2017 Affordable Care Act replacement proposals

The following is a list of plans which were considered to replace the Affordable Care Act (commonly referred to as the ACA or Obamacare) during the Donald Trump administration.

"Repeal and replace" has been a Republican slogan since March 2010 when the ACA was signed into law and had been adopted by former President Donald Trump.

[1] President Donald Trump and many Republicans have vowed to repeal and replace Obamacare; President Trump signed an executive order on January 20, 2017, his first day in office, that according to White House Press Secretary Sean Spicer would "ease the burden of Obamacare as we transition from repeal and replace".

3, that contained language allowing the repeal of the Affordable Care Act through the budget reconciliation process, which disallows a filibuster in the Senate.

[5][6][7][8][9] In spite of efforts during the vote-a-rama (a proceeding in which each amendment was considered and voted upon for about 10 minutes each until all 160 were completed) that continued into the early hours of the morning, Democrats could not prevent "the GOP from following through on its repeal plans.

"[7][10] Several media outlets have reported widespread opposition in Congress and the American public against repealing the Affordable Care Act without replacing it.

[19] The United States House Committee on Ways and Means approved one portion of the bill on March 9, 2017, after an all-night session.

[27][28] On March 24, 2017, the bill was withdrawn by Speaker Paul Ryan (with the endorsement of President Donald Trump) after failing to gain enough support in the House of Representatives.

[31] On March 7, 2017 Pete Sessions sponsored an alternate proposal to repeal and replace the Patient Protection and Affordable Care Act entitled the "World's Greatest Healthcare Plan of 2017".

[45] On July 25, a procedural vote was passed by the Senate to begin debate on the healthcare bill, 51–50 with Vice President Mike Pence breaking the tie.

As the effort to repeal and replace the Affordable Care Act was stalled, Senate Majority Leader Mitch McConnell scheduled a vote on a partial-repeal amendment.

[46] A spokesman for the Senate Majority Leader Mitch McConnell said that a vote is planned for, before September 30 which is the deadline to pass bills under budget reconciliation.

[51] The Trump administration ended subsidy payments to health insurance companies, in a move expected to raise premiums in 2018 for middle-class families by an average of about twenty percent nationwide and cost the federal government nearly $200 billion more than it saved over a ten-year period.

[59] Abandoning a promise he made as candidate, Trump announced he would not allow Medicare to use its bargaining power to negotiate lower drug prices.

Notecard from the Republican brain-storming session on which the "Repeal and replace" slogan originated, March 2010
CBO estimated in May 2017 that the Republican AHCA would reduce the number of persons with health insurance by 23 million during 2026, relative to current law. [ 16 ]
AHCA (Republican healthcare bill) impact on income distribution, as of the year 2022. Net benefits would go to families with over $50,000 income on average, with net costs to those below $50,000. Those earning over $200,000, the top 6%, would get about 70% of the benefits. [ 17 ]
CBO projections of persons without health insurance under 65 years of age (%) under various legislative proposals and current law. [ 18 ]