Performance Thinking

Expert information and solutions for your business.

Senate Releases Updated BCRA Draft

Healthcare Reform - BCRA - AHCA - ACA

The Senate released an updated draft of the Better Care Reconciliation Act (BCRA) on Thursday, July 13, 2017. To view the full text of the bill, click here. To view the updated section by section summary, click here.

There were a few major changes to the original draft issued on June 22, including:  

•  The Cruz Amendment
          – Allows carriers who offer ACA-compliant plans to also offer “skinny” plans
          – Plans would not satisfy definition of credible coverage
          – Could not use tax credits to purchase
•  Medicare tax NOT repealed
•  3.8% investment tax NOT repealed
•  Allows individuals who qualify for tax credits to use them for catastrophic plans
•  Buyers in the individual market can use HSA dollars to pay premiums
•  Adds an additional $45 million for opioid abuse
•  Adds an extra $70 million to stability fund

Click here to see our original post on the BCRA.

A Congressional Budget Office (CBO) score was expected Monday afternoon and a vote was expected at the end of this week. However, Majority Leader Mitch McConnell postponed any action around the bill until Senator John McCain returns to the Senate.  Senator McCain unexpectedly had surgery to remove a blood clot over his left eye and is expected to be out at least one week. The delayed vote appears to have resulted in the CBO slowing down their analysis. Some reports indicate that it could take the CBO a month to analyze the full impact of the Cruz amendment. It is currently unclear when the CBO will release their next score.