Although the timeline for a repeal and replacement in Congress is still undetermined, Wells Fargo provided a preliminary timeline that includes the following key dates and deadlines for potential legislative action, the budget process, health insurance exchange filings and the Medicaid program.
Jan. 13 — Budget resolution adopted, starting the repeal process
February — ACA budget reconciliation repeal bill may be passed. Budget reconciliation allows lawmakers to pass legislation that affects the federal budget with a simple majority, making it immune from Democratic filibuster.
April 1 — Senate may initiate 2018 budget resolution
April 15 — Congress concurrent budget resolution deadline
May 3 — Deadline for all participating insurers to submit 2018 health insurance exchange plan and premium rate increase requests. “Failure to pass repeal legislation in [a] timely fashion will likely cause more health insurance exchange insurers to exit,” according to Wells Fargo.
Sept. 22 — Deadline for CMS to approve and certify all 2018 health insurance exchange plans and premium rate increases
Sept 30 — Deadline for Medicaid state reimbursement matching rates to be finalized
Nov. 1 — 2018 health insurance exchange enrollment period begins and runs through Jan. 31, 2018.
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