- Moving up the repeal of Obamacare taxes from 2018 to 2017
- Enabling the Senate to increase tax credits for older Americans
- Immediately prohibiting any additional states from expanding the current broken Medicaid program
- Allowing states to opt-in to a traditional Medicaid block grant as well as implement work-requirements for Medicaid
- Enhancing the growth rate for the aged and disabled population on Medicaid.
The manager’s amendment leaves most of these provisions in place. It consists of two sets of amendments, labeled technical changes, (summary) and policy changes (summary). In fact, however, some of the policy amendments (which deal primarily with the Medicaid program and tax repeals) are quite technical, while a few of the technical amendments (which deal primarily with changes in the tax credit program as well as Medicaid) make significant policy changes. Speaker Ryan states that the technical changes were necessary for the House bill to comply with Senate reconciliation rules, although it is not easy to discern how they do this.