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Impact of the elections on health care reform

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After the November 2 election, Senate Republican leader Mitch McConnell (R-Ky.) said, “We can—and should—propose and vote on straight repeal” of President Obama’s health care legislation. At the same time, Sen. McConnell acknowledged that a full repeal of the Patient Protection and Affordable Care Act (PPACA) was not likely. Although Republicans now have a majority in the House of Representatives, Democrats still have a majority in the Senate, and President Obama can veto legislation that reaches his desk.

The likely strategy of the Republicans is to seek to block implementation of portions of new laws they do not like by refusing to give full funding to certain programs. High on the list of health reforms disfavored by Republicans and some Democrats are the mandates on individuals and employers to purchase insurance and requiring states to expand Medicaid coverage.
The mandate on individuals to acquire health insurance also is the subject of challenges in the courts. On December 13, a federal trial court in Virginia held that the requirement that most Americans obtain health insurance was unconstitutional because it exceeded the power granted to Congress by the Commerce Clause. Two other federal trial courts, however, have upheld PPACA, including the individual mandate. Ultimately, the issue is likely to be decided by the Supreme Court. (more…)

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By Jeff Atkinson

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