Senate Tool Kit Obamacare Repeal/AHCA




Fight State of Play

Last month, the House passed their version of a bill to repeal and replace Obamacare called the American Health Care Act, or AHCA. That bill moved the ball forward on repealing parts of the Title I regulations of Obamacare by giving power to the states to opt-out of some of those harmful regulations.


It’s now the Senate’s job to take the next step to finalizing the bill. Conservatives are fighting to ensure states can take back control from the federal government. We all know the reality of the situation -- this is NOT a full repeal of Obamacare -- but it is a chance to stop the bleeding and advance substantive reforms that will position conservatives for future healthcare fights.


Here are the three things you should be asking your Senators to do:


Repeal Taxes - Senators must ensure the Obamacare taxes are repealed once and for all. The House-passed bill was good on this point and the Senate must do the same. Pure and simple, this is a tax cut that will put money back in the pockets of the American people -- money that was stolen by the Obama Administration.

Reform Medicaid - Obamacare radically expanded Medicaid, which was already unsustainable and ineffective. The House-passed bill rolled back that expansion and included a generational reform to the way the program is financed. If the Senate maintains or improves those reforms, we can minimize waste and fraud, and not bankrupt the country.


Empower States - The House-passed bill allowed states to opt out of some of the premium-increasing insurance mandates in Obamacare. Under Obamacare, the federal government basically became the nation’s default insurance commissioner.  The Senate must give states the ability to opt out of these harmful Title I regulations which are the core of Obamacare’s skyrocketing costs. Giving more control to the states to regulate health insurance markets is essential to draining the swamp in Washington.


The Senate is continuing to work on their bill this week and your voice is needed. A final version could be unveiled this month! We must take action to ensure the final version of the AHCA as conservative as possible.

Member Target List

These are the members are the top tier we should directly target (also see attached list for full priority list of members)


We need to get these Senators on public record ... 

Do you support Senator Lamar Alexander's effort to bailout Obamacare?  (Alexander's CSR plan - Cost Sharing Revenue ... market stablization - is political speak for bailouts.  He wants hearings when the Senate returns in September.  We need to apply pressure to the senators to say no by publicly exposing their support or non-support).  

Senator Lamar Alexander  (R-TN)  202 224 4944 @SenAlexander

Senator Richard Burr (R-NC)202 224 3154 @SenatorBurr

Senator Thom Tillis (R-NC)  202 224 6342 @SenThomTillis

Senate Majority Leader Mitch McConnell (R-Ky) 202 224-2541@Senate MajLdr

Member of Congress


Phone Number


Cotton (R-AR)

Title 1 Champion

(202) 224-2353


Cruz (R-TX)

Title 1 Champion

(202) 224-5922


Johnson (R-WI)

Title 1 Champion

(202) 224-5323


Lee (R-UT)

Title 1 Champion

(202) 224-5444


Paul (R-KY)

Title 1 Champion

(202) 224-4343


Sasse (R-NE)

Title 1 Champion

(202) 224-4224


Toomey (R-PA)

Title 1 Champion

(202) 224-4254


Barrasso (R-WY)

2018 Re-Election

(202) 224-6441


Corker (R-TN)

2018 Re-Election

(202) 224-3344


Fischer (R-NE)

2018 Re-Election

(202) 224-6551


Flake (R-AZ)

2018 Re-Election

(202) 224-4521


Hatch (R-UT)

2018 Re-Election

(202) 224-5251


Heller (R-NV)

2018 Re-Election

(202) 224-6244


Wicker (R-MS)

2018 Re-Election

(202) 224-6253


Capito (R-WV)

Medicaid Expansion

(202) 224-6472


Gardner (R-CO)

Medicaid Expansion

(202) 224-5941


Murkowski (R-AK)

Medicaid Expansion

(202) 224-6665


Portman (R-OH)

Medicaid Expansion

(202) 224-3353


Sullivan (R-AK)

Medicaid Expansion

(202) 224-3004


Boozman (R-AR)

Medicaid Expansion

(202) 224-4843


Cassidy (R-LA)

Medicaid Expansion

(202) 224-5824


Daines (R-MT)

Medicaid Expansion

(202) 224-2651


Hoeven (R-ND)

Medicaid Expansion

(202) 224-2551


Kennedy (R-LA)

Medicaid Expansion

(202) 224-4623


McCain (R-AZ)

Medicaid Expansion

(202) 224-2235


McConnell (R-KY)

Medicaid Expansion

(202) 224-2541


Young (R-IN)

Medicaid Expansion

(202) 224-5623




Sample Tweets

(Make sure to insert the twitter handle of your Senator)


Click to tweet: @SENATORNAME we need to fix healthcare in America. The #AHCA must: 1. Repeal Taxes 2. Reform Medicaid 3. Empower States


Click to tweet: The House AHCA moved the ball forward on repealing parts of the Title I regulations of Obamacare-- and now the Senate must finish the job


Click to tweet: @SENATORNAME the #AHCA is NOT a #FullRepeal of Obamacare. Put patients first by repealing taxes, reforming medicaid & empowering states


Click to tweet: Medicaid is unsustainable and ineffective. @SENATORNAME help make serious reforms to fix #Medicaid in #AHCA


Click to tweet: @SENATORNAME stand strong for conservatives & ensure states can opt-out of the harmful regulations of Obamacare in the final #AHCA


Phone Notes

These are notes to use when calling your member of Congress. You can find their phone number on the Heritage Action Dashboard.

Hi, I’m [NAME] from [STATE].


The House of Representatives took an important first step to repeal Obamacare by passing an amended version of the American Health Care Act (H.R. 1628), but {SENATOR'S NAME} needs to continuing pushing for conservative reforms


The Senate should strengthen the current bill by doing the following three things:


  1. Repeal all of the Obamacare taxes included in the House passed bill.
  2. Reform Medicaid by maintaining or improving the current reforms in the House passed bill that rolls back the unaffordable Obamacare Medicaid expansion.
  3. Empower  states by giving them the freedom to opt-out of the Obamacare insurance regulations (Title I) responsible for increasing health insurance premiums and undermining choice and competition in the marketplace.


Please tell the Senator to keep the promise you made over the past few years to repeal Obamacare and enact free-market reforms.  

Sample Letter to the Editor

Below is a sample letter to the editor. We encourage you to adapt and personalize it. Heritage Action Regional Coordinators are always here to help edit your letter and get it published.

LTE: Senator X - Obamacare repeal is long overdue, let's get it done


Last month the House passed the American Health Care Act (AHCA), their version of an Obamacare repeal and replace. Though the AHCA was not a full repeal of Obamacare it did move the debate to the Senate.


Now Senator XX and his/her colleagues have an opportunity to make the AHCA more conservative. There’s three things that the Senator must push for to ensure the final bill addresses our major concerns here in TOWN.


First, the Senate must make sure that Obamacare taxes are repealed once and for all. The AHCA did just that, and now the Senate must ensure this isn’t diluted in their version of the bill.


Secondly, any Obamacare repeal bill in the Senate should roll back Obamacare’s Medicaid expansion, lock in new reforms, and make sure we do not bankrupt our nation.


And finally, the Senate’s bill must empower states. The House bill included language that allows states to opt out of some of Obamacare’s burdensome mandates, and it’s important the Senate version gives states the ability to control their insurance markets.


The American people have been waiting for Obamacare repeal for seven years. Now it’s up to the Senate to make it happen by repealing Obamacare’s taxes, rolling back Medicaid expansion and empowering states. Congressman X, it’s time to get it done.