Republicans criticize the law for not living up to its promises. They say former President Barack Obama pledged that people could keep their health plans and doctors and premiums would go down. Neither has happened. They also say that insurers are dropping out of the market and that monthly premiums and deductibles (the amount people must pay before their coverage kicks in) have gone up. That's all true.
But they also told a few whoppers.
1) They lied about the number of Obamacare exchanges in a state's counties
Rep. Pat Tiberi, R-OH: "In Ohio, almost one third of counties will have only one insurer participating in the exchange."
What's misleading: Only 23 percent (less than one quarter) had one option, according to an analysis by the Kaiser Family Foundation.
His response: A Tiberi spokesperson defended the statement. "The letter says 'almost' because only 9 more counties in Ohio need to start offering only 1 plan on the exchanges to be one third."
Why his response is misleading: Ohio has 88 counties. A 10 percent difference is not "almost."
2) They blamed the ACA for the number of uninsured Americans
Rep. Chuck Fleischmann, R-TN: "According to the U.S. Census Bureau, approximately thirty-three million Americans are still living without health care coverage and many more have coverage that does not adequately meet their health care needs."
Why it's misleading: The actual number of uninsured in 2015 was about 29 million, a drop of 4 million from the prior year, the Census Bureau reported in September. Fleischmann's number was from the previous year.
Beyond that, reducing the number of uninsured by more than 12 million people from 2013 to 2015 has been seen as a success of Obamacare. And the Republican repeal-and-replace bill is projected to increase the number of uninsured.
His response: None.
3) They overstated the impact the ACA had on part-time employment
Rep. Dana Rohrabacher, R-CA: "It has also, through the requirement that employees that work thirty hours or more be considered full time and thus be offered health insurance by their employer, distorted the labor market."
What's misleading: A number of studies have found little to back up that assertion. A 2016 study published by the journal Health Affairs examined data on hours worked, reason for working part-time, age, education, and health insurance status. "We found only limited evidence to support this speculation" that the law led to an increase in part-time employment, the authors wrote. Another study found much the same.
In addition, PolitiFact labeled Donald Trump's assertion that, "Because of Obamacare, you have so many part-time jobs" as a false statement last June.
His response: Rohrabacher spokesperson Ken Grubbs said the Congress member's statement was based on an article that said, "Are Republicans right that employers are capping workers' hours to avoid offering health insurance? The evidence suggests the answer is 'yes,' although the number of workers affected is fairly small."
Why it's misleading: We pointed out that "fairly small" was hardly akin to distorting the labor market. To which Grubbs replied, "The congressman's letter is well within the range of respected interpretations. That employers would react to Obamacare's impact in such way is so obvious, so nearly axiomatic, that it is pointless to get lost in the weeds," Grubbs said.
4) They blamed the ACA for eroding the quality of health care in the country
Rep. Kevin Yoder, R-KS: "Quality of care has decreased as doctors have been burdened with increased regulations on their profession."
Why it's misleading: Some data shows that health care has improved after the passage of the ACA. Patients are less likely to be readmitted to a hospital within 30 days after they have been discharged, for instance. Also, payments have been increasingly linked to patients' outcomes rather than just the quantity of services delivered. A 2016 report by the Commonwealth Fund, a health care nonprofit think tank, found that the quality care has improved in many communities following the ACA.
His response: None.
5) They said a majority of health insurance marketplaces run by states have failed
Rep. Blaine Luetkemeyer, R-MO: "Nearly 75 percent of state-run exchanges have already collapsed, forcing more than 800,000 Americans to find new coverage."
What's misleading: When the ACA first launched, 16 states and the District of Columbia opted to set up their own exchanges for residents to purchase insurance, instead of using the federal marketplace, known as Healthcare.gov.
Of the 16, four state exchanges, in Oregon, Hawaii, New Mexico, and Nevada, failed, and Kentucky plans to close its exchange this year, according to a report by the House Energy and Commerce Committee. While the report casts doubt on the viability of other state exchanges, it is clear that three-quarters have not failed.
His response: None.