Senate Republicans released a revised draft of the Better Care and Reconciliation Act (BCRA) on Thursday, and it does not make fundamental changes from the original version. Most notably, sharp cuts to Medicaid remain in the latest draft.
The bill does include an amendment from Sen. Ted Cruz (R-Texas) that would allow insurance companies to sell plans that do not meet minimum Affordable Care Act (ACA) requirements so long as they offer at least one plan that does. The insurance industry has opposed this idea, saying it would lead to “widespread adverse selection and unstable health insurance markets.”
Other changes include some new funding: $45 billion to fight the opioid epidemic and $70 billion to help insurers pay for particularly expensive customers. It would also let anyone use premium subsidies to buy catastrophic coverage and use pre-tax dollars to pay premiums.