The North Carolina Institute of Medicine (NCIOM) published an issue brief reviewing the American Health Care Act passed by the US House of Representatives last month. the AHCA was designed to “repeal and replace” the Patient Protection and Affordable Care Act (ACA), also known as Obamacare, through the Fiscal Year (FY) 2017 budget reconciliation process. Although the AHCA is not yet law, as the leading legislation on health reform in Congress right now, it is important to consider the potential impact of the AHCA on North Carolina.