T he FY2016 budget resolution ( S.Con.Res. 11 ) established the congressional budget for the federal government for FY2016 and set forth budgetary levels for FY2017-FY2025. It also included reconciliation instructions for House and Senate committees to submit changes in laws to reduce the federal deficit to their respective budget committees. Specifically, S.Con.Res. 11 instructed three committees of the House and two committees of the Senate to submit changes in laws within each committee's jurisdiction to reduce the deficit by not less than $1 billion for the period FY2016-FY2025. Additionally, S.Con.Res. 11 provided that these committees shall "note the policies discussed in title VI [of S.Con.Res. 11 ] that repeal the Affordable Care Act and the health care related provisions of the Health Care and Education Reconciliation Act of 2010" and "determine the most effective methods" by which these provisions "shall be repealed in their entirety." On October 23, 2015, the House passed the Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 ( H.R. 3762 ). The bill would repeal several provisions of the Patient Protection and Affordable Care Act (ACA; P.L. 111-148 , as amended), and it could restrict federal funding for the Planned Parenthood Federation of America (PPFA) and its affiliates and clinics for a period of one year. The bill also would appropriate an additional $235 million for each of FY2016 and FY2017 to the Community Health Center Fund. The Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) estimate that H.R. 3762 would reduce federal deficits by $78.1 billion over the 2016-2025 period. In lieu of action on a Senate reconciliation bill, on December 1, 2015, the Senate majority leader made a motion to proceed to the consideration of H.R. 3762 . The motion was non-debatable and was approved by voice vote. The majority leader then offered an amendment encompassing the recommendations of the instructed Senate committees as a substitute for the House language ( S.Amdt. 2874 ). Over the course of December 1, 2, and 3, the Senate debated this substitute and considered a number of amendments. On December 3, Senator Enzi, chairman of the Budget Committee, offered an amendment for himself and the majority leader as a substitute for S.Amdt. 2874 ( S.Amdt. 2916 ). On a point of order, a section of S.Amdt. 2874 concerning repeal of certain premium-stabilization programs was stricken, but the remainder of the amendment was subsequently adopted by the Senate by voice vote. The Senate then voted to pass the bill, 52-47. Similar to H.R. 3762 , the Senate amendment to H.R. 3762 would repeal several provisions of the ACA, could restrict federal funding for PPFA and its affiliated clinics for a period of one year, and would appropriate an additional $235 million for each of FY2016 and FY2017 to the Community Health Center Fund. However, the Senate bill includes many more ACA amendments or repeal provisions, as well as other non-ACA provisions. CBO and JCT estimate that the Senate bill would reduce federal deficits by $317.5 billion over the 2016-2025 period. Pursuant to the provisions of H.Res. 579 , on January 6, 2016, Representative Tom Price, chairman of the House Budget Committee, was recognized to make a motion that the House concur in the Senate amendment to H.R. 3762 . After an hour of debate, the House agreed to the motion, clearing the measure for presentment to the President. The measure was subsequently vetoed by President Obama on January 8 and returned to the House. This report includes a table listing all provisions in H.R. 3762 and the Senate amendment to H.R. 3762 that would amend or repeal ACA provisions. It also provides a brief explanation of the provisions included in the Senate Amendment to H.R. 3762 . For information about H.R. 3762 , see CRS Report R44238, Potential Policy Implications of the House Reconciliation Bill (H.R. 3762) , coordinated by [author name scrubbed]. Table 1 lists the ACA provisions that would be modified or repealed by H.R. 3762 , the Senate amendment to H.R. 3762 , or both. Neither bill would repeal the ACA in its entirety. The provisions included in the Senate bill are described in more detail in the subsequent section. ACA Section 4002 established the Prevention and Public Health Fund (PPHF), to be administered by the Secretary of the Department of Health and Human Services (HHS), and provided the PPHF with a permanent annual appropriation. Under the ACA, the PPHF's annual appropriation would increase from $500 million for FY2010 to $2 billion for FY2015 and each subsequent fiscal year. However, the Middle Class Tax Relief and Job Creation Act of 2012 ( P.L. 112-96 ) reduced the PPHF appropriation from FY2013 through FY2021 as part of a package of offsets. Annual appropriations to the PPHF are now as follows: $500 million for FY2010; $1 billion for each of FY2012 through FY2017; $1.25 billion for each of FY2018 and FY2019; $1.5 billion for each of FY2020 and FY2021; and $2 billion for FY2022 and each fiscal year thereafter. Amounts for each fiscal year are available to the HHS Secretary beginning October 1, the start of the respective fiscal year. Congress may explicitly direct the distribution of PPHF funds and did so for FY2014 and FY2015. Section 101 of the Senate bill would amend ACA Section 4002(b) by repealing all PPHF appropriations for FY2016 and subsequent fiscal years. It also would rescind any unobligated PPHF balances from prior fiscal years. Section 221(a) of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; P.L. 114-10 ) provided a mandatory appropriation of $3.6 billion to the Community Health Center Fund for each of FY2016 and FY2017. Section 102 of the Senate bill would provide an additional $235 million for each of FY2016 and FY2017 to the Community Health Center Fund. It would do so by adding $235 million to the mandatory appropriation provided in Section 221(a) of MACRA. Under the ACA, a U.S. territory may elect to establish a health insurance exchange but is not required to do so. ACA Section 1323(c) provides funding to territories that establish exchanges; the funds provided under an agreement between a territory and HHS can be used only for financial assistance for individuals who obtain health insurance through an exchange. Section 1323(c) provides $1 billion to be available for this purpose beginning in 2014 and ending in 2019. The HHS Secretary is directed to allocate $925 million to Puerto Rico and divide the remaining $75 million among American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. If a territory does not establish an exchange, the territory is entitled to an increase in Medicaid funds. Section 104 of the Senate bill would provide that ACA Section 1323(c), which provides funding for territories, shall have no "force or effect," as of January 1, 2018. ACA Section 1341 requires the HHS Secretary to determine standards enabling states to establish and maintain a reinsurance program. Under the program, certain health insurers are required to make payments into the reinsurance program; those payments are then used to compensate a subset of health insurers for a portion of the cost of high-risk (i.e., high-cost) individuals who enrolled in their plan. The program runs for the three-year period beginning January 1, 2014. The HHS Secretary is required to determine both the methodology for calculating contributions to the reinsurance program and a method for equitable allocation of funds, although the total amount of funds to be collected is specified in statute. Section 105 of the Senate bill would prohibit the HHS Secretary from collecting fees and making payments under ACA Section 1341, the reinsurance program, effective January 1, 2016. The Substance Abuse and Mental Health Services Administration (SAMHSA) supports community-based substance abuse and mental health treatment and prevention services through formula grants to the states and U.S. territories and through competitive grant programs to states, territories, tribal organizations, local communities, and private entities. SAMHSA and most of its programs and activities are authorized under Public Health Service Act (PHSA) Title V; its two largest grant programs, the Substance Abuse Prevention and Treatment block grant and the Community Mental Health Services block grant, are authorized under PHSA Title XIX. PHSA Section 399O requires the HHS Secretary to award formula grants to states to support state prescription drug monitoring programs (PDMPs); appropriations were authorized through FY2010, and the grant program has not received funding since then. Other agencies within HHS also support substance abuse or mental health prevention and treatment under more general authorities. Section 105 of the Senate bill would authorize to be appropriated, and would appropriate, out of monies in the Treasury not otherwise obligated, $750 million for each of FY2016 and FY2017, to the HHS Secretary to award grants to states to address the substance abuse public health crisis or respond to urgent mental health needs by (1) improving state prescription drug monitoring programs, (2) implementing and evaluating substance abuse prevention activities, (3) training health care practitioners in topics related to substance abuse, (4) supporting access to substance abuse or mental health services, and/or (5) other public health-related activities related to substance abuse or mental health.