Side-by-Side Summary Comparison of Obamacare Repeal and

Replace Legislation

Obamacare Original House GOP Final House GOP Draft Senate Bill
Plan Waiver Plan

Individual Mandate Yes No No No
-Continuous Coverage Yes Yes Yes But Waivable* Yes
Penalty
Employer Mandate Yes No No No

Subsidies Yes Yes Yes Yes
Up to $47,550 per Up to $115,000 per Up to $115,000 per Up to $42,300 per
individual (400% individual individual individual (Capped
FPL) at 350% FPL)
Up to $97,200 per Up to $290,000 per Up to $290,000 per Up to $86,100 per
household (400% household household household (Capped
FPL) at 350% FPL)

Medicaid

- Expansion Expanded to Expansion continues Expansion continues Expansion continues
138% FPL in perpetuity, but in perpetuity, but in perpetuity, but
enhanced match enhanced match enhanced match
rate phased out rate phased out rate phased out
after 3 years after 3 years after 7 years
- Reform No significant Per Capita Cap Per Capita Cap Per Capita Reform
reform Reform Reform Optional Block Grant
Optional Block Grant Optional Block Grant

Regulations

- Essential Health Benefits Yes No Yes But Waivable* Yes But Waivable*
(Mandatory coverages
such as maternity, mental
health, x, y, z)
- Guaranteed Issue (for Required Required Required Required
Pre-Existing)
- Community Rating (Able No / Fixed except No / Fixed except No / Fixed except No / Fixed except
to Set Pricing based on age rating (3 to 1 age rating (5 to 1 age rating (5 to 1 age rating (5 to 1
age/health/other factors) ratio) ratio) ratio) but also ratio)
waivable

Verification of Residential Fails to Restrict Fails to Restrict Fails to Restrict Fails to Restrict
Status Illegal Immigrants Illegal Immigrants Illegal Immigrants Illegal Immigrants
from Access to from Access to from Access to from Access to
Obamacare AHCA-Care AHCA-Care AHCA-Care

Insurance Company Yes Between Yes up to $100 Yes up to $138 Yes up to $112
Subsidies $20-$30 billion billion billion billion
Taxes Yes Two Remaining Two remaining Two Remaining
with a delay of the
Medicare high
income tax until
2023