Since they couldn't get the ACA repealed, opponents of the law's health care taxes are asking Congress to delay two of the big ones again. In a letter to House Speaker Paul Ryan and Senate Majority Leader Mitch McConnell this morning, Americans for Tax Reform, FreedomWorks and other conservative groups are asking them to put two of the big ones on hold: the medical device tax and the tax on health insurers. Both were suspended before, but they're supposed to come back in 2018.
The argument: Insurers are pushing against the health insurance tax too, with an argument guaranteed to appeal to Republicans: They make premiums higher for everyone. An Oliver Wyman study commissioned by UnitedHealth Group showed how much the tax adds to premiums, not just in the individual market, but in the small and large group markets as well as Medicare Advantage.
Why it matters: With powerful industry groups and conservative leaders on the same side, it wouldn't be surprising if congressional Republicans agree to attach a delay to a year-end spending bill — if they can figure out how to pay for it.