“Skinny Repeal” Is On Deck For a Midnight Vote

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Diet health care is here! The New York Times reports that Mitch McConnell has finally released his “skinny repeal” bill, and it has six provisions:

  1. Repeals the individual mandate.
  2. Repeals the employer mandate.
  3. Allows states to waive Obamacare’s essential benefits.
  4. Expands Health Savings Accounts.
  5. Delays the medical device tax.
  6. Forbids payments to Planned Parenthood and increases funds for community health centers.

What’s the deal here? Didn’t the Senate parliamentarian already rule that #3 and #6 don’t pass muster in a reconciliation bill and can’t be included? What am I missing? Is there some small change in wording that makes the “skinny repeal” versions of these things more directly related to taxes and spending?

Also, is this revenue neutral? #4 and #5 cost money. #3 and #6 do nothing. So are they assuming that repealing the mandates will save money? It certainly reduces the number of people who will buy insurance, which means that federal subsidies go down. On the other hand, repealing the mandates also causes premiums to go up for everyone else, which means that federal subsidies are increased. Do we know how that pencils out? Can this bill be passed without a CBO score to clear this up?

Nothing matters, I guess. Maybe tonight’s vote is, yet again, “procedural.” If so—and I can’t quite get a straight answer about that—I guess they can put anything they want in the bill. Except for one thing: several senators are worried that if this passes, the House might double-cross them. Instead of using it as a placeholder for negotiation, they might just vote on the thing and pass it into law. Paul Ryan could have cleared this up with a definitive statement this afternoon, but instead he delivered a waffly statement. There’s no honor among Republicans, I guess.

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is the first thing despots go after. An unwavering commitment to it is probably what draws you to Mother Jones' journalism. And as we're seeing in the US and the world around, authoritarians seek to poison the discourse and the way we relate to each other because they can't stand people coming together around a shared sense of the truth—it's a huge threat to them.

Which is also a pretty great way to describe Mother Jones' mission: People coming together around the truth to hold power accountable.

And right now, we need to raise about $400,000 from our online readers over the next two months to hit our annual goal and make good on that mission. Read more about the information war we find ourselves in and how people-powered, independent reporting can and must rise to the challenge—and please support our team's truth-telling journalism with a donation if you can right now.

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