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Big takeaways from the Senate’s ACA replacement, the Better Care Reconciliation Act




Senate Majority Leader Mitch McConnell (R-KY) is one of 13 Senate Republicans working behind closed doors to craft new health care legislation they hope will replace the Affordable Care Act, or Obamacare.
Senate Majority Leader Mitch McConnell (R-KY) is one of 13 Senate Republicans working behind closed doors to craft new health care legislation they hope will replace the Affordable Care Act, or Obamacare.
Chip Somodevilla/Getty Images

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After weeks of speculation about what Senate Republicans might be putting into their version of an Affordable Care Act replacement bill, the public is finally getting a look at the nitty-gritty of the Better Care Reconciliation Act (BCRA).

The 142 page bill was unveiled Thursday on Capitol Hill and does not stray terribly far from the House’s version that passed last month, a bill that President Trump called “mean.” It’s still a major overhaul of the system, eliminating the individual mandate that required most people to buy insurance or face a penalty, slashes federal funding for Medicaid expansion, and keeps the ACA requirement that insurance companies accept people with pre-existing conditions. It also offers more in terms of federal subsidies for individual insurance buyers than the House version did. You can read more about those differences here.

The question now becomes whether or not Senate Republican will be able to pass the bill successfully. Senate Majority Leader Mitch McConnell wants a vote next week, but there are still questions about the support of several Republican Senators, and they can only afford to have two Republican ‘no’ votes if they want the bill to pass

What else is in this bill that the average American should be aware of? Just how drastically does it differ from the House version? What will be the politics of getting the bill passed?

Read the full text of the BCRA here.

Guest host Libby Denkmann in for Larry Mantle

Guests:

Adriel Bettelheim, health care editor at POLITICO; he tweets @abettel

Lisa Mascaro, L.A. Times congressional reporter; she tweets @LisaMascaro