This special issue of the Journal of Health Politics, Policy and Law on the role of policy analysis in the development and implementation of the Affordable Care Act (ACA) took shape during the spring and summer of 2017, while Congress was enmeshed in an attempt to repeal the ACA and, perhaps, replace it with an alternative health plan. Republicans struggled to make good on their campaign promise—reiterated across four federal election cycles—to undo the ACA, despite the GOP's control of the House, Senate, and presidency. In March, the House's initial attempt at repeal failed, delaying the process and galvanizing a growing opposition. The House narrowly passed a repeal-and-replace bill in May, just as our special issue conference took place, and the Senate took up the bill in early June, with plans to pass its own version by Independence Day. That effort, much...

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