President Trump and Senate Majority Leader Mitch McConnell aren’t giving up on passing damaging legislation to repeal and (maybe) replace the Affordable Care Act and Medicaid. Despite McConnell delaying the Senate’s August recess to give his caucus more time for deliberations, the GOP has not been able to agree on a health care bill.
Now, McConnell is pushing a last ditch effort to move GOP healthcare plans forward against the wishes of the American public and nearly all provider and patient groups. Senators are expected to vote  Tuesday on a “motion to proceed,” which, if passed, would allow the Senate to debate the future of the Affordable Care Act and Medicare and vote on amendments. However, many Senators are concerned because they have been left in the dark  about which bill they will actually be voting on. There’s no shortage of bills  that could possibly make up the motion to proceed, including: the Better Care Reconciliation Act, the Obamacare Repeal Reconciliation Act, or the House-passed American Health Care Act.
The fact is, each of the proposed health care plans would do irreversible harm to millions of Americans. What’s more, each proposed bill would wreak havoc on health insurance markets nationwide.
Here’s what we know about the proposals on the table:
- Over 20 million Americans risk losing health care coverage altogether.
- Medicaid funding—which covers 1.4 million North Carolina children, as well as people with disabilities and seniors in long-term care—would be slashed by 26 percent over ten years.
- Protections for individuals with pre-existing conditions would be weakened, if not outright eliminated.
- Plans may no longer be required to cover essential health benefits, such as hospitalization, maternity care, mental health, and medication.
- Premiums would increase, especially for people with low-incomes and older adults.
- Health insurance marketplaces would be destabilized as healthy consumers leave the risk pool.
The mystery bill needs to get past the motion to proceed before it can be discussed and signed into law. If the vote is unsuccessful the bill is considered dead…for now. That doesn’t mean the GOP will give up on repealing and replacing the Affordable Care Act and Medicaid. Since the ACA was passed in 2009, the House has held more than 50 votes  to repeal former-President Obama’s signature legislation. Prior to May of this year, none of the bills were considered by the Senate. In the last month, however, the Senate had attempted to vote on a health care bill four times. Both the public and legislators are becoming impatient with the incessant focus on repealing and replacing the Affordable Care Act. A recent report  from Axios states that many Trump supporters do not view repealing the Affordable Care Act a priority. Another report  shows that 71% of the public favor a bipartisan effort to improve-not repeal- the Affordable Care Act.
We will see later today whether voters will get their wish.
Sydney Idzikowski is an MSW intern at the NC Justice Center