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After much waiting and secrecy, U.S. Senate leaders have released a “discussion draft” of the latest legislation to repeal and replace the Affordable Care Act.

The Senate bill, dubbed the “Better Care Reconciliation Act” or BCRA, is similar in structure to the American Health Care Act (AHCA) passed by the U.S. House. Both bills would sunset a provision of the Affordable Care Act that significantly reduces out of pocket health costs for lower income consumers via cost share reductions, and both bills replace income-based Advanced Premium Tax Credits with smaller credits that are based on both income and age.

In other words, the Senate bill creates winners and losers just as the House bill did. Here’s our view on the potentially good, the potentially bad and the potentially ugly provisions impacting consumers, insurance companies and our country as a whole.

Click here to view the table as a pdf.

Even though Senate leaders announced their intention to approve the Senate BCRA quickly, many Senators have expressed concerns about the bill, including Wisconsin’s two Senators Ron Johnson and Tammy Baldwin. If you share their concerns about these changes, now is the time to let them know your thoughts before a Senate vote is scheduled. Click here for information on how you can take action now.

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