Affordable Care Act Replacement Proposals – Concerns and Resources

The Administration and the Republican Congress threaten to repeal the Affordable Care Act (ACA), and have suggested various ideas about what a replacement to ACA would include. To better understand these proposals we’ve compiled a list of ACA replacement materials available from colleagues and partnering organizations.

Though there is no consensus about what an ACA replacement plan would include,[1] a few common themes have emerged from the various proposals. Several of the plans being discussed would include, at least in theory:

  1. Establishing new tax credits for health coverage;
  2. Allowing insurers to sell across state lines;
  3. Advancing access to Health Savings Accounts (HSAs);
  4. Creating state High Risk Insurance Pools;
  5. Covering people with pre-existing conditions only when they maintain continuous coverage.

The Center for Medicare Advocacy and many other organizations have expressed grave concern about how older people and people with disabilities would be harmed by repeal of ACA. We continue to urge the rejection of any legislation to repeal ACA unless it includes a detailed replacement plan that provides equal or improved access to high-quality, affordable health coverage. As is clear from the analyses below, the proposals being discussed would not meet that threshold.

Kaiser Family Foundation:

Center on Budget and Policy Priorities:

Families USA:

Urban Institute:

Healthinsurance.org:

February 15, 2017 – K. Kertesz