ObamaCare’s impact on health costs.

The Supreme Court is more likely to act if Republicans have an alternative bill ready.

Thanks to four justices of the Supreme Court, there is now a clear path to repealing and replacing the Affordable Care Act next year, finally bringing Obamacare to an end.

But Republicans won’t accomplish this by waiting for the court or just voting to repeal the law one more time. The only way they can succeed is by crafting their own replacement — and they need to start right away.

By Jonathan Ingram, Nic Horton and Josh Archambault— Mr. Ingram is Research Director, Mr. Horton Policy Impact Specialist, and Mr. Archambault a Senior Fellow at the Foundation for Government Accountability.

After months of secretly negotiating a backroom deal with the Obama administration, Governor Gary Herbert (R-UT) has finally released (some of) the details of his Obamacare expansion plan. We’ve not hesitated to share our disappointment over Herbert’s recent actions to bring Obamacare to Utah (which has always seemed out of character for him), but we’ve also met with the governor and his chief of staff privately to share our concerns about this welfare program. Sadly, Gov. Herbert continues to move forward with an Obamacare expansion plan that is bad for taxpayers and the truly needy.

Sen. Tom Harkin, one of the coauthors of the Affordable Care Act, now thinks Democrats may have been better off not passing it at all and holding out for a better bill.

The Iowa Democrat who chairs the Senate Health, Education, Labor and Pensions Committee, laments the complexity of legislation the Senate passed five years ago.
He wonders in hindsight whether the law was made overly complicated to satisfy the political concerns of a few Democratic centrists who have since left Congress.

In the 2014 midterm elections, opposition to the Affordable Care Act — i.e., Obamacare — was a clear political winner. That’s obvious from the election results themselves but also from polling that consistently finds that far more of the electorate disapproves of the law than approves of it.

Luke Hilgemann: A few weeks ago, hardly anyone in America had heard of Jonathan Gruber. Now, the Obamacare architect is a household name.

Gruber became a national sensation earlier this month after videos emerged of him detailing how the “Patient Protection and Affordable Care Act” became law. The short version: Its architects, including Gruber, exploited the legislative process to pass a bill that voters never would have supported had they known what it was. In his words: “Call it the stupidity of the American voter or whatever, but basically that was really, really critical for the thing to pass.”

“The Obama administration has admitted to erroneously inflating the count of Exchange enrollees by incorrectly including 380,000 dental subscribers. Instead of 7.1 paid enrollments in the Exchanges as of mid-October, the correct figure should have been only 6.7 million. For the same reason, the reported number of paid enrollments in August should have been only 6.9 million rather than the 7.3 million figure originally reported. It’s a bit disappointing that this goof might never have been discovered but for the investigative efforts of Republican staffers for the House Oversight and Government Reform Committee, using data that took weeks of negotiations to secure from the U.S. Centers for Medicare and Medicaid Services. That said, it’s encouraging to see DHHS Secretary Burwell take the position “The mistake we made is unacceptable. I will be communicating that clearly throughout the department.””

“Illegal immigrants protected from deportation under President Obama’s executive action will be eligible for Medicare and other benefits once they enter the federal system.
The sweeping White House announcement last week means that up to 5 million people will be considered lawfully present in the United States despite having entered the country illegally.
This status makes them eligible for programs such as Medicare and Social Security if they work and submit payroll taxes that flow to those programs. This fact was noted Tuesday in a report by The Washington Post.”

“As employers try to minimize expenses under the health law, the Obama administration has warned them against paying high-cost workers to leave the company medical plan and buy coverage elsewhere.
Such a move would unlawfully discriminate against employees based on their health status, three federal agencies said in a bulletin issued this month.”

“Just days before the health law’s marketplaces reopened, nearly a quarter of uninsured said they expect to remain without coverage because they did not think it would be affordable, according to a poll released Friday.
That was by far the most common reason given by people who expect to stay uninsured next year, according to the latest tracking poll by the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) Forty-one percent of individuals without health insurance said they expected they would remain uninsured, while about half said they plan to get coverage in the coming months.”

“The Obama administration is seeking to clarify rules for the coverage of elective abortion in health insurance exchanges. That is the issue that almost scuttled the Affordable Care Act before it became law.
A complicated compromise that got the final few anti-abortion Democrats to agree to vote for the measure in 2010 required every exchange to include health plans that do not cover abortions except in the cases of rape, incest or a threat to the life of the pregnant woman. Plans that do offer abortion other than in those cases are required to segregate funds and bill for that abortion coverage separately.”