Senate Republicans have released the Better Care Reconciliation Act of 2017, which is being “offered as a substitute to the House-passed legislation” of the American Health Care Act. The two acts differ less than many expected, however there are some notable distinctions. Both bills call for the elimination of the ACA’s employer and individual mandate penalties, as well as access to health savings accounts. However, the Senate bill “would delay from 2020 to 2026 the effective date of the so-called ‘Cadillac’ excise tax on high-cost employer plans above a certain threshold”. Additionally, the Senate version takes a different approach to state waivers, as well as “boosts funding to help lower health insurance costs for individuals and stabilize the insurance market”. Senate Majority Leader Mitch McConnell is pushing for a vote before the July 4th recess, however even if it passes, the bill will still need to return to the House for another vote before being presented to President Trump.
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