Republicans in Congress have a straightforward path to eliminating key pieces of the Affordable Care Act: They can block the planned insurance expansion in 2017, dismantle Medicaid expansion, and eliminate new insurance marketplaces.
That could add up to an incredible blow — possibly causing 22 million people to lose their insurance coverage.
But getting rid of the rest of the law wholesale is a lot trickier.
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Rolling back provisions — including one allowing young adults to stay on their parents' health plans and another banning lifetime coverage limits or one banning the rejection of people with pre-existing conditions — would be harder under Senate rules.
This is good news for people who get insurance at work and who benefit from these insurance rules. But it's little comfort for anyone who buys their own insurance, like a contractor, freelancer, or anyone who isn't part of a group plan through their employer.