With President Trump now vowing to put forward a replacement for the Affordable Care Act in March, some California politicians and healthcare advocates are once again promoting the idea of a state-run “single-payer” system that operates like Medicare.

On February 24, 2017, a draft House reconciliation bill was leaked to the media. Although I have not seen any claims that it is not authentic, it is dated February 10 and may not be the most recent draft. I have also not seen any assertion that the Congressional Budget Office has concluded an analysis of the bill and found its budgetary consequences to be acceptable to the bill’s sponsors. The draft is, however, consistent with statements that Republican leadership have recently made about their legislative program. Because the draft is the best information we have about the House Republican leadership’s proposals, I offer a summary of its major provisions.

Like many presidents before him, President Trump is pushing a bold budget proposal. But for a business executive used to getting his way, he is likely to find, as his predecessors did, that final budgets often bear little resemblance to the originals after being run through the shredder on Capitol Hill. Here is a look at some of the main issues hanging over the coming budget and spending fight.

The Trump administration will allow insurers and consumers to extend for an additional year individual and small-group health plans that do not comply with the Affordable Care Act's coverage rules.

Los Angeles County arguably has more to lose than any other California county if the Affordable Care Act is repealed or dramatically scaled back.

Back in the day, people paid for routine primary care on their own and used insurance only when something serious came up. Some primary care doctors are betting that model can thrive again through a monthly subscription for routine care and a high-deductible insurance policy to take care of the big stuff.