The Senate is poised to vote today on a motion to proceed (MTP) to debate on repealing and possibly replacing the Affordable Care Act (ACA). The MTP allows the Senate to consider the House repeal and replace bill, the American Health Care Act, and then propose a “substitute.” If the motion is successful, it is unclear at this time what the Senate substitute bill would be. There are three potential options:

  • The July 20 version of the Better Care Reconciliation Act (BCRA) which includes a Congressional Budget Office (CBO) score;
  • An updated version of the 2015 repeal and delay bill, which has an updated CBO score; or
  • A modified version of the BCRA, with additional changes to accommodate members’ concerns with the latest version of the BCRA.

Given the continued importance of the BCRA to the ongoing repeal and replace debate in the Senate, in this week’s “Manatt on Health,” we update and reissue our two prior newsletters unpacking the implications of the BCRA.