And that’s why there has never been/never will be a credible plan to repeal and replace the Affordable Care Act. The only plan is always eliminating or cutting the #Medicaid expansion and the Marketplace credits and cutting the rest of Medicaid (as enacted in H.R. 1 and previously tried in 2017).

Ryan Mackenzie of Pennsylvania makes 218, likely forcing a House floor vote this week

GOP Rep. Mike Lawler has signed the Democratic discharge petition for a 3-year ACA funding extension.

He's the second Republican to do so.

Two more and it gets to 218.

Dam is breaking...

Without health care, private-sector job growth would be near zero.

To get help with deductibles/cost-sharing through cost-sharing reductions, Marketplace enrollees need to remain in Silver-level plans. To get these HSA contributions would require them to switch to higher deductible/cost-sharing HSA-eligible plans likely more than offsetting any HSA contributions.

And speaking to how unserious this plan is, it magically assumes that a system to provide federally-funded HSA contributions to Marketplace enrollees (assuming they even have HSAs or are even in HSA-eligible Marketplace plans) could be up and running immediately rather than take months or years.

And to make matters worse it includes additional #Medicaid cuts that were in the original House-passed version of H.R. 1 that were excluded due to Senate budget rules before final passage: bsky.app/profile/edwi...

It shows GOP Congress may want to further cut #Medicaid on top of nearly $1T in cuts enacted in H.R. 1 that will make 7.5M people uninsured. The draft bill also shows that both House and Senate GOP leaders aren't very serious about preventing the expiration of the enhanced Marketplace credits.

Senate Democrats were able to successfully exclude these 3 harsh House-passed cuts from the final version of H.R. 1 because they violated the "Byrd Rule". But as part of a draft bill that does *not* extend the expiring Marketplace credits in any form, Senate GOP leaders are trying to revive them.

Section 302 would prohibit federal #Medicaid & CHIP matching funds for gender affirming care for transgender individuals, forcing states to either drop that coverage or have to pick up all of the costs using their own funds.