Jul 25, 2017

How "skinny repeal" might work as Senate's last resort

AP file photo

A new idea has surfaced in the last 24 hours about what Senate Republicans might do if they can't pass anything else: they might pass a lowest-common denominator plan that only repeals a few pieces of the Affordable Care Act, the parts everyone hates. Vox has a good explainer about how this might work.

"Skinny repeal": If the Senate votes to start the debate, but it can't pass either its repeal-and-replace bill or a straight repeal bill, the last move might be something that just gets rid of the individual and employer mandates. It would be hard for any Republicans to vote against that. (We've also heard a third piece: the bill might also get rid of the ACA's tax on medical devices.)

The goal: Pass anything — anything at all — so the Senate can go to a conference committee with the House and work out a final version.

Why it matters: This is far from a decided plan, from what we can tell. But the fact that it's being floated at all shows how desperate Senate Republicans are not to let the ACA repeal effort collapse — and have to explain to voters why they couldn't do the thing they've been promising for seven years.

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