On April 6, the House Rules Committee voted 9-2 to adopt a new amendment to the American Health Care Act (AHCA), which was the first action on this proposed Affordable Care Act repeal-and-replace legislation since the full House failed to consider the bill on March 24.

The amendment, offered by Reps. David Schweikert, R-Ariz., and Gary Palmer, R-Ala., would establish the Federal Invisible Risk Sharing Program within the bill's Patient and State Stability Fund and would provide payments to health insurers to help lower premiums for coverage. The amendment would also provide $15 billion in mandatory funding to the program from 2018 to 2026. The Administrator of the Centers for Medicare and Medicaid Services would establish the program in consultation with stakeholders, including consumers, health insurers and state insurance commissioners.

In a statement offered after the amendment was introduced, House Speaker Paul Ryan, R-Wisc., indicated that the amendment represented "real progress" and "makes [the AHCA] a much better bill."