A proposed modification to the American Health Care Act drafted by Representative Tom MacArthur (R-NJ), and intended to build support around the Affordable Care Act repeal and replace legislation, was leaked on April 20, 2017. The MacArthur amendment would revise portions of the AHCA by allowing states to seek waivers from certain federal standards established under the ACA, including waivers from the federal Essential Health Benefits package, so that states could permit insurers to offer plans with fewer or skinnier benefits, and waivers that would allow insurers to charge individuals with pre-existing conditions higher premiums for health insurance, provided the state establishes or participates in a high-risk pool. States would have to attest that waiving these federal requirements would reduce premiums, increase the number of insured or advance some other public benefit. A CBO score assessing the potential impact of the amendment is not available at this time.
Read the amendment here.