On July 24, 2017, the Internal Revenue Service finalized proposed and temporary regulations governing Affordable Care Act (ACA) premium tax credits that had been issued in July of 2014. Except for one minor technical change, the 2014 proposed and temporary rules are adopted unchanged. The temporary regulations were apparently about ready to expire. The preamble to the regulation rejects a number of suggestions to extend the earlier rules, but does so in a calm and reasonable manner that is almost jarring given the current inflamed rhetoric surrounding the ACA. Until the ACA is amended, it is still the law of the land and the IRS is going to make it work.

Betting that thin is in — and might be the only way forward — Senate Republicans are eyeing a “skinny repeal” that rolls back an unpopular portion of the federal health law. But experts warn that the idea has been tried before, and with little success.

Faced with uncertainty around the federal government's commitment to pay out funds meant to help consumers afford coverage on Affordable Care Act exchanges, state insurance commissioners are being put in the position to guess the future. If they make the wrong choice, their residents could find themselves without coverage and the ability to access care.

Sen. John McCain returned to the U.S. Capitol on Tuesday afternoon to cast a critical vote in favor of health care legislation less than a week after undergoing surgery and revealing he has brain cancer.

On Tuesday afternoon, Senate Republicans voted on a motion to proceed with debate on health care legislation, using a rare legislative gambit to move ahead despite reservations from some moderates. But unlike typical Senate procedure, many lawmakers are still unclear on what the actual bill will ultimately be.

The Senate Republican bill to dismantle the Affordable Care Act encountered huge new problems on Friday night after the Senate parliamentarian challenged key provisions that are needed to win conservative votes and to make the health bill workable.