Senate Republicans announced they will not vote this week on their latest proposal to repeal and replace the Affordable Care Act (ACA). The Graham-Cassidy bill ran into many of the same obstacles as previous bills – more conservative members want to see the ACA repealed as much as possible but more moderate members are concerned about the impact on their constituents, especially with regard to changes to Medicaid. Finding a way to balance these competing concerns has proven to be a challenging obstacle for Senate Republicans.
Does this mean repeal is finally dead? It is for now. The current budget reconciliation process under which Republicans were attempting to pass repeal and replace legislation without Democrat support expires on September 30, 2017. But if we have learned anything over the last nine months, it is this – even when it looks like repeal has failed, it has managed to come back from the dead over and over again.