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FGA Responds to Revised Better Care Reconciliation Act

Washington, D.C. — Revised text of the Better Care Reconciliation Act contains an important focus on much needed relief for patients drowning under the unsustainable costs of the Affordable Care Act.

Changes include an amendment which provides patients the option of purchasing lower-cost plans that better meet their individual family needs.

In addition, the revised text maintains provisions that will give states new flexibility to require able-bodied adults on Medicaid to work, train, or volunteer. More than two-thirds of all voters support these common-sense Medicaid work requirements. The bill will also end ObamaCare’s perverse funding scheme for new states considering Medicaid expansion and gradually phase out the enhanced funding for states that have already opted in.

“The situation we face under the Affordable Care Act gets worse by the day,” said Tarren Bragdon, president and CEO of the Foundation for Government Accountability. “The amended Senate bill will provide real relief to patients and taxpayers. It will help reduce health insurance premiums and will provide the most substantial Medicaid reform in decades, unwinding the ACA’s destructive Medicaid expansion that prioritized able-bodied adults over the truly needy. We look forward to working with the Trump Administration on implementation and further regulatory relief to ensure states have increased flexibility in dealing with their Medicaid programs and additional avenues to reduce premiums across the board.”

The full revised text of the bill (H.R. 1628) can be found here.

The Foundation for Government Accountability is a nonprofit, multistate think tank that specializes in health care, welfare, and regulatory reform. To learn more, visit


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