In Healthcare   Last Updated: October 29, 2017

Senators Lindsey Graham (R- South Carolina) and Bill Cassidy (R- Louisiana) proposed a bill to “eliminate or overhaul major sections of the health reform law” which included:

  • Elimination of federal funding for subsidies
  • Elimination of coverage mandates and tax penalty for not “having minimum essential coverage
  • Elimination of federal funding for Medicaid expansion used by 31 states to cover low income individuals
  • Allow states to determine coverage for pre-existing conditions (maintains requirement that all individuals be covered, rates for those with pre-existing conditions could go up)
  • Eliminations of requirement to cover “essential health benefits provision, which mandates¬†insurers cover an array of services, including hospitalization, maternity care, prescription drugs, mental health and substance abuse services
  • Allow states to change financial protections for insurance coverage, including the current out of pocket payment maximums and deductible limits (no more out of pocket maximum)
  • Removes requirement prohibiting charging older people more than younger people
  • Changes Medicaid funding formula to fixed amount per person and as a fixed block grant regardless of people enrolled in each state (states would be required to cover a larger portion of Medicaid funding)
  • Allows work requirements for Medicaid
  • Allows everyone access to “catastrophic” policies that only cover the most urgent care (currently only allowed for those under 30)
  • Repeals taxes on OTC drugs, health savings accounts, and medical devices
  • Prohibits federal funding for Planned Parenthood
  • Nearly doubles maximum contributions to health savings accounts
  • Provide funding for community health centers
  • Removes tax penalty for larger businesses not providing coverage for employees
  • Many other smaller changes to structure of plans (this Kaiser Family Foundation summary provides a summary)

On Tuesday September 26, 2017, Senate Republicans “abandoned the latest plan to repeal the Affordable Care Act” after it became clear the bill would not have enough votes to pass.



Tami Luhby. "What's in the latest Obamacare repeal bill?." CNN, 25 September 2017. Web. 29 October 2017.
"Summary of Graham-Cassidy-Heller-Johnson Amendment." Kaiser Family Foundation, 30 September 2017. PDF. 29 October 2017.
Thomas Kaplan and Robert Pear. "Senate Republicans Say They Will Not Vote on Health Bill." New York Times, 26 September 2017. Web. 29 October 2017.
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