19-page memo provides broad roadmap
Texas Insider Report: WASHINGTON D.C. House Speaker Paul Ryan announced last Thursday that House Republicans will introduce legislation to repeal and replace the Affordable Care Act next week
when Congress returns from this weeks Presidents Day Recess.
And before members left town on Friday
Ryan distributed a 19-page memo that provides a broad roadmap for the Republican plan which will also guide members messaging as they meet with constituents in their districts this week.
Key elements of the replacement plan include:
- Modernization of Medicaid
- Utilization of State Innovation Grants
- Enhanced Health Savings Accounts and
- Monthly Tax Credits
Speaker Ryans announcement last Thursday come after a meeting of
the House Republican Conference and newly confirmed
Health & Human Services Secretary Tom Price (left).

States will be closely following the Medicaid proposal which as proposed would allow states to choose between a block grant or remain in the traditional capped program. However states that opted for Medicaid expansion in the ACA would eventually lose out on much of the federal funding for the expansion.
It remains to be seen if
the House Republican Conference will be able to coalesce around a replacement law.