On Jan. 22, President Trump signed a stopgap spending bill (H.R.195) to end the government shutdown and fund government operations through Feb. 8. Included in the bill was a suspension for 2019 of the health insurance tax (HIT) on providers included in the Patient Protection and Affordable Care Act. 

On Oct. 17, Senate Committee on Health, Education, Labor and Pensions Chairman Lamar Alexander (R-Tenn.) and Ranking Member Patty Murray (D-Wash.) announced a short-term deal aimed at stabilizing the individual health insurance market and lowering the costs of premiums.

On Sept. 26, U.S. Senate leadership announced there will not be a vote on the latest version of the Affordable Care Act (ACA) repeal bill. Named after its four sponsors, the Graham-Cassidy-Heller-Johnson bill aimed to repeal parts of the ACA and change its federal funding system with annual block grants to states to help individuals pay for health care.

On July 25, the U.S. Senate voted to begin debate on the repeal of the Affordable Care Act (ACA). The Senate voted 51-50, with Vice President Mike Pence breaking the tie, in support of moving forward with debate on H.R. 1628, the American Health Care Act. In advance of the vote, ABC sent a key vote letter urging senators to vote “yes” on the motion to proceed. The Senate will now move forward with 20 hours of debate and most likely vote on dozens of amendments.

On June 22, the U.S. Senate issued the Better Care Reconciliation Act of 2017, a substitute to the House-passed American Health Care Act (AHCA), which would repeal and replace several provisions of the Affordable Care Act. The Senate bill was slated for a vote this week; however, on June 27 Senate Majority Leader Mitch McConnell (R-Ky.) delayed the vote until after the July 4 recess due to a lack of support for passage. 

On May 24, the Congressional Budget Office (CBO) released a report with estimates on the costs and overall effect of H.R. 1628, the American Health Care Act. This is the third report to come from the CBO since the bill was introduced in March. If the U.S. Senate passes the bill in its current form, the CBO estimates that the bill would reduce the federal deficit by $119 bil

The U.S. House of Representatives took steps to repeal and replace the Affordable Care Act by passing H.R. 1628, the American Health Care Act (AHCA) on May 4. H.R. 1628 repeals several of the most harmful and burdensome provisions of the ACA, including the employer mandate penalty, costly tax increases and limitations on contributions to and restrictions on the use of flexible spending accounts and health savings accounts. ABC sent a letter in support of H.R. 1628 to the U.S. House of Representatives, which passed the House by a vote of 217-213. The bill now awaits action in the U.S. Senate.

During the week of March 20, Republican Leadership in the U.S. House of Representatives scheduled a vote on H.R. 1628, the American Health Care Act (AHCA), which would have repealed and replaced the Affordable Care Act (ACA). ABC joined the U.S. Chamber of Commerce and several other organizations on March 22, in sending a letter to the House in support of AHCA. However, by late Friday afternoon on March 24, House Republican leadership pulled the bill due to a lack of votes needed for passage. Based on recent statements made by President Trump and Speaker Paul Ryan, focus will now turn to tax reform and infrastructure spending.  

On March 22, the U.S. House of Representatives passed the Small Business Health Fairness Act (H.R. 1101), which would allow small businesses access to quality, affordable health care coverage through Association Health Plans (AHPs). The bill passed by a vote of 236-175.

On March 6, as part of the U.S. House of Representatives Republicans' American Health Care Act, the House Committees on Ways and Means and Energy and Commerce issued proposals to repeal and replace the Affordable Care Act. The committees will mark up their bills on Wednesday, March 8 and then send the proposals to the Budget Committee.