The Patient Safety and Health Care Act

Running Head: AFFORDABLE CARE ACT ‘REPEAL & REPLACE’-REVIEW & ANALYSIS
AFFORDABLE CARE ACT ‘REPEAL & REPLACE’-REVIEW & ANALYSIS
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1AFFORDABLE CARE ACT ‘REPEAL & REPLACE’-REVIEW & ANALYSIS
Introduction:
The Patient Safety and Health Care Act, commonly known as the Affordable Care Act
(ACA) or colloquially regarded as Obama care (Siskin et al., 2017), is a statutory legislation of
the United States passed by the 111th Congress of the United States and signed into law on 23
March 2010 by President Barack Obama. The bill has introduced a series of changes to payment
processes aimed at reducing healthcare expenses and increasing efficiency. After the reform fell
into force, total healthcare cost growth decreased, particularly rates for employer-based
insurance policies. Trump and other Republicans (Jacobs, 2017) have promised to dismantle
Obama care to expand it. On January 20, 2017, President Trump passed legislation (McCarthy,
2017) saying Obamacare's pressure will be lifted while the government passes toward abrogation
to substitution. The paper below discusses and reviews the effects of the repealing and replacing
the Affordable Care Act (ACA). Additionally the paper also discusses the health care issues
included in the proposed bill and ways with which it influences nursing practice or nursing care
as well as how it will potentially impact the health care system, patients and communities.
Discussion:
Legislation or the Proposed Bill passed for repealing & replacing the ACA:
The House Republican leadership revealed a concise proposal to overhaul the Affordable
Care Act on March 6, 2017. It maintains several provisions of the Affordable Care Act, but
combines ACT's payment program with tax credits and publicly supported provision of Medicaid
with a block grant framework for states depending on the type and amount of patients covered.
The New York Times mentions in their article (Hoffman & Goodnough, 2019) that the

2AFFORDABLE CARE ACT ‘REPEAL & REPLACE’-REVIEW & ANALYSIS
conservative opponents like Rand Paul described the proposal as "Obamacare Thin" and
proceeded to support complete elimination, although other Republicans like Cory Gardner from
states that had approved Medicaid extension voiced doubt over how the proposed program would
properly finance Medicaid patients 'programs. One section of the bill was approved by the
United States House Committee on Ways and Means on March 9, 2017, during an all-night
session. The United States House Committee on Energy and Commerce has endorsed the second
section of the bill by a party-line vote by March 9.
Key aspects of the Legislation or Bill and the Areas of Health Care
Addressed:
The Congressional Budget Office issued its report on the plan on March 13. It forecasted
a rise of 24 million uninsured by 2028, with savings of $337 billion over ten years. In 2018,
much of the loss will be triggered both explicitly and implicitly by the removal of the fines under
the federal requirement (Ku et al,. 2017). By 2016, the CBO predicts that the total price paying
for health benefits will be decreased by about 10%. It stems from higher premiums for older
patients and decreased benefits that are projected to raise the percentage of younger individuals
in the population and decrease the percentage of older people. The bill (Jost, 2017) was
authorized on 16 March 2017 by the House Budget Committee 19 to 17. On 4 May 2017, the
U.S. House of Representatives voted to amend the Consumer Safety and Affordable Care Act
and enact the American Health Care Act by a slim vote of 217 to 213, referring the measure to
the Senate for deliberation. The Senate has suggested that it would draft its own version of the
legislation, rather than rely on the House edition.
On 7 March 2017 Pete Sessions introduced an innovative resolution to amend and restore
the "World's Best Healthcare Initiative 2017" Consumer Safety and Affordable Care Act. The