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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2017) [January 13, 2017]
"Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. In addition to considering ACA repeal or amendment in authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other aspects of the law. ACA-related provisions have been included in enacted appropriations acts each year since the ACA became law. In October 2013, disagreement between the Republican-led House and Democratic-controlled Senate over the inclusion of ACA language in a temporary spending bill for the new fiscal year (i.e., FY2014) resulted in a partial shutdown of government operations that lasted 16 days."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2017-01-13
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2017) [October 7, 2016]
"Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. In addition to considering ACA repeal or amendment in authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other aspects of the law. ACA-related provisions have been included in enacted appropriations acts each year since the ACA became law. [...] Congressional appropriators have used a number of legislative options available to them through the appropriations process in an effort to defund, delay, or otherwise address implementation of the ACA. First, they have denied CMS and the IRS any new funding to cover the administrative costs of ACA implementation. Second, House appropriators repeatedly have added limitations (often referred to as riders) to the Labor-HHS-ED and Financial Services appropriations bills to prohibit CMS and the IRS from using discretionary funds provided in the bills for ACA implementation activities. [...] Third, House appropriators have incorporated ACA-related legislative language in the Labor-HHS-ED appropriations bills. [...] Finally, congressional appropriators have added to recent Labor-HHS-ED appropriations acts several reporting and other administrative requirements regarding implementation of the ACA."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2016-10-07
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016) [August 4, 2016]
"Congress remains deeply divided over implementation of the Affordable Care Act (ACA), which President Obama signed into law in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. To date, most of this legislative activity has taken place in the House, which reverted to Republican control in 2011. Over the past five years, the Republican-led House has passed numerous ACA-related bills, including legislation that would repeal the entire law. There has been less debate in the Senate, which remained under Democratic control through 2014. Most of the ACA legislation passed by the House during that period was not taken up by the Senate. However, a few bills to amend specific elements of the ACA that attracted sufficiently broad and bipartisan support were approved by both the House and the Senate and signed into law. Now that Republicans control both chambers of Congress, opponents of the ACA see new opportunities to pass and send to the President legislation that would change the law. In addition to these attempts to repeal or amend the ACA through authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other concerns they have with the law. […] This report summarizes the ACA-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2016-08-04
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016) [January 5, 2016]
"Congress remains deeply divided over implementation of the Affordable Care Act (ACA), which President Obama signed into law in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. To date, most of this legislative activity has taken place in the House, which reverted to Republican control in 2011. Over the past five years, the Republican-led House has passed numerous ACA-related bills, including legislation that would repeal the entire law. There has been far less debate in the Senate, which remained under Democratic control through 2014. Most of the ACA legislation passed by the House during that period was not taken up by the Senate. However, a few bills to amend specific elements of the ACA that attracted sufficiently broad and bipartisan support were approved by both the House and the Senate and signed into law. Now that Republicans control both chambers of Congress, opponents of the ACA see new opportunities to pass and send to the President legislation that would change the law. In addition to these attempts to repeal or amend the ACA through authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other concerns they have with the law. […] This report summarizes the ACA-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2016-01-05
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016) [October 13, 2015]
"Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. In addition to considering ACA repeal or amendment in authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other aspects of the law. ACA-related provisions have been included in enacted appropriations acts each year since the ACA became law. In October 2013, disagreement between the Republican-led House and Democratic-controlled Senate over the inclusion of ACA language in a temporary spending bill for the new fiscal year (i.e., FY2014) resulted in a partial shutdown of government operations that lasted 16 days. […] Finally, congressional appropriators have added to recent Labor-HHS-ED appropriations acts several reporting and other administrative requirements regarding implementation of the ACA. These include instructing the HHS Secretary to establish a website with information on the allocation of funding from the Prevention and Public Health Fund and to provide an accounting of administrative spending on ACA implementation."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2015-10-13
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016) [September 21, 2015]
From the Summary: "Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. In addition to considering ACA repeal or amendment in authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other aspects of the law. ACA-related provisions have been included in enacted appropriations acts each year since the ACA became law. In October 2013, disagreement between the Republican-led House and Democratic-controlled Senate over the inclusion of ACA language in a temporary spending bill for the new fiscal year (i.e., FY2014) resulted in a partial shutdown of government operations that lasted 16 days."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2015-09-21
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016) [July 10, 2015]
"Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. In addition to considering ACA repeal or amendment in authorizing legislation, some lawmakers have used the annual appropriations process in an effort to eliminate funding for the ACA's implementation and address other aspects of the law. ACA-related provisions have been included in enacted appropriations acts each year since the ACA became law. In October 2013, disagreement between the Republican-led House and Democratic-controlled Senate over the inclusion of ACA language in a temporary spending bill for the new fiscal year (i.e., FY2014) resulted in a partial shutdown of government operations that lasted 16 days. The House Appropriations Committee has added numerous ACA-related provisions to annual appropriations acts since the Republicans regained control of the House in 2011. Most of these provisions were included in the Departments of Labor, Health and Human Services, Education, and Related Agencies ('Labor-HHS-ED') Appropriations Act, which funds the Centers for Medicare & Medicaid Services (CMS). A few were incorporated in the Financial Services and General Government ('Financial Services') Appropriations Act, which funds the Internal Revenue Service (IRS). By comparison, the Labor-HHS-ED and Financial Services appropriations bills drafted by the Senate Appropriations Committee were largely free of any ACA-related provisions while the committee remained under Democratic control through 2014."
Library of Congress. Congressional Research Service
Redhead, C. Stephen; Cornell, Ada S.
2015-07-10
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