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Comparison of Medicare Provisions in Recent Bills and Proposals to Repeal and Replace Affordable Care Act

Kaiser Family Foundation: “Repealing and replacing the Affordable Care Act (ACA) is a top priority of the Trump Administration and the Republican leadership, and is a prominent issue on the agenda of the 115th Congress. The ACA includes many provisions affecting the Medicare program, and lawmakers have taken different approaches to the ACA’s Medicare provisions. Some proposals would fully repeal the ACA, including all Medicare provisions, while others would repeal other provisions of the ACA but retain most Medicare provisions. This brief provides a side-by-side comparison of the Medicare-related provisions in six bills and proposals that would repeal the ACA, excluding proposals that would not directly affect Medicare. Two of these proposals would repeal the ACA in its entirety, including all Medicare provisions, two would repeal some Medicare provisions in the ACA, one would retain all Medicare provisions in the ACA, and one does not specify. The first part of the side-by-side describes the Medicare provisions in the ACA that would be retained or repealed in each bill or proposal. The second part of the side-by-side describes the additional ways in which the bills and proposals would change Medicare, such as structural modifications to the Medicare program (e.g., premium support).”

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