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Senate to Vote to Repeal ACA and Delay Replacing It

CBO analysis says 32 million Americans would lose coverage by 2026

Senate To Vote on Repeal and Replace Of the Affordable Care Act

Rudy Sulgan/Getty Images

A look at what comes next in the health care debate

The future of the nation’s health care system continues to be a moving target as senators prepare to vote early next week on whether to debate a measure that would substantially repeal the Affordable Care Act (ACA).

If the vote to debate were to pass, Senate Majority Leader Mitch McConnell (R-Ky.) said he would immediately bring to the floor the “repeal and delay” bill that Congress passed in 2015, which President Obama vetoed. That measure, recently reintroduced as the Obamacare Repeal Reconciliation Act, would repeal the ACA but postpone the rollback for two years.

While the repeal is delayed, the bill would cause millions of Americans to lose coverage in the first year. Premiums would skyrocket. A repeal and delay bill already has met with resistance on both sides of the aisle. 

“We strongly oppose the repeal of the Affordable Care Act and believe it's time for Congress to start a bipartisan effort to lower health care costs, improve quality and provide affordable coverage to all Americans,” said Nancy LeaMond, AARP executive vice president and chief advocacy and engagement officer. “We urge all senators to vote ‘no’ on repeal and go back to the drawing board and develop a better plan to improve health care for all.”

Under the Obamacare Repeal Reconciliation Act, health insurance premiums would double by 2026, and Americans would find it harder to get individual insurance. The measure also eliminates the tax credit and cost-sharing subsidies that help Americans pay for their insurance premiums. 

The bill would leave 17 million more Americans uninsured and 32 million more people without coverage by 2026, according to a new analysis by the nonpartisan Congressional Budget Office. 

The CBO also estimated that the bill would destabilize insurance markets and that by 2026 about three-quarters of the U.S. population would be living in areas where insurers no longer will be offering individual policies.

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