House Republican leaders are planning a vote on May 4, 2017, on the American Health Care Act (AHCA), which would be revised to add $8 billion in funding to subsidize coverage costs for people with high-cost conditions who could be affected by health insurance premium or out-of-pocket cost increases as a result of state waiver action authorized in the legislation.

The House Rules Committee on May 3 approved a Rule granting consideration of the bill on May 4, including an amendment by Rep. Fred Upton (R-MI) to add $8 billion in funding over five years to subsidize the costs of consumers living in states affected by waivers.

The Rules Committee also granted a Rule authorizing consideration of H.R. 2192 to eliminate the non-application of certain state waiver provisions to members of Congress and their staffs. Rep. Martha McSally (R-AZ) testified that the free-standing legislation is necessary because the Reconciliation process did not allow the provision to be included in the AHCA because it would violate the rules of Senate consideration of the measure.

The AHCA would repeal many provisions of the Affordable Care Act (ACA). A House vote on a previous version of the bill, which included $1 trillion in tax cuts over 10 years, was cancelled March 24. Republican leaders and President Trump have worked to build support for the measure since then.

Many of the tax provisions enacted under the ACA would be repealed, effective beginning in 2017, including the 3.8% net investment income tax, the medical device excise tax, the tax on prescription medications, and the health insurance tax. Implementation of the Cadillac tax would be delayed until 2026. The repeal of the .9% Medicare surcharge tax on individuals earning over $200,000 annually would be delayed to tax years after December 31, 2022.