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A Legislative History of the "Repeal and Replacement" of the Obamacare: Overview

Table of Contents

White House.  HABS Collection, Library of Congress


The election of 2016 saw the GOP obtain control of the presidency and retain control of both chambers of Congress.  This created an opportunity for Republicans to “repeal and replace” the Patient Protection and Affordable Care Act (PPACA), better known as Obamacare, passed in 2010.  This libguide will track the legislative history of that effort as it happens and contain links to legislative history source documents.  

S. Con. Res. 3, which included reconciliation instructions to repeal the ACA, was introduced in the Senate on January 3, 2017 and was passed on January 12, 2017 by a vote of 51 to 48.  The House passed S. Con. Res. 3 on January 13, 2017 by a vote of 227 - 198. 

Draft legislation began to be introduced in the Senate during January, 2017, including a “compromise” measure—The Patient Freedom Act of 2017, S. 191—and The Obamacare Repeal Act, S. 222, introduced by Sen. Rand Paul (R-KY).

The House Committee on Energy and Commerce introduced four draft bills for consideration by a committee hearing on February 2, 2017.  The legislation appeared intended to stabilize insurance markets during the repeal and replace effort.  The bills included the Plan Verification and Fairness Act of 2017; State Age Rating Flexibility Act of 2017; Health Coverage State Flexibility Act of 2017; Preexisting Conditions Protection and Continuous Coverage Incentive Act of 2017.

On March 6, 2017, the House Energy and Commerce Committee and Ways and Means Committee introduced committee prints for mark up in the respective committees.   The House Energy and Commerce Committee held a mark up session between March 8-9, 2017, passing a committee print in nature of a substitute.  The House Ways and Means Committee held a mark up session on March 8, 2017, passing its reconciliation instructions.

The reconciliation instructions were submitted to the House Budget Committee.  The House Budget Committee held its mark up on on the reconciliation instructions on March 16, 2017.  These were bundled together into the American Health Care Act,H.R. 1628, and reported for review by the full House, with H. Rep. No. 115-52, on March 20, 2017.

The House Rules Committee held hearings on consideration of the bill from May 22-24, 2017.  It passed a closed rule committee passed a closed rule for consideration of H.R. 1628 on March 24, 2017.  The bill was pulled from floor consideration that same day.

On April 6, 2017, the House Rules Committee held a hearing and passed a new closed rule, H. Res. for consideration of H.R. 1628, with a report, H. Rep. 115-88.  No floor action was taken on this resolution.  

On May 3, 2017, the House Rules Committee a hearing and passed a new closed rule, H. Res.308 for consideration of H.R. 1628 and H.R. 2192, eliminating "the non-application of certain state waiver provisions to Members of Congress and congressional staff".  The House passed H. Res. 308 on May 4, 2017.  The House then passed H.R. 2192 that day by a vote of 429-0.  The House also passed the American Health Care Act, H.R. 1628, by a vote of 217-213.