Affordable Care Act (ACA) and the Appropriations Process: FAQs Regarding Potential Legislative Changes and Effects of a Government Shutdown [October 2, 2013] [open pdf - 377KB]
"Congress has yet to complete legislative action on any of the 12 regular appropriations bills to fund the routine operations of federal agencies for FY2014, which began on October 1, 2013. Moreover, lawmakers have been unable to agree on a continuing appropriations bill, or continuing resolution (CR), to provide funding for part or all of the new fiscal year. As a result, the federal government has begun a shutdown of programs that lack budget authority to continue operations in FY2014, except in certain circumstances. Congress is deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Some lawmakers opposed to the ACA have advocated the use of the appropriations process to eliminate funding for the law or to delay its implementation. On September 20, 2013, the House approved an FY2014 CR (H.J.Res. [House of Representatives Joint Resolution] 59) to provide temporary funding for the federal government until December 15, 2013. H.J.Res. 59, as passed by the House, incorporated language that would prohibit the use of any federal funds to carry out the ACA. The Senate amendment to H.J.Res. 59 did not incorporate the House ACA defunding language. The House then proposed changes to the Senate amendment to delay the ACA's implementation, but the Senate rejected those changes. With the two chambers unable to reach agreement on H.J.Res. 59 by October 1, 2013, the government commenced a partial shutdown of its operations."
CRS Report for Congress, R43246