On Monday evening, the House Energy and Commerce and Ways and Means committees released the two long-awaited components of the House GOP’s plan to repeal and replace Obamacare. Although intense secrecy from House aides and a hunt for the bill last week involving Senator Rand Paul and a gaggle of reporters had raised expectations of dramatic changes, the bills that will go into markup Wednesday in the committees look pretty similar to a draft version of the bill that leaked a few weeks ago.
The two components—called the “American Health Care Act” in tandem—are intended to be passed by the reconciliation budgetary process, and as such only contain provisions that pertain to budgetary items, like the amount of the Affordable Care Act’s individual mandate tax or the Medicaid funding granted to states. The whole bill has yet to be scored by the Congressional Budget Office, a critical step that will determine both the number of people projected to gain or lose coverage under the law, and the amount of spending or saving it would incur.
In advance of that scoring, the general shape of the bill has been criticized from both sides even within Republican circles. Some, like the members of the more conservative Freedom Caucus in the House and Senator Rand Paul, have derided the tax credits as “Obamacare lite.” On the other side, some have blasted the idea of pulling Medicaid coverage away from sick, rural Americans who just became eligible under the ACA and enjoy their coverage. With the bill now public, it’s clear that while the framework does maintain some key Obamacare provisions, it also still would fundamentally reshape health policy—and reassign who reaps most of the benefits. Here’s a breakdown of what’s in the drafts: