Health Affairs January 7, 2021
Katie Keith

With the Senate runoff elections now complete in Georgia, Democrats will control not only the White House, but also—by razor-thin majorities—the U.S. Senate and the U.S. House of Representatives. This post attempts a first pass at what this trifecta of Democratic control might mean for the Affordable Care Act (ACA) and coverage expansion, with an emphasis on the use of the budget reconciliation process and the Congressional Review Act.

This post does not address the range of executive actions that a Biden administration could take on its own, outside of the legislative process. Those options have been discussed in prior posts and this comprehensive resource from the Kaiser Family Foundation.

Implications Of The Georgia Races

President Biden’s ability to accomplish...

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