Senate BCRA Incorporating the Graham-Cassidy-Heller Amendment

August 20, 2017

Near the end of July 2017, as the U.S. Senate began voting on various Republican­‐sponsored initiatives to rollback the Affordable Care Act (ACA), Senators Graham (R‐South Carolina) and Cassidy (R‐Louisiana) offered an amendment to the Better Care Reconciliation Act (BCRA), which Senator Heller (R­‐Nevada) later co-­sponsored.

The Graham­‐Cassidy‐Heller amendment retains many of the harmful provisions in the BCRA including dramatic restructuring of the Medicaid program. The primary distinctive provision is the proposal to establish a “Market‐Based State Grant Program” allocating to states federal funds intended to replace the ACA Medicaid adult expansion, ACA tax credits and cost sharing reduction (CSR) subsidies.

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