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What the biggest changes to the ACA so far mean

Congress is nearing a vote on a $1.1 trillion spending bill that will fund the government into next fall.

It includes the biggest changes so far to one of Congressional Republicans’ top legislative targets over the last half-dozen years: Obamacare.

The omnibus package includes provisions that would delay or suspend three taxes that help finance the Affordable Care Act, undercutting something of a grand bargain struck with the healthcare industry to get the ACA passed.