Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

Read the health bill Senate Republicans waited until the 11th hour to release

Libby Nelson
Libby Nelson was Vox’s editorial director, politics and policy, leading coverage of how government action and inaction shape American life. Libby has more than a decade of policy journalism experience, including at Inside Higher Ed and Politico. She joined Vox in 2014.

Mere hours before the Senate prepared to vote on a “skinny repeal” health care bill that would get rid of Obamacare’s individual mandate, among other provisions, Senate Republicans finally released the bill they plan to vote on.

The Health Care Freedom Act would repeal the individual mandate, which requires people to buy insurance or pay a fine; the law’s employer mandate, which requires employers to provide coverage to their employees; and its medical device tax (temporarily). States would also have the ability to waive some Obamacare requirements for health plans.

True to its name, the “skinny repeal” bill is a mere eight pages long.

Releasing a bill hours before a vote — with no time for the Congressional Budget Office to analyze the legislation and its possible effects — is already far from normal. But that’s just the beginning. Many Senate Republicans openly say they don’t want the bill to become law, and would vote to pass it only to reopen negotiations with the House of Representatives about a more sweeping health care bill to be passed later.

So the state of play is this: The Senate is about to vote on, and could pass, a bill it just released tonight and that its members openly hope will not become law. You can read the bill here or below.

More in Health Care

The End of HIV
The 45-year fight against HIV is one of humanity’s greatest victories. It’s also in danger.The 45-year fight against HIV is one of humanity’s greatest victories. It’s also in danger.
The End of HIV

We have the tools to end the virus. The question is whether we’ll abandon them.

By Bryan Walsh
The Highlight
The elder care solution that everyone with aging parents should know aboutThe elder care solution that everyone with aging parents should know about
The Highlight

As baby boomers age, caregivers are often squeezed caring for parents and children at the same time. They need help.

By Courtney E. Martin
Good Medicine
The cocaine comeback, explainedThe cocaine comeback, explained
Good Medicine

The next phase of America’s drug crisis is here.

By Dylan Scott
Future Perfect
The world’s deadliest infectious disease is on the rise in the USThe world’s deadliest infectious disease is on the rise in the US
Future Perfect

We discovered its cause 144 years ago. It’s still a massive problem.

By Shayna Korol
Good Medicine
How to talk to your doctor about moneyHow to talk to your doctor about money
Good Medicine

Health care in America is too expensive. But you can make your physician your ally.

By Dylan Scott
Good Medicine
Nurse practitioners are rushing in to fill the gaps in US health careNurse practitioners are rushing in to fill the gaps in US health care
Good Medicine

You need a primary care appointment. Should you see an MD — or NP?

By Dylan Scott