Senate Republicans have posted their updated version of the Better Care Reconciliation Act (BCRA), which is still in draft form. Read the full text of the draft below: </s> The Better Care Reconciliation Act of 2017 is here, and investors aren’t remotely concerned.

Senate Republicans unveiled their bid to overhaul the Affordable Care Act on Thursday morning, amid protests outside GOP Senate offices.

It is safe to say the protesters weren’t representing owners of health-care stocks. The Health Care Select... </s> The first draft of the Senate Republican healthcare bill is finally here.

Called the “Better Care Reconciliation Act of 2017,” the 142-page bill at first glance appears not too different from its House of Representatives counterpart, the American Health Care Act. It slashes billions from Medicaid in order to cover repeals of the tax increases instituted by the Affordable Care Act, and undoes core components of Obamacare, such as the individual mandate for consumers to purchase health insurance.

More details of what’s in the Better Care act will be coming throughout the day. Most members of Congress and policy experts — shut out of the covert process by which the bill was crafted over the past few weeks — will be learning the details of it at the same time as the public.

You can read the full text of the draft bill below: </s> Mitch McConnell released the Senate's Healthcare Bill Thursday. Dubbed the "Better Care Reconciliation Act of 2017," the 142-page proposal includes massive cuts to Medicaid, cuts to hundreds of millions of dollars in taxes for the wealthy and defunding of Planned Parenthood for at least one year. The Congressional Budget Office has not had a chance to score the Senate's bill yet. Under the House bill, the CBO found found that 23 million Americans would lose their healthcare coverage by 2026. </s> The new AHCA is a lot like the old AHCA.

After weeks of secret gestation in back rooms, the Senate released a discussion draft of the chamber’s version of the American Health Care Act. Like the version passed through the House to cheers in May, it is likely to make health care less affordable for low-income, sick, and near-elderly people; it makes Obamacare tax credits for exchange coverage less generous; it restricts and slashes Medicaid funding deeply over the next decade; and it attempts to smooth euphemistically-named “market disruptions” from all those reforms by injecting billions into state funds and reinsurance. </s> Senate Republicans are set to vote Tuesday on whether to start debate on overhauling health care. Exactly what they would be debating, though, remains unclear. The Better Care Reconciliation Act, which would repeal and replace the Affordable Care Act? Or the Obamacare Repeal Reconciliation Act, which would effectively repeal the ACA, but not replace it?

Here & Now's Meghna Chakrabarti talks with Julie Rovner (@jrovner), senior correspondent for Kaiser Health News, about the politics and policy of the vote. </s> Senate Health Care Bill Revisions Released In Attempt To Appease GOP Critics

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Updated 6:56 p.m. ET

Senate Republicans on Thursday released a revised version of the Better Care Reconciliation Act, their plan to replace the Affordable Care Act.

The new version comes after the Congressional Budget Office found that the original BCRA would in the next decade increase the uninsured population by 22 million over what it would otherwise be. Senate Majority Leader Mitch McConnell had hoped for a vote before July 4, but was forced to delay that because he couldn't garner the 50 votes he needed among the 52 GOP senators.

The question now is whether this version of the bill could pass the Senate. Shortly after its release, Maine Sen. Susan Collins and Kentucky Sen. Rand Paul both said they intend to vote against letting the bill go forward. With two no votes, Vice President Pence could provide the 51st vote needed for passage. But if three Republican senators defect, the bill cannot pass.

The new bill makes some big changes from the last BCRA draft, but it also leaves some major parts of the original Senate proposal intact — it would still repeal the individual and employer mandates, it would still mean cuts to Medicaid spending, and it would still allow states to opt out of key parts of Obamacare.

In their summary of the bill, Senate Republicans laid out the major provisions. Here are some of those big changes that this new version of the bill would make to the original BCRA, and what they would mean:

Health savings accounts will be able to pay for premiums. Under IRS rules, people with high-deductible plans are eligible for health savings accounts (HSAs), accounts into which people can put money for health care expenses tax-free. Under this bill, people would for the first time be able to use that money for premiums. Americans' deposits in HSAs have ballooned over the last decade, according to HSA consulting firm Devenir. However, those accounts also tend to benefit higher-income people more than others, as Kaiser Health News' Michelle Andrews wrote in December — for example, richer people are more likely to have the extra money to sock away for health expenses.

More money for the opioid epidemic. The Senate's initial bill offered $2 billion to address the opioid crisis for 2018. This version would offer about $45 billion over 10 years, which is what Republicans Ohio GOP Sen. Rob Portman and West Virginia Sen. Shelley Moore Capito had requested at one point. However, some experts say that around $4.5 billion a year is nowhere near enough for combating America's massive opioid epidemic, as the New York Times reported in June.

Keeping some Obamacare taxes. The first BCRA version would have repealed an array of Affordable Care Act taxes, which would have overwhelmingly benefited higher-income Americans. This newer version of the bill keeps some in place, including the net investment income tax and a payroll tax that hit higher-income Americans.

Allowing insurers to offer non-Obamacare-qualified plans. This mirrors an idea that Texas Sen. Ted Cruz and Utah Sen. Mike Lee had proposed in recent weeks: The Senate's bill would allow an insurer to offer skimpier plans. As long as an insurer does offer a plan on the individual insurance exchanges that meets the demands of Obamacare's Title I (for example, covering certain areas like preventive care and protecting people with pre-existing conditions), that insurer will be allowed to offer additional plans off of the individual insurance exchanges that don't meet those criteria.

That idea had created worries of a two-tiered insurance system — one in which older and sicker people would opt into the more comprehensive plans, while younger and healthier people would choose the cheaper plans that covered less, potentially causing a "death spiral" on the exchanges for those older and sicker people.

Extra stabilization money, in part for high-risk customers. The original version of the BCRA provided $112 billion that would have allowed states to stabilize their markets or help high-risk customers in a wide variety of ways. In this version, that is bumped up to $182 billion. One function of this money is to mitigate some of the two-tier issues created by new, nonqualified plans. If an insurer offers a plan that meets the Obamacare criteria, that insurer would be eligible for money to help high-risk customers.

This all means that the new version doesn't make major changes to one big part of the BCRA: Medicaid. Under the original Senate bill, the Obamacare Medicaid expansion would be rolled back, and Medicaid spending would be capped — states would either be allotted a certain amount per capita, or they could get a block grant instead. It also caps Medicaid spending growth in the medium-to-long-term. This bill doesn't change any of that.

According to the CBO, the original BCRA would have cut Medicaid spending by $772 billion over 10 years, and would have resulted in 15 million fewer Medicaid enrollees by 2026 than under current law.

A new CBO score on the bill is expected Monday or Tuesday. By the end of next week, there is likely to be a key procedural vote. That would put things on track for a final vote the following week.

Were this bill to pass the Senate, it would then have to be reconciled with the House's attempt to repeal and replace Obamacare, known as the American Health Care Act.

Meanwhile, Republicans Bill Cassidy of Louisiana and Lindsey Graham of South Carolina released an alternative plan Thursday morning.

A summary of the bill is embedded below. You can read the full draft here, and see the previous Senate version here.

Washington Desk editor Arnie Seipel contributed to this report.

This report has been updated to reflect that the extra $70 billion for stabilization funding will be in part used for helping insurers defray the costs of high-risk individuals. </s> Senate Republicans on Thursday released a revised version of the Better Care Reconciliation Act, their plan to replace the Affordable Care Act.

The new version comes after the Congressional Budget Office found that the original BCRA would in the next decade increase the uninsured population by 22 million over what it would otherwise be. Senate Majority Leader Mitch McConnell had hoped for a vote before July 4, but was forced to delay that because he couldn't garner the 50 votes he needed among the 52 GOP senators.

The new bill makes some big changes, but also leaves some major parts of the original BCRA intact — it would still repeal the individual and employer mandates, it would still mean cuts to Medicaid spending, and it would still allow states to opt out of key parts of Obamacare. Below is the text of the Senate's new version (and you can compare it to the old version, which can be found here).

Here are some of the change that this new version of the bill would make to the original BCRA:

Health savings accounts will be able to pay for premiums. Under IRS rules, people with high-deductible plans are eligible for health savings accounts (HSAs), accounts into which people can put money for health care expenses tax-free. Under this bill, people would for the first time be able to use that money for premiums. Americans' deposits in HSAs have ballooned over the last decade, according to HSA consulting firm Devenir. However, those accounts also tend to benefit higher-income people more than others, as Kaiser Health News' Michelle Andrews wrote in December — for example, richer people are more likely to have the extra money to sock away for health expenses.

More money for the opioid epidemic. The Senate's initial bill offered $2 billion over 10 years. This version would offer $45 billion over 10 years, which is what Ohio GOP Sen. Rob Portman and West Virginia Sen. Shelley Moore Capito had requested at one point. However, some experts say $4.5 billion a year is nowhere near enough for combating America's massive opioid epidemic, as the New York Times reported in June.

Keeping some ACA taxes. The BCRA would have repealed an array of Obamacare taxes, which would have overwhelmingly benefited higher-income Americans. This version of the bill would keep some in place, including the the net investment income tax, which hits higher-income Americans.



This all means that the new version doesn't make major changes to one big part of the BCRA: Medicaid. Under the original Senate bill, the Obamacare Medicaid expansion would be rolled back, and Medicaid spending would be capped — states would either be allotted a certain amount per capita, or they could get a block grant instead. It also caps Medicaid spending growth in the medium-to-long-term. This bill doesn't change any of that.

A new CBO score on the bill is expected Monday or Tuesday. By the end of next week, there is likely to be a key procedural vote. That would put things on track for a final vote the following week.

Meanwhile, Republicans Bill Cassidy of Louisiana and Lindsey Graham of South Carolina released an alternative plan Thursday morning. </s> iStock/Thinkstock(WASHINGTON) — Republicans on Capitol Hill are preparing for the release of the Congressional Budget Office’s analysis of the GOP health care bill that passed the House earlier this month.

The estimate of the American Health Care Act impact on the federal deficit could determine whether the Senate will take up the measure, which passed with only one vote to spare in the House.

Senate budget rules require the AHCA to save $2 billion over 10 years in order to be taken up under reconciliation — a process that would allow Senate Republicans to pass the bill with only 51 votes.

If the nonpartisan CBO determines that the bill doesn’t pass muster for reconciliation, Democrats would be able to filibuster the measure, which could send the bill back to House Republicans to amend and hold another vote.

Republican leadership aides say it’s unlikely the bill won’t meet the Senate requirements.

The CBO score will also include an estimate of whether the number of Americans with health insurance would change and by how much.

An earlier analysis of the bill estimated that 24 million Americans would lose health insurance under the GOP’s AHCA, compared to Obamacare.
The U.S. Senate releases a revised version of the American Health Care Act, the Better Care Reconciliation Act.