Repeal and reconciliation: Understand bewildering D.C. budget lingo, process

About Joanne Kenen

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.

us-capitolWe all understand what “repeal” means. But what does a nice-sounding word like “reconciliation” have to do with unraveling the Affordable Care Act?

The repeal process is underway – the Republican-controlled Congress got to work even before President-elect Donald Trump took office. But it’s a multistep process involving arcane budget rules. And there is plenty that can go wrong – a few Senate Republicans are already grumbling about the idea of voting to repeal the ACA and waiting two or three years to replace it.

This tip sheet by Sarah Ferris – who covered health in Congress for The Hill for the past few years – will help you understand it.

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