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