Democrats passed the largest health care overhaul bill in a generation on Thursday, making it the first major legislative achievement for President Donald Trump in his first year in office.
The bill, known as the Affordable Care Act, includes a host of provisions that are expected to significantly reduce the costs of health care.
But it also raises taxes on millions of Americans and expands the use of the emergency fund, an entitlement program that provides financial assistance to help people pay medical bills.
In return, the legislation also includes a massive tax increase on the middle class, which Republicans say will pay for their campaign promises.
Here’s what you need to know about the bills and the main provisions in them.
The legislation passed by the House in late July was the first big legislative achievement of the Trump presidency.
It’s also likely to be a political disaster for Democrats, who are trying to hold onto their majorities in the Senate and the House, which are in play in the midterm elections.
The House vote marked the culmination of weeks of back-and-forth negotiations that began during the Trump administration.
It was a dramatic shift from the status quo of Democrats in Congress, which had been mostly unified in support of the health care law.
They held onto majorities in both chambers in both the House and Senate in a series of victories that have put the health reform overhaul in the hands of President Donald J. Trump.
The Senate passed the legislation by a vote of 67-35 in late August, a margin of more than 7 million votes.
The measure passed by a similar margin in the Democratic-controlled House last month.
In the House it was the largest legislative victory in the country for a president who campaigned on a promise to repeal and replace the Affordable Health Care Act.
The president’s first major domestic legislative accomplishment The bill passed by House Republicans is expected to include several provisions that the president’s administration had pushed for.
Among them are: An expansion of the Emergency Medical Treatment and Active Labor Act, or EMTALA, a provision that allows states to set their own Medicaid eligibility standards.
It would allow states to expand eligibility for Medicaid and other federal health care programs.
This would include an increase in the federal minimum wage and raise the minimum eligibility age for eligibility for Medicare.
It also would allow the federal government to set a new federal minimum benefit that would allow people to afford health insurance, but not cover medical services.
It could also expand Medicaid eligibility.
Medicaid would be extended to cover more people who have been uninsured or underinsured for more than a year.
The law would allow a small percentage of Americans to be enrolled in a Medicare-like plan.
The federal government would provide tax credits for people who buy health insurance on their own.
States could also set up health savings accounts, or HSA, which would allow Americans to invest their money in stocks and bonds.
Republicans have sought to use this to help pay for the Affordable Healthcare Act.
Democrats, however, say that expansion of Medicaid would cost the federal treasury at least $350 billion over the next decade.
The money could be spent on other priorities.
The Medicaid expansion is expected in 2019.
It includes an increase of $1,000 in federal funding for states to cover uninsured people who earn up to 138 percent of the federal poverty level, or about $23,000 for a single person.
The Congressional Budget Office estimated that the expansion would cost $4,200 per person over the long term, which is lower than the $10,400 the Trump Administration originally proposed.
The CBO also estimated that it would lead to an additional 1.8 million people being uninsured by 2026.
The health care reform bill also expands the definition of what constitutes an “essential benefit” under the ACA, meaning that benefits like maternity care and prescription drugs are covered.
The government is now required to make up the difference between a health insurance premium and a cost for services like prescription drugs, but Republicans argue that this definition is too broad and that people who receive health insurance are not covered by the law.
The $350 tax credit is estimated to increase health care spending by about $6 billion a year, according to the Congressional Budget office.
Republicans say that the bill will raise the debt ceiling, which has been a sticking point in the negotiations.
Democrats have argued that the $350 credit is a waste of money and that the increase will hurt the economy.
The administration argues that the tax credit will help people afford their health care plans and that it will boost economic growth.
Republicans argue, however.
That the cost of health insurance will grow because of the tax credits will not be borne by the American people.
Republicans argued that by expanding Medicaid, the bill would force states to raise taxes on their citizens.
But in a speech to the conservative Heritage Foundation, President Donald Trumps vice president argued that it is the federal tax code that will ultimately determine how much taxes rise.
The tax code has