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Key Provision Comparison: AHCA and PPACA

Key Provision Comparison: AHCA and PPACA

On May 4, 2017, the United States House of Representatives narrowly passed the American Health Care Act (“AHCA”), a bill that seeks to repeal and replace the Patient Protection and Affordable Care Act (“PPACA”). The AHCA is now before the Senate where Republicans hold a 52-48 majority. Since the bill was introduced through the budget reconciliation process it will require only 50 Senate votes to move forward (in case of a tie, Vice President Pence will cast the deciding vote). However, as the bill moves forward, it is important to remember that because Republicans are using the budget reconciliation process to advance the legislation, they are limited with respect to what they can include within the bill. In general, reconciliation rules prohibit the Senate from considering issues that do not impact the federal budget. As such, some provisions in the AHCA that do not impact the federal budget, such as broad policy based changes, will likely be excluded from the Senate bill. Although the timeline for moving forward is unclear, changes to the AHCA are likely. To help employers understand which PPACA provisions may be impacted by the AHCA, we have compiled a list of significant PPACA provisions and examine how the AHCA, as it is currently written, impacts those provisions.


Our Perspective

Please see our infographic here compiled by the Gallagher Benefits Service Divisional Compliance team depicting the difference between the PPACA and the AHCA.

Tony Kouba

Tony Kouba is a Managing Director with the Physician and Advanced Practice Provider Services service line of Gallagher’s Human Resources & Compensation Consulting practice. Mr. Kouba has over ten years of experience in physician compensation, acquisition, and integration. 

Mr. Kouba’s uniquely balanced perspective of drawing conceptual conclusions from detailed analysis has helped many clients realize their strategic vision and accomplish corresponding objectives. Mr. Kouba’s consulting is dedicated to helping clients ensure that their existing compensation programs ...

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