Work to repeal the health care law and replace it with reforms that expand coverage while lowering costs.

We must repeal this bad piece of legislation and replace it with reforms that will expand coverage while lowering costs.

Commits to repealing the current health care law and replacing it with alternative reforms.

Issues | Graves for Congress
campaign · campaign_site · model gpt-5.4-mini

Congressman Sam Graves and Congresswoman Nikki Budzinski reintroduced the bipartisan Save America’s Rural Hospitals Act to help struggling rural hospitals stay open and continue serving their communities. Graves said he was proud to reintroduce the bipartisan bill to make commonsense reforms, keep rural hospitals open, and ensure folks can get the care they need without having to drive hours to find it. The bill would eliminate Medicare sequestration for rural hospitals, make Medicare telehealth service enhancements permanent for Federally Qualified Health Centers and Rural Health Clinics, and make permanent increased Medicare payments for rural ground ambulance services.

Graves advanced a health-care reform bill aimed at preserving access and lowering some Medicare-related costs, but this is not evidence of repealing the ACA or enacting a replacement.

partial same_term A for effort

Graves, Budzinski Introduce Save America’s Rural Hospitals Act | Congressman Sam Graves | Representing the 6th District of Missouri
secondary · model gpt-5.4-mini · confidence 76%

Congress.gov records H.R.596 as passed by the House on February 3, 2015, but its status remained Passed House, not enacted into law. The CRS summary says the bill would repeal the ACA and directed committees to report replacement-style provisions including lower premiums and increasing insured Americans.

The House advanced a repeal-and-replace framework during Graves's federal service, but it did not become law, so it shows effort rather than fulfillment.

partial same_term A for effort

H.R.596 - To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, and for other purposes
secondary · model gpt-5.5 · confidence 90%

The House roll-call page for H.R.596, Roll Call 58, records passage 239-186 and lists Rep. Sam Graves of Missouri as voting Yea.

Graves personally supported a 2015 ACA repeal bill, a concrete legislative action toward the promise, but the bill did not become law.

partial same_term A for effort

Office of the Clerk, U.S. House of Representatives - Roll Call 58, 114th Congress
secondary · model gpt-5.5 · confidence 86%

Congress.gov lists H.R.3762 as passed by the House and Senate, presented to the President, vetoed on January 8, 2016, and failed to pass over veto on February 2, 2016. The summary shows repeal of ACA subsidies, penalties, Medicaid expansion, and related taxes.

This was a concrete ACA rollback effort that got through Congress but was blocked by presidential veto and failed override, so it did not fulfill repeal-and-replace.

partial same_term A for effort

H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act-related reconciliation measure
secondary · model gpt-5.5 · confidence 90%

Congress.gov records H.R.1628 as the American Health Care Act of 2017, passed by the House 217-213 on May 4, 2017, with final status Passed House. The bill amended the ACA, ended Medicaid expansion for new enrollees after 2019, and altered subsidies, cost sharing, essential-benefit waivers, and tax provisions.

The AHCA was the major House repeal-and-replace vehicle, but Congress.gov shows it did not become law.

partial same_term A for effort

H.R.1628 - American Health Care Act of 2017
secondary · model gpt-5.5 · confidence 92%

The House roll-call page for H.R.1628, Roll Call 256, records passage 217-213 and lists Rep. Sam Graves of Missouri as voting Yea.

Graves personally voted for the principal 2017 repeal-and-replace bill, showing substantial effort, but the bill was not enacted.

partial same_term A for effort

Office of the Clerk, U.S. House of Representatives - Roll Call 256, 115th Congress
secondary · model gpt-5.5 · confidence 87%

CBO and JCT estimated that the House-passed AHCA would reduce deficits by $119 billion but increase the uninsured population by 23 million in 2026 relative to current law.

Even the major replacement effort Graves supported did not meet the promise's coverage-expansion component; CBO projected fewer insured people, not expanded coverage.

never same_term

H.R. 1628, American Health Care Act of 2017
secondary · model gpt-5.5 · confidence 95%

The Senate roll-call page for amendment 667 to H.R.1628 records Vote Result: Amendment Rejected, with 49 yeas and 51 nays on July 28, 2017.

The Senate rejected a key ACA repeal vehicle, preventing the House-passed repeal-and-replace effort from becoming law.

never same_term

U.S. Senate Roll Call Vote 115th Congress - 1st Session, Vote 179
secondary · model gpt-5.5 · confidence 95%

HHS describes the Patient Protection and Affordable Care Act as the comprehensive health care reform law enacted in March 2010, with ongoing goals to make affordable insurance available, expand Medicaid, and lower health care costs generally.

HHS's current ACA page confirms the ACA remained an operative federal health care law after the repeal attempts, so the repeal-and-replace outcome was not delivered.

never same_term

About the Affordable Care Act | HHS.gov
secondary · model gpt-5.5 · confidence 90%

HealthCare.gov says Marketplace plans must cover treatment for pre-existing conditions and cannot reject, charge more, or refuse essential-benefit payment based on prior conditions.

Current federal Marketplace protections created under the ACA remain in operation, further showing the health care law was not repealed and replaced.

never same_term

Marketplace health plans cover pre-existing conditions | HealthCare.gov
secondary · model gpt-5.5 · confidence 88%