political scientist christopher warshaw and stanford political economist david broockman showed that the ahca "is the most unpopular piece of major legislation congress has considered in decades" more so than troubled asset relief program legislation ("the bank bailout") and much more unpopular than the aca. their estimates of survey results indicate that there is not majority support for the bill in any state. public opinion polls show high levels of public opposition to the republican health-care proposals (the ahca in the house and the bcra in the senate). approval ratings vary between 12 and 38%, and disapproval ratings between 41% and 62%, measured between march and june 2017 (refer to "specific poll results" table below for sources). views were split along party lines. for example, the monthly kaiser family foundation health tracking poll for may 2017 indicated that: more view the republican ahca unfavorably (55%) than favorably (31%). views are split along party lines, with % in favor of ahca: democrats 8%, independents 30%, republicans 67%. although historically more people viewed the current law (aca/"obamacare") unfavorably than favorably, in may 2017 more had a favorable view (49%) than unfavorable (42%). more favorably view the aca/obamacare (49%) than the republican ahca (31%). specific poll results the following are the results of polls of public opinion regarding the ahca. poll source fieldwork support/approve oppose/disapprove start end cbs news september 21 september 24 20% 20 52% 52 public policy polling september 20 september 21 24% 24 50% 50 public policy polling august 18 august 21 25% 25 57% 57 the economist/yougov july 31 august 1 23% 23 53% 53 quinnipiac university july 27 august 1 25% 25 64% 64 cbs news/yougov july 26 july 28 11% 11 41% 41 fox news july 16 july 18 25% 25 55% 55 the economist/yougov july 15 july 18 28% 28 48% 48 public policy polling july 14 july 17 20% 20 57% 57 associated press-norc july 13 july 17 22% 22 51% 51 monmouth university july 13 july 16 27% 27 56% 56 huffpost/yougov july 12 july 14 18% 18 44% 44 huffpost/yougov july 12 july 14 16% 16 45% 45 morning consult/politico july 7 july 9 40% 40 47% 47 kaiser family foundation july 5 july 10 28% 28 61% 61 the economist/yougov june 25 june 27 28% 28 48% 48 fox news june 25 june 27 27% 27 54% 54 usa today/suffolk university june 24 june 27 12% 12 45% 45 investor's business daily/tipp june 23 june 29 33% 33 62% 62 quinnipiac university june 22 june 27 16% 16 58% 58 morning consult/politico june 22 june 24 38% 38 45% 45 npr/pbs newshour/marist june 21 june 25 17% 17 55% 55 the economist/yougov june 18 june 20 28% 28 45% 45 nbc news/wall street journal june 17 june 20 16% 16 48% 48 morning consult/politico june 15 june 19 35% 35 50% 50 cbs news june 15 june 18 32% 32 59% 59 kaiser family foundation june 14 june 19 30% 30 55% 55 huffpost/yougov june 13 june 13 24% 24 45% 45 reuters/ipsos june 9 june 13 30% 30 41% 41 public policy polling june 9 june 11 24% 24 55% 55 the economist/yougov june 4 june 6 29% 29 47% 47 quinnipiac university may 31 june 6 17% 17 62% 62 the economist/yougov may 27 may 30 28% 28 48% 48 quinnipiac university may 17 may 23 20% 20 57% 57 kaiser family foundation may 16 may 22 31% 31 55% 55 the economist/yougov may 13 may 16 31% 31 47% 47 public policy polling may 12 may 14 25% 25 52% 52 nbc news/wall street journal may 11 may 13 23% 23 48% 48 the economist/yougov may 6 may 9 31% 31 47% 47 huffpost/yougov may 6 may 6 31% 31 44% 44 quinnipiac university may 4 may 9 21% 21 56% 56 morning consult/politico may 4 may 6 38% 38 42% 42 huffpost/yougov march 25 march 25 22% 22 52% 52 the economist/yougov march 19 march 21 31% 31 45% 45 quinnipiac university march 16 march 21 17% 17 56% 56 morning consult/politico march 16 march 19 40% 40 37% 37 huffpost/yougov march 16 march 17 24% 24 45% 45 cbs news/yougov march 15 march 17 12% 12 41% 41 fox news march 12 march 14 34% 34 54% 54 surveymonkey march 10 march 13 42% 42 55% 55 public policy polling march 10 march 12 24% 24 49% 49 morning consult/politico march 9 march 13 46% 46 35% 35 2018 elections the niskanen center stated that the gop's support for ahca in 2017 was a major factor in the party's heavy house losses in the 2018 midterm elections, costing the party its majority in the house, and snopes publicly identified 33 house republicans who were voted out of office largely due to their votes in favor of the ahca, including in states where republicans control most house seats, such as kansas and utah. comparison between versions this table describes major differences and similarities between the aca, the ahca as considered in the house in march 2017, the ahca as passed by the house on may 4, 2017, and the bcra. the kaiser family foundation has also summarized the differences in a comprehensive table. differences and similarities between the aca, ahca, bcra, and the hcfa aca ahca (march 2017) ahca (may 2017) bcra (june 2017) bcra (july 2017) hcfa (july 2017) insurance mandates individual mandate and an income tax penalty for not having insurance employer mandate on larger companies no individual or employer mandateinsurers can impose a one-year 30% surcharge on consumers with a lapse in coverage of more than 63 days no individual or employer mandatean individual with a lapse in coverage of more than 63 days can be required to wait six months before obtaining new coverage no individual mandate but incentives and subsidies for those who keep coverage employer mandate on larger companies but smaller companies who optionally comply will get little to no small business taxes no individual or employer mandate, but employers must still report aid for premiums income-based subsidies for premiums that limit after-subsidy cost to a percent of income age-based refundable tax credits for premiums, phased out for higher incomes income based refundable tax credits for premiums that limit after-subsidy cost to a percent of income income based subsidies for premiums that limit after-subsidy cost to a percent of income aid for out-of-pocket expenses tax credits for out-of-pocket expenses no tax credits for out-of-pocket expenses no tax credits for out-of-pocket expenses after 2019 tax credits for out-of-pocket expenses medicaid matching federal funds to states for anyone who qualifies expanded eligibility to 138% of poverty level income federal funds granted to states based on a capped, per-capita basis starting in 2020states can choose to expand medicaid eligibility, but would receive less federal support for those additional persons lets state impose work requirements on medicaid recipients federal funds granted to states based on a capped, per-capita basis or block grant starting in 2021federal government would pay smaller portion of cost in 2021 matching federal funds to states for anyone who qualifies expanded eligibility to 138% of poverty level income with continuous funding and incentives to expand coverage by state no changes premium age differences insurers can charge older customers up to three times as much as younger customers insurers can charge older customers up to five times as much as younger customers insurers can charge older customers up to five times as much as younger customers; states can apply for waivers exempting insurers from this limit insurers can charge older customers up to five times as much as younger customers; states can change this ratio insurers can charge older customers up to four times as much as younger customers; states can apply for waivers to reduce ratio health savings accounts individuals can put $3,400 and families can put $6,750 into a tax-free health savings account individuals can put $6,550 and families can put $13,100 into a tax-free health savings account individuals can put up to the maximum allowed for out-of-pocket costs and spouses can make additional contributions individuals with incomes below $100,000 a year can save up to $7000 for individuals and $14000 for families in a tax-free health savings account; incomes above that limit will be subject to taxes on a sliding scale individuals can put $6,550 and families can put $13,100 in hsa-eligible high-deductible health plans for three years, 2018 to 2020 "cadillac" tax cadillac tax on high-cost employer plans implemented in 2020 cadillac tax on high-cost employer plans implemented in 2025 cadillac tax on high-cost employer plans implemented in 2026 cadillac tax on high-cost employer plans implemented in 2023 other taxes 3.8% tax on investment income0.9% tax on individuals with an income higher than $200,000 or families with an income higher than $250,000 fee on health insurance providers firms based on plans 2.3% tax on medical devices repeal of all four taxes 3% tax on investment income for companies that don't buy or hire american0.7% tax on individuals and families with incomes higher than $275,000 moratorium on the medical device tax extended from december 31, 2017 to december 31, 2020 essential health benefits insurers are required to offer ten essential health benefits private plans are required to offer the ten essential health benefits.some medicaid plans are not required to offer mental health and substance abuse benefits states can apply for waivers exempting insurers from the essential health benefits requirement states could determine what qualifies as an essential health benefitsunset of essential health benefits on december 31, 2019 insurers are required to offer ten essential health benefits pre-existing conditions insurers are banned from denying coverage or charging more for pre-existing conditions each state can allow insurers to increase premiums based on pre-existing conditions after a lapse in coverage, if the state sets up a high-risk pool insurers are banned from denying coverage or charging more for pre-existing conditions insurers are banned from denying coverage or charging more for pre-existing conditions but will receive funding for unexpected losses due to this requirement dependents staying on plan dependents can stay on health insurance plan until age 26 annual and lifetime limits insurers are prohibited from setting annual and lifetime limits on individual coverage insurers may be able to place annual and lifetime limits on individual coverage insurers are prohibited for setting annual or lifetime limits on individual coverage treatment of planned parenthood and similar organizations no provisions federal payments blocked for one year no provisions federal payments blocked for one year