Senate's ACA talks aren't going as well as they seem
Republicans and Democrats on the Senate HELP Committee disagree about the how far they should go in overhauling the Affordable Care Act's "state innovation waivers" — a dispute that could spell trouble for the committee's bipartisan talks about how to shore up the ACA.
The committee's public hearings have focused mainly on non-controversial changes to the waiver process. But private negotiations, HELP Chairman Lamar Alexander has talked more explicitly about making more substantial changes, a senior GOP aide said. Alexander wants to make it easier for states to waive some of the ACA's consumer protections and benefit mandates — which Democrats would staunchly oppose.