Publication Date



[Excerpt] On March 6, 2017, the House Committee on Ways and Means and the House Energy and Commerce Committee independently held markups. Each committee voted to transmit its budget reconciliation legislative recommendations to the House Committee on the Budget. On March 16, 2017, the House Committee on the Budget held a markup and voted to report a reconciliation bill, H.R. 1628, American Health Care Act (AHCA) of 2017. The House subsequently passed the AHCA with amendments on May 4, 2017, by a vote of 217 to 213.

The House bill was received in the Senate on June 7, 2017, and the next day the Senate majority leader had it placed on the calendar, making it available for floor consideration. The Senate Budget Committee published on its website a “discussion draft” titled, “The Better Care Reconciliation Act of 2017” (BCRA) on June 22 and updated the discussion draft on June 26. This draft legislation is written in the form of an amendment in the nature of a substitute, meaning that it is intended to be considered by the Senate as an amendment to H.R. 1628, as passed by the House, but that all of the House-passed language would be stricken and the language of the BCRA would be inserted in its place.

Both the AHCA and the BCRA would repeal or modify provisions of the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). In addition, both the AHCA and the BCRA include new programs and requirements that are not related to the ACA. This report contains three tables that, together, provide an overview of AHCA provisions and BCRA provisions. Table 1 includes provisions that apply to the private health insurance market; Table 2 includes provisions that affect the Medicaid program; and Table 3 includes provisions related to public health, taxes, and implementation funding.


Suggested Citation
Topoleski, J. J. (2017). Comparison of the American Health Care Act (AHCA) and the Better Care Reconciliation Act (BCRA) (CRS Report R44883). Washington, D.C.: Congressional Research Service.