Republicans have just days left to repeal and replace the Affordable Care Act with only 50 votes and no Democrats. With two no votes already — Sen. Susan Collins (R-Maine) and Sen. Rand Paul (R-Ky.) — "undecided" Sen. Lisa Murkowski (R-Alaska) could cast the decisive vote against it. As a result, one Republican Senate aide told Independent Journal Review on Thursday that the bill's sponsors, Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.), are potentially considering "buying" Murkowski's vote by letting her state more or less keep ObamaCare.
The draft is by no means final, nor is it certain that Murkowski would accept the revision. For her part, Murkowski has told reporters that when it comes to the Republican legislation, "what I'm trying to figure out is the impact on my state."
Independent Journal Review lists three provisions that could benefit Murkowski's state. "Alaska (along with Hawaii) will continue to receive ObamaCare's premium tax credits while they are repealed for all other states" and the draft "delays implementation of the Medicaid per capita caps for Alaska and Hawaii," IJR reports. Politico also reports of a potential "Medicaid delay" that would "apply to Alaska, Wyoming, South Dakota, North Dakota, and Montana, based on their low-density populations."
For the rest of America, Graham-Cassidy would convert ObamaCare's subsidies and Medicaid payments to block grants to states, allowing each state ample leeway to decide coverage rules and patient protections, plus cut Medicaid sharply and change its structure. Read the full details at IJR.