A leaked draft of the House Republican bill to repeal the Affordable Care Act would end Medicaid expansion by 2020, spend much more than expected on state high-risk pools, and create premium tax credits offering 60-year-olds just twice as much as 30-year-olds.
The bill also would repeal all of the ACA's taxes that finance the law's premium subsidies, Medicaid expansion and Medicare benefit enhancements. In their place, the bill would establish a new tax on employees for the value of generous employer health benefits. It would hit plans at and above the 90th percentile of current premiums. That idea is deeply unpopular with business groups and labor unions.
The “discussion draft,” dated Feb. 10 and obtained by Politico, is certain to draw criticism from both Republicans and Democrats. House Speaker Paul Ryan wants to present an ACA repeal bill as early as this week and pass it through the expedited budget reconciliation process on a straight party-line vote before the Easter recess in early April.