American Society of Anesthesiologists - Health Care Reform


In 2010, then-President Barack Obama signed into law the Patient Protect and Affordable Care Act, also known as the Affordable Care Act (ACA) or Obamacare. ASA was actively involved in those discussions to attempt to ensure fair outcomes for the specialty.  In a Republican-controlled 115th Congress, with President Donald Trump, Republicans have vowed to “repeal and replace” this controversial law. ASA will continue to monitor these developments and advocate for the concerns of physician anesthesiologists and their patients to be addressed. 

Email ASA's Advocacy Division at with any questions or requests for more information. 

Key Information:

ASA's Summary of the American Health Care Act (AHCA): Overview of the legislation as of March 19, 2017.

ASA Principles for Health Care ReformPrinciples that ASA wants to ensure in any proposed changes to the Affordable Care Act or other legislation related to access to health care

Better Care Reconciliation Act of 2017: Text of the Senate health care reform bill

Better Care Reconciliation Section-by-SectionSummary of each section of the Senate health care reform bill.

Better Care Reconciliation Act Discussion Draft: Summary of the Senate health care reform bill

American Health Care Act: Republican bill to repeal and replace the Affordable Care Act

AHCA Managers Amendment: Changes to AHCA as of March 24, 2017.

Upton Amendment to AHCAAmendment introduced by Congressman Upton

Summary of Upton AmendmentOne pager summarizing Congressman Upton's amendment to AHCA

Congressional Research Service Report: H.R. 1628: The American Health Care Act (AHCA)

House Ways and Means Committee SummarySummary of AHCA as passed by House Ways and Means Committee

House Energy and Commerce Committee SummarySummary of AHCA as passed by the House Energy and Commerce Committee

Updated Congressional Budget Office Cost Estimate: Estimate from CBO of the AHCA

Joint Committee on Taxation Estimate: Estimate from the JCT on the AHCA.

ACA Legislative Language: View a copy of the entire Patient Protection and Affordable Care Act legislation.

CRS Report - Affordable Care Act Executive Order: Legal Considerations: Congressional Research Service Report on President Donald Trump's Executive Order regarding health care reform.

CRS Report - Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions: Congressional Research Service Report on Affordable Care Act.

Speaker Ryan's "Better Way Forward": Health care reform legislation proposed by Speaker Ryan.

Giving Americans Relief From ObamacareSenate Republican Policy Conference plan on health care reform.

The Independent Payment Advisory Board: IPAB One-Pager


Timeline: Repeal and Replace

06-22-17 Senate Releases Text of Health Care Reform Bill

06-13-17 ASA Shares Priorities for Health System Reform with Senate Finance Committee 

05-25-17 Congressional Budget Office (CBO) Releases Update on American Health Care Act 

05-04-17 American Health Care Act Passes House

04-26-17  House Republicans Revive ACA Repeal and Replace Efforts

03-24-17 President Trump and House Republicans Pull American Health Care Act Before Votes 

03-16-17 House Budget Committee Advances the American Health Care Act 

03-14-17 Congressional Budget Office (CBO) Finds Loss of Insurance Coverage under American Health Care Act

03-09-17 House Committees Advance ACA Repeal and Replace Legislation

03-06-17 House Committees Introduce ACA Repeal and Replace Legislation 

02-24-17 Health Care Repeal and Replace Legislation Released

01-14-17 Congress Takes First Step to Repeal Affordable Care Act