Senate Republicans released the much anticipated healthcare reform discussion draft this morning, July 22, 2017.

    The Better Care Reconciliation Act of 2017 is largely in line with the House-passed American Health Care Act (H.R. 1628):

    • Eliminates individual and employer mandates;
    • Repeals key Affordable Care Act (ACA) taxes on health insurers and medical devices;
    • Delays the so-called Cadillac tax from 2020 to 2026; and
    • Creates a state innovation fund, which can be used for coverage of high-risk patients and reinsurance programs.
    The discussion draft also contains provisions that greatly differ from the House bill:
    • Gradually decreases Medicaid expansion funding over four years and starting in 2020;
    • Keeps current ACA tax credits based on age versus income;
    • Reduces consumer subsidies to 350 percent of the federal poverty line;
    • Funds reinsurance programs for four years; and
    • Continues cost-sharing reduction payments through 2019.
    The Better Care Reconciliation Act also includes funding for the opioid abuse crisis, an important part of NCPDP’s EDvocacy and our PDMP strategic initiative. The Senate version includes $2 billion to be allocated through the Department of Health and Human Services (HHS) in Fiscal Year 2018 to “provide grants to States to support substance use disorder treatment and recovery support services for individuals with mental or substance use disorders.”
     
    We will have more detailed information for RxReconn® subscribers in the June 28th weekly update.

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