Democracy Dies in Darkness

‘Skinny repeal’ could be the Senate’s health-care bill of last resort

July 25, 2017 at 2:24 p.m. EDT
Senate Majority Leader Mitch McConnell walks to a meeting in the Capitol on July 25, hours before lawmakers in the chamber might hold a key procedural vote on starting to undo the Affordable Care Act. (Win McNamee/Getty Images)

As the Senate prepared Tuesday to take a first-step vote on ill-defined Republican plans to go after the Affordable Care Act, a new phrase entered the lexicon of the debate: “skinny repeal.”

In substance, this plan would repeal just three parts of the ACA, according to several sources familiar with the approach. It would eliminate the requirement that most Americans carry health insurance as well as the requirement that employers with at least 50 full-time employees offer coverage to their workers. Both are central elements of the 2010 health-care law and its least popular aspects with the public.