Executive Summary The House of Representatives passed H.R. 1628, the American Health Care Act (AHCA), by a narrow 217 to 213 vote, with the margin largely falling along party lines. (Interestingly, a sizeable number of Republican House members chose not to support the measure as endorsed by President Trump and Speaker Paul Ryan.) AHCA is the Republican legislative vehicle that nullifies and reforms an array of Affordable Care Act provisions (“ACA;” otherwise known as Obamacar