Senate Healthcare Bill

Senate Republicans have finally released what appears to be the draft text of H.R. 1628, the “Better Care Reconciliation Act of 2017.”

It’s 142 pages, and to be honest, I’m having a hard time deciphering it all. (Not a lawyer or a legislator.) But here are some things that stood out at me…

Elimination of the individual and employer mandate. (Pages 10-11)

Tax repeals on medications, health insurance, health savings accounts, etc. (Pages 25-29)

This includes the “Repeal of Tanning Tax” on page 29.

The continuing attack on abortion rights.

“Disallowance of small employer health insurance credit for plan which includes coverage for abortion.” (Pages 8-9)

“No Federal funds provided from a program referred to in this subsection that is considered direct spending for any year may be made available to a State for payments to a prohibited entity,” which is then defined as an entity providing abortion services except in cases of rape, incest, or when the woman’s life is in danger. (Page 35)


According to a USA Today analysis, this bill would:

  • Reduce or eliminate most subsidies for individuals and families
  • “Eliminate the ACA’s requirement that insurers can’t charge older customers more than three times what younger customers pay for the same coverage. Instead, those in their 60s could be charged five times as much, or more.”
  • Eliminate penalties to large employers who choose not to offer health insurance. (Elimination of the employer mandate.)
  • Make it easier to drop coverage for things like maternity care and mental health issues.

CNN points out that the bill would also:

  • Defund Planned Parenthood for a year.
  • Require coverage of preexisting conditions. However, it also lets states “waive the federal mandate on what insurers must cover… This would allow insurers to offer less comprehensive policies, so those with pre-existing conditions may not have all of their treatments covered.”

A PBS article says the bill would:

  • Cap and reduce Medicaid funding, and allow states to add a work requirement for “able-bodied” recipients of Medicaid.
  • Provide $2 billion to help states fight opioid addiction

Fox News, unsurprisingly, focused on what they saw as positive in the proposed bill:

  • It preserves health care for people with preexisting conditions (with the potential exceptions noted in the CNN bullets, above), and allows children to stay on their parents’ insurance plan through age 26.
  • It expands health care savings accounts.
  • It provides a short-term stabilization fund to help struggling insurance markets.

The Congressional Budget Office is expected to release their report on the senate bill next week. The CBO estimated that the House-passed bill would result in 26 million fewer insured Americans by 2026, and would cut the budget by $119 billion over the same time. (Source)


Nothing here is particularly shocking. I’m glad I and my family can’t be kicked off our insurance for our various preexisting conditions…though some of those conditions might no longer be covered, which sucks. It would hurt the poor, the elderly, women, and the mentally ill, among others. None of my readers will be shocked to hear that I think this is another step backward. The ACA was far from perfect — it’s like a patient with a broken leg, but instead of trying to fix the broken leg, we’ll just throw them through a woodchipper, because hey, it’s cheaper!

It looks like this may be a tight vote, which would make this an excellent time to call your Senator.

Please keep any comments civil. I’m angry about this too, but I don’t have the time or the spoons to moderate fights and nastiness today. (Which probably means I shouldn’t have posted this in the first place, but I never claimed to be that bright…)