GOP leaders are planning to make major changes to the health care law next year, including a repeal of the Affordable Care Act’s individual mandate.
The GOP bill would also scrap a tax on medical devices, a move likely to please conservative groups.
The measure’s authors say it will help stabilize insurance markets and make the U.S. health care system more efficient, but many conservatives fear the changes would drive premiums higher and limit access to care.
Democrats, meanwhile, are pushing for a health care bill that would help reduce premiums for everyone but those with pre-existing conditions.
The Democratic Congressional Campaign Committee and other liberal groups have been pushing to include the mandate repeal in the Democratic health care plan, while the White House and congressional Republicans have both said they would support a broader package of reforms.
Republicans in both parties have expressed support for the mandate-repeal bill, but their differences have been largely over how to handle the individual mandate repeal.
Democrats want to make it easier for people to get health insurance, but Republicans have long argued that it shouldn’t be mandatory.
As a result, the Republican bill is more of a prescription for Democratic moderates than a repeal-and-replace bill.
The president would have the ability to use the Congressional Review Act to block any future legislation that would change the mandate, and the bill would provide for a 20-year sunset for the individual health insurance mandate, according to the White Star Line.
The GOP bill also includes an exemption for people with prearranged medical conditions, a proposal that many conservative groups are opposed to.
The group Families USA has already expressed concern about the plan’s mandate provision, saying it would undermine the insurance market and increase costs.
At the same time, the GOP proposal also proposes to increase the maximum amount of time people with health insurance could wait for coverage.
That would give insurers more time to decide whether to extend coverage to them or to cut them off altogether, according the Congressional Budget Office.
The CBO said the plan would lower insurance premiums by about 1 percent over 10 years.
In the House, Democrats are trying to move the debate on from repealing the individual and employer mandates to repealing the mandate.
On Thursday, they will hold a floor vote on a separate health care proposal that would also end the mandate and allow people to keep their existing coverage if they want to buy a plan in the individual market.
House Minority Leader Nancy Pelosi, D-Calif., said the Democratic bill will protect people with preexisting conditions, while Republicans have a bill that will do the opposite.
“This is an important first step to restoring health care to millions of Americans who have been left behind by the Republican Party’s repeal of ObamaCare,” she said.
“The Republican Party must not get away with making it harder for people who need coverage to get it and make it harder to help millions of people who desperately need coverage.”
For the GOP, the mandate has long been a political liability.
Democrats have accused Republicans of wanting to expand the use of Obamacare subsidies to people making less than $150,000 a year and people who make less than about $50,000.
The Republican Party has also said it will continue to subsidize health insurance to the poor, while it would cut federal subsidies to those making more than $250,000 per year.
If the GOP bill is approved, it would become the first major legislative move to repeal the individual mandates.