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No matter what the Supreme Court decides in its health care reform ruling expected Thursday, Republicans have promised to repeal all parts of the law that are left standing.
If they sweep the elections, Republicans will be able to roll back key parts of the law either with a 51-vote Senate majority or via executive fiat. But that will leave other major pieces that require an implausible 60-vote Senate threshold to repeal, allowing Democrats to filibuster. The options are detailed in a report by the D.C.-based political intelligence firm Washington Analysis.
Multiple budget-related parts of the Affordable Care Act can be repealed via a bare majority under a Senate procedure known as reconciliation. Those parts include the insurance subsidies, Medicaid expansion, the Medicare cost-saving Independent Payment Advisory Board, closing the “doughnut hole,” and taxes on insurers and providers.
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