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With kibosh on ACA repeal and replace, what a full-on repeal looks like and how party leaders will respond

by AirTalk®

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Senate Majority Leader Mitch McConnell (R-KY) walks to a meeting of Republican senators where a new version of their healthcare bill was scheduled to be released at the U.S. Capitol July 13, 2017 in Washington, DC. Win McNamee/Getty Images

Senate Republicans can’t agree on a replacement for the Affordable Care Act.

With last night’s word from two more GOP Senators that they’d vote no, leader Mitch McConnell admitted defeat. He says he’ll call for a straight repeal of ACA instead.

But that only opens a whole new series of questions. Would repeal pass? The New York Times’ Thomas Kaplan reports that a full ACA repeal would be dead on arrival in the Senate because Republicans Susan Collins (ME), Lisa Murkowski (AK), and Shelley Moore Capito (WV) have said they won’t vote for repeal without replacement. Other Republican Senators have hinted towards similar viewpoints.

If a full on repeal does pass, the question becomes what happens to individual health insurance markets, and what might that mean for the MediCal expansion in California. There are also the Democrats to consider. Senate Minority Leader Chuck Schumer has said the door is open to bipartisan negotiation so long as Republicans are willing to work on repairing the existing health care law and abandon a few of their sticking points, like Medicaid cuts and tax breaks for the wealthy.


Anna Edney, health policy reporter for Bloomberg News; she has been following the story and tweets @annaedney

Gerald Kominski, professor of health policy and management at UCLA and director of the UCLA Center for Health Policy Research

Lanhee Chen, research fellow at the Hoover Institution at Stanford University and former policy director for the Romney-Ryan 2012 presidential campaign; he tweets @lanheechen

Matt Rodriguez, Democratic strategist and founder and chief executive officer of Rodriguez Strategies; he is also a former senior Obama advisor in 2008 and tweets @RodStrategies

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