March Madness: American Health Care Act

“I’m just a bill, sitting here on Capitol Hill..” 

Schoolhouse rock Bill

The American Health Care Act of 2017 was pulled before a probable defeat on the floor of the House of Representatives today. Here’s a recap of its journey.

After months of anticipation and secrecy, the American Health Care Act of 2017 plan was released by House Republicans on March 6th consisting of two bills. One bill was introduced into the House Energy and Commerce Committee and the other to the House Ways and Means Committee.  The bills passed both committees the next day on a party-line vote and without a Congressional Budget Report (CBO) cost analysis.  It wasn’t until March 13th that the CBO released its budget estimates. The CBO report is often used as a tool for debate prior to any votes. On March 16th the bill passed the House Budget Committee with a vote of 19-17.  It’s important to note that three Republicans on that committee joined the Democrats in opposition.  The bill, HR 1628, then went to the House Rules Committee which sets the terms for the final debate when the bill comes to the House floor for a vote.  The committee approved a provision that allows for the “same-day” rule (or often referred to as martial law), essentially allowing the bill to be voted on the same day even as it is still having changes made to it before being voted out of committee.

In contrast to the fast movement of the American Health Care Act, the Affordable Care Act during the Obama Administration underwent months of negotiations, markup, and debate before its final passage.   It was introduced by Speaker Pelosi in July of 2009 and passed in the House November 2009 and was ultimately not signed into law by then President Obama until March 23, 2010.

Here’s a visual recap of its journey:

AHCA HR 1628.png