Tuesday, December 16, 2025

Commentary: ACA 2.0 *is* Happening, Part 2

“Yesterday I noted that in the wake of the passage and signing of HR 1319 (the American Rescue Plan, or ARP), which includes a dramatic (if time-limited) upgrade & expansion of ACA individual market subsidies, Senate Democrats are hard at work pushing for several other important bills to make President Biden’s larger healthcare policy vision a reality on a permanent basis.

The three bills I discussed in Part 1 are:

  • Mark Warner’s Health Care Improvement Act of 2021 (S.352)
  • Michael Bennet & Sen. Tim Kaine’s re-introduced “Medicare X” Act (S.386)
  • Jeanne Shaheen’s Improving Health Care Affordability Act (S.499)”

“Of the three, the one which seems most likely to actually have a shot at passing both the House and Senate and being signed into law by President Biden during the 2021 – 2022 legislative session is Sen. Shaheen’s S.499, which would:

  • Permanently codify the 8.5% maximum cap on ACA benchmark Silver plan premiums;
  • Permanently codify the beefed-up subsidy formula below the 8.5% threshold;
  • Upgrade the ACA individual market benchmark plan from Silver to Gold;
  • Expand the ACA’s CSR subsidy structure from the current 250% FPL threshold to 400% FPL;
  • Upgrade the CSR formula so that all enrollees earning less than 400% FPL would qualify for a Platinum or Gold Plus plan; and…
  • Pay for a large chunk of the above by formally appropriating CSR reimbursement funds…” Read the full post here.

Source: ACA 2.0 *is* Happening, Part 2, March 19, 2021. Daily KOS.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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