Side-by-side: The ACA vs. Graham-Cassidy

Topics: Politics and Policy, Federal Government, Health Care Legislation, Insurance, Exchanges, Medicaid, High-Risk Pools, Health Care Reform

American Health Line created the below chart to compare key provisions of the Affordable Care Act (ACA) and the latest version of the Graham-Cassidy bill (HR 1628), which Sen. Bill Cassidy (R-La.) released on Monday.

The chart is intended to provide a high-level overview, so it isn't a comprehensive list of all the changes from the ACA. It also does not include estimated effects on coverage, as the Congressional Budget Office (CBO) has said it will not have time to fully score Graham-Cassidy prior to Sept. 30, when the current reconciliation authority will expire, and other analysts have not yet provided coverage estimates for the updated version of the bill. The Brookings Institution estimated that the previous version of the legislation would have increased the number of uninsured individuals by 21 million for the years 2020 to 2026.

It's also important to note that several ACA provisions would remain intact under Graham-Cassidy, including the law's provisions that:

  • Prevent insurers from denying coverage based on health status;
  • Allow individuals to stay on their parent's insurance plans until age 26;
  • Established the CMS Innovation Center (CMMI) to test new Medicare and Medicaid payment and delivery system models; and
  • Established the Independent Payment Advisory Board (IPAB).

We'll update this article as new information arises, including if the GOP makes further changes to the bill.