This week, Congressional Republicans introduced a budget resolution laying the groundwork for repeal of the Affordable Care Act (ACA)—with no replacement in sight. This process uses a set of rules called “reconciliation.” Through budget reconciliation, the majority party in Congress can advance policies through a simple majority vote. But only provisions that are budget related are permitted to be included.

The Kaiser Family Foundation (KFF) recently released a new report on the effects repeal of the Affordable Care Act (ACA) could have on Medicare, both for federal spending and for beneficiaries.

KFF identifies several key provisions in the ACA that have a direct impact on Medicare. These provisions include improvements to Medicare benefits, reductions to health care provider and Medicare Advantage (MA) plan payments, increased revenues for the Medicare Trust Fund, incentives to reform the way care is paid for and delivered, and more.

This week, the Urban Institute (the Institute) released a brief discussing the impact of enacting the same partial repeal of the Affordable Care Act (ACA) advanced by Congressional Republicans in 2016. This repeal (H.R. 3762), using the legislative reconciliation tool, was vetoed by President Obama, but it is widely believed that President-Elect Trump would be likely to sign an identical bill.

This week, the Medicare Rights Center submitted a response to a Centers for Medicare & Medicaid Services (CMS) request for comment on Enhancements to the Star Ratings for 2018 and Beyond in advance of the draft 2018 Call Letter. The proposed changes are intended to tweak the measures and methodology of the star rating system to better capture performance, including changes to the way audit and enforcement actions affect star rating results.

Last week, the Centers for Medicare & Medicaid Services (CMS) announced the Medicare Part B premiums for 2017. Starting January 1, most people with Medicare will see a small increase in their Part B premium, from $104.90 to an average of $109.00 per month. But about 30 percent of people covered by Medicare will see a minimum Part B premium of $134.00, a 10 percent increase from the minimum 2016 premium of $121.80.

Earlier this fall, the Medigap Consumer Protection Act of 2016 was introduced in the U.S. House of Representatives. This bill would expand access to Medicare supplemental insurance plans, commonly called “Medigap” plans.

Medigap plans are already popular, and many people on Medicare find they are an invaluable part of their health care coverage. As the name suggests, Medigap plans cover gaps in the Medicare program that mostly revolve around out-of-pocket expenses. But while people 65 and older are guaranteed access to Medicap, albeit with significant limitations, people who are under 65 and enrolled in Medicare are not guaranteed access. Some states require Medigap access, but there is no federal right to purchase a Medigap plan for this population.