Senate Republicans were unable to agree on key facets of the Better Care Reconciliation Act (BCRA) of 2017 — legislation to repeal and replace the Affordable Care Act (ACA) — before the July Fourth recess this week.

Negotiations continue between Senate Majority Leader Mitch McConnell (R-KY) and Republican holdouts. Areas of contention in the bill include provisions on the growth rate of Medicaid per-capita caps and the phase out of enhanced funding for the ACA’s Medicaid expansion.

Last week, the Congressional Budget Office (CBO) scored the BCRA, affirming only slight differences in coverage and costs of the bill from the House-passed American Health Care Act (AHCA). Per CBO’s report, the BCRA would lead to 22 million fewer insured and cut more than $772 billion from Medicaid over 10 years. Following the initial scoring of the BCRA, CBO also said the BCRA would lead to federal Medicaid funding cuts of 35 percent over the next 20 years.

When Congress returns, the Senate likely will spend much of July focusing on passing the bill before the August recess.

America’s Essential Hospitals released a statement on the CBO score of the BCRA and an Action Alert for members to follow up with their Senate delegations during the July Fourth recess.