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On 12 January 2017, the United States Senate voted 51 to 48 to approve a budget resolution for the upcoming year. At the time of its passage, many news outlets reported that the Senate was one step closer to repealing the Affordable Care Act: Shortly after this budget was approved, a viral message started circulating on Facebook which claimed that the Senate had voted to immediately repeal several individual provisions afforded by the ACA: The message continued to be shared on social media for weeks, making the warning that the House votes Friday outdated. On 13 January 2017, the House voted 227 to 198 to approve the budget blueprint: The viral Facebook post does list several provisions afforded by the ACA, and the United States government did start passing legislation that could conceivably lead to the repeal of President Barack Obama's signature health law in early 2017. However, the Senate did not explicitly vote on 12 January 2017 to repeal the Affordable Care Act. Another message about a potential repeal also appeared on social media at the same time. While the previous message exaggerated the Senate's 51-48 vote, the following message attempted to warn people about what could happen if the health care law was repealed: Much of the focus on repealing the Affordable Care Act has been on the millions of people who will lose their health insurance. However, as noted in the post above, the ACA actually affects many people beyond those who directly purchased insurance through the government marketplace: The ACA also placed limits on out-of-pocket limits, prevented insurance companies from denying coverage to those with pre-existing conditions, and extended coverage to dependents until the age of 26. The Facebook post does list some of the provisions that would potentially be lost with the repeal of the ACA, it does not take into account what will be in the the legislation that is to be written in order to replace it. For instance, President Trump said that he wanted the replacement for the ACA to continue coverage for pre-existing conditions. As Republicans have not yet introduced an official replacement, it is as yet difficult to tell exactly how health insurance in the United States will change as a result, or indeed if it will change at all.
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