Current budget proposal includes plans to chisel away the ACA

As the Senate narrows in on its budget goals, details are emerging from Congressional budget negotiations that aim to disintegrate the Affordable Care Act piece by piece. Negotiators also hope to cut Medicare spending by $430 billion over the next 10 years.

Lawmakers also are discussing their plans to repeal the Independent Payment Advisory Board, which was established under the ACA to monitor and control Medicare spending. Resolution talks also would fully account for revenues needed to pay for House Resolution 2, which repealed the Sustainable Growth Rate formula.

The Senate is scheduled to vote on a federal budget this week. The House narrowly approved its resolution last week.

The nonbinding resolution approved by the House will reportedly rely on various Congressional committees to dismantle the ACA piece by piece. Those committees include the Senate Finance and Health, Education, Labor and Pensions committees and the House Energy and Commerce, Education and the Workforce and Ways and Means committees, according to published reports.

As the House Committee on Rules explains, the reconciliation process the House and Senate are expected to enter soon will make it easier for “Congress to change current law in order to bring revenue, spending, and debt-limit levels into conformity with the policies of the annual budget resolution.”

The Republican-dominated House has voted at least 50 times to repeal parts or all of the ACA, but Senate Democrats have been able to deflect them. Now, however, the mechanisms of reconciliation can allow Republicans to bypass Democrats and send ACA bills directly to President Obama.