Recent changes made to the Republican replacement bill to the Affordable Care Act (ACA) allow States to waive the community rating provision. This is the rule that prohibits insurers from charging higher premiums to people with pre-existing conditions. In order to obtain the waiver, States would have to participate in a Federal high-risk pool or establish their own. In exchange for this change, the amendment would reinstate the essential health benefits (EHBs), which were taken out of the bill. However, states could even waive the EHBs if they show that doing so would lower premiums, increase the number of insured, or advance another benefit to the public interest in the state. While some Republican leaders think they are nearing a deal, other members of the party believe these recent changes make the replacement bill even more unpalatable.