Parliamentarian Scraps Reconciliation Provision That Would End Silver Loading

By Jalen Brown / June 26, 2025 at 6:11 PM

A provision that would stop the popular Affordable Care Act (ACA) insurer practice known as “silver loading” violates the Byrd rule, the Senate parliamentarian ruled Thursday (June 26), blocking it from advancing in the GOP’s reconciliation package unless Republicans rewrite it.


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.