Reports and Analysis of ACA Repeal Efforts


Below is a compilation of reports and analysis of the Affordable Care Act (“ACA”), the American Health Care Act of 2017 (“AHCA”), the Better Care Reconciliation Act (“BCRA”), and the Obamacare Repeal Reconciliation Act (“ORRA”).  This is not a comprehensive list, but are tools we have created or found helpful in illustrating the impacts of the ACA and current legislation.

Health Reform Tracker Executive Summaries of Congressional Budget Office (“CBO”) Reports

Summary of the CBO Report of the AHCA (Dated June 2017)
Summary of the CBO Report of the BCRA (Dated July 20, 2017)
Summary of the CBO Report of the ORRA (Dated July 19, 2017)

Quick Jump for Other Reports

Summaries and Analysis
Interactive Tools
Polls


Summaries and Analysis

Official CBO Analysis of the American Health Care Act
Congressional Budget Office
May 24, 2017
The CBO’s official scoring of the AHCA as of March 13, 2017.  For a deeper analysis of the CBO’s report, view our summary.

Eliminating Essential Health Benefits Will Shift Financial Risk Back to Consumers
The Commonwealth Fund (Dania Palanker, JoAnn Volk and Justin Giovannelli)
March 15, 2017
This article briefly examines the effects of eliminating the requirement of Essential Health Benefits.

How Affordable Care Act Repeal and Replace Plans Might Shift Health Insurance Tax Credits
Henry J. Kaiser Family Foundation (Cynthia Cox, Gary Claxton, Larry Levitt)
March 10, 2017
This article explains and analyzes the premium tax cuts under the ACA and the AHCA.

How the GOP Plan to Change Medicaid Punishes the Working Poor
Vox.com (Julia Belluz and Alvin Chang)
March 9, 2017
A useful teaching tool on the main differences between Medicaid under the ACA and the AHCA.

Analysis: GOP Plan to Cost Obamacare Enrollees $1,542 More a Year
Vox.com (David Cutler, John Bertko, Topher Spiro, and Emily Gee)
March 7, 2017
Several healthcare law and policy experts give a brief analysis of the net financial impact of the Republican bill on premiums, after tax credits, plus cost-sharing.

Examining The House Republican ACA Repeal And Replace Legislation
Health Affairs Blog (Timothy Jost)
March 7, 2017
This article succinctly summarizes the major provisions of the AHCA.

Repealing Federal Health Reform: Economic and Employment Consequences for States
The Commonwealth Fund
January 5, 2017
This study analyzes the economic and employment consequences of a full repeal of the ACA.

House GOP Health Plan Cuts Tax Credits, Raises Costs by Thousands of Dollars for Californians
Center on Budget and Policy Priorities
April 28, 2017
This article examines the financial impact the AHCA would have on Californians, finding that the average premium for insurance purchased on the exchange would increase by nearly $3,000 by 2020.

Official CBO Analysis of the American Health Care Act, Incorporating Manager’s Amendments 4, 5, 24, and 25
Congressional Budget Office (‘CBO”)
March 23, 2017
The Official CBO and the Joint Committee on Taxation (“JCT”)’s estimate of the direct spending and revenue effects of H.R. 1628, the American Health Care Act, as posted on the website of the House Committee on Rules on March 22, 2017, incorporating manager’s amendments 4, 5, 24, and 25.  You can view the Health Reform Tracker’s summary of the CBO report (including the Manager’s Amendment analysis) here.

Who Gains and Who Loses Under the American Health Care Act
Urban Institute
March 22, 2017
This brief provides a detailed analysis of the AHCA’s impact on taxes and cost-sharing for Americans in different income brackets.

Where Both the ACA and AHCA Fall Short, and What the Health Insurance Market Really Needs
Harvard Business Review
March 21, 2017
This article examines the difficulties and challenges that the individual health insurance market faced before the ACA and that it continues to face today.

Eliminating Essential Health Benefits Will Shift Financial Risk Back to Consumers
The Commonwealth Fund (Dania Palanker, JoAnn Volk and Justin Giovannelli)
March 15, 2017
This article briefly examines the effects of eliminating the requirement of Essential Health Benefits.

Official CBO Analysis of the American Health Care Act
Congressional Budget Office
March 13, 2017
The CBO’s official scoring of the AHCA as of March 13, 2017.  For a deeper analysis of the CBO’s report, view our summary.

How Affordable Care Act Repeal and Replace Plans Might Shift Health Insurance Tax Credits
Henry J. Kaiser Family Foundation (Cynthia Cox, Gary Claxton, Larry Levitt)
March 10, 2017
This article explains and analyzes the premium tax cuts under the ACA and the AHCA.

How the GOP Plan to Change Medicaid Punishes the Working Poor
Vox.com (Julia Belluz and Alvin Chang)
March 9, 2017
A useful teaching tool on the main differences between Medicaid under the ACA and the AHCA

Analysis: GOP Plan to Cost Obamacare Enrollees $1,542 More a Year
Vox.com (David Cutler, John Bertko, Topher Spiro, and Emily Gee)
March 7, 2017
Several healthcare law and policy experts give a brief analysis of the net financial impact of the Republican bill on premiums, after tax credits, plus cost-sharing.

Examining The House Republican ACA Repeal And Replace Legislation
Health Affairs Blog (Timothy Jost)
March 7, 2017
This article succinctly summarizes the major provisions of the AHCA.

Repealing Federal Health Reform: Economic and Employment Consequences for States
The Commonwealth Fund
January 5, 2017
This study analyzes the economic and employment consequences of a full repeal of the ACA.

The Impact of Obamacare, in Four Maps
The New York Times (Margot Sanger-Katz and Quoctrung Bui)
October 31, 2016
This article includes visual depictions of where the uninsured rate has dropped under the ACA.

The Affordable Care Act at 5 Years
The New England Journal of Medicine (David Blumenthal, Melinda Abrams, and Rachel Nuzum)
June 18, 2015
This article analyzes the effects of the ACA as they were in 2015.  It looks to access, delivery of healthcare, payments and costs, and government response.


Interactive Tools

Kaiser Health Tracking Poll: The Public’s View on the ACA
Henry J. Kaiser Family Foundation
April 26, 2017
This interactive tool allows the user to look at ACA approval/disapproval ratings by various demographics.

Tax Credits under the Affordable Care Act vs. the American Health Care Act: An Interactive Map
Henry J. Kaiser Family Foundation
March 7, 2017
This interactive map allows the user to compare county-level estimates of premium tax credits consumers would receive under the ACA in 2020 with what they would receive under the AHCA.

Compare Proposals to Replace the Affordable Care Act
Henry J. Kaiser Family Foundation
March 7, 2017
This interactive graph details the differences between the ACA, the AHCA, and other proposals to repeal/replace the ACA.

Impact of Affordable Care Act Repeal
Center on Budget and Policy Priorities
December 7, 2016
This interactive tool allows users to find out how ACA repeal could affect residents of each of the 50 states and the District of Columbia.

Polls

Only 37 Percent Say Trump Should Repeal and Replace Obamacare
ABC News (Chad Kiewiet de Jonge)
April 25, 2017
An ABC News/Washington Post poll finds broad public preference for keeping and improving the ACA, including high levels of support for some of its key components.

Californians’ View on ACA Repeal
Public Policy Institute of California (David Kordus)
March 13, 2017
In a poll conducted by the Public Policy Institute of California, a slight majority (53%) of Californians said Congress should not vote to repeal the 2010 healthcare law.

Support for 2010 Health Care Law Reaches New High
Pew Research Center
February 23, 2017
As of February 2017, 54% of Americans approved of the ACA with a significant increase in approval among independent voters.