ACA Repeal and Replace

CHA has compiled the following resources addressing ACA repeal, repair and replacement; specific topics are listed below. These resources will be updated regularly as new information becomes available.

2017 Legislation​

  • H.R. 1 Tax Cuts and Jobs Act​ - includes repeal of individual mandate


Bill Text

Conference Report

  • Graham-Cassidy Amendment – introduced September 13, 2017



Talking Points

CHA Analysis & Impact Infographics 

Tweet Sheet

Preliminary CBO Analysis

​Bill Text

Advocacy Update Power Point

  • Senate “Skinny Repeal”introduced July 27, 2017

Bill Text:

H.R. 1628 - The Healthcare Freedom Act, July 27, 2017, 10:00 p.m. EST

CBO Estimate of Direct Spending and Revenue Effects

  • Better Care Reconciliation Actintroduced June 22 

​Bill Text: 

H.R. 1628 – The Better Care Reconciliation Act, updated July 13

H.R. 1628 - The Better Care Reconciliation Act, amended June 26

H.R. 1628 - The Better Care Reconciliation Act, introduced June 22

​Health Policy Alternatives Summary

California Department of Health Care Services Analysis

  • American Health Care Act - introduced March 6, 2017

CHA Summary

CHA Impact Analysis

Bill Text:

H.R. 1628 – The American Health Care Act

Ways & Means Committee Legislation

Executive Summary

Detailed Summary

Energy & Commerce Committee Legislation 

Detailed Summary

Bill Amendments:

Technical Changes

Section-by-Section Summary of Technical Changes

Policy Changes

Section-by-Section Summary of Policy Changes


One-page Summary of S. 191

  • H.R. 829 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program, and for other purposes.
  • H.R. 181 - To amend title XIX of the Social Security Act to count portions of income from annuities of a community spouse as income available to institutionalized spouses for purposes of eligibility for medical assistance, and for other purposes.

2015-16 Legislation


CHA encourages hospital executives to contact their congressional representatives to urge them to preserve health coverage as a part of any effort to repeal and replace the Affordable Care Act.

Section-by-Section Summary

Twitter Flyer

Facebook Flyer 

Facebook Flyer

​​Key Messages

Our Health California Flyer

Sacramento Bee Statement

Developed by CHA and intended to assist members in their advocacy, this brochure illustrates the vital role hospitals play in the nation’s complex health care system and includes helpful data such as the number of Californians now insured, poverty rates and hospitals’ economic impact on their communities.

Talking Points – March 16, 2017

Statewide Impact Chart

Impact by Congressional District

CHA’s Letter to the CA Congressional Delegation

Updated Talking Points – March 8, 2017

CHA Summary

CHA Media Statement

Committees of Jurisdiction

ACA Coverage Chart

Talking Points - February 13, 2017

ACA Hearings Schedule

California Delegation

ACA Coverage Chart

Talking Points – January 4, 2017

Medicaid Background

Repeal Background

Insurance Reform Background

Hospital Voices

Additional Resources

Updated December 21, 2017