Calling the US 2.3% device excise tax "punitive" and "job-killing," House Speaker Paul Ryan, R-Wisc., promised to permanently repeal the tax on June 22, along with the Independent Payment Advisory Board, CMS Innovation Center, and some other key features of the Affordable Care Act, and replacing them with a Republican-preferred health-care plan.
The Ryan plan, contained in a 37-page white paper, A Better Way: Our Vision for a Confident America, is not wholly a new idea, but a loose conglomeration of more than 400 Republican-sponsored bills introduced in the 114th Congress, most of which have not made it all the way through the legislative process