female in danger of death unless an abortion is performed, including a life-endangering physical condition caused by or arising from the pregnancy itself. Tax Effects Eliminate a 3.8 percent tax on investment income for high-income individuals and families. Eliminating the tax would save these taxpayers $158 billion over the next decade, according to the nonpartisan Committee on Taxation, the official scorekeeper for Congress. About 90 percent of the benefit from repealing the tax would go to the top 1 percent of earners, who make $700,000 or more, according to the nonpartisan Tax Policy Center. Repeal an extra 0.9 percent Medicare tax on wages above $200,000 for individuals and $250,000 for married couples. Repealing the tax would save higher income families $117 billion over the next decade. Repeal an annual fee on health providers based on market share. Repealing the tax would save health insurers $145 billion over the next decade. Repeal an annual fee on prescription drugmakers and importers. Repealing it would save pharmaceutical companies $25 billion over the next decade. Allow taxpayers to deduct out-of-pocket health expenses if they exceed 7.5 percent of their income. The ACA limit is 10%. Taxpayers would save $35 billion over the next decade. Repeal a 2.3% excise tax on medical device makers and importers. Repealing it would save them $20 billion over the next decade. Congressional Budget office report This bill was not analyzed by the Congressional Budget Office. Procedural history H.R. 3121 was introduced into the United States House of Representatives on September 18, 2013 under the short title "American Health Care Reform Act of 2013" as a replacement for the Affordable Care Act. The bill was introduced by Rep. David P. Roe (R, TN-1). It was referred to the United States House Rules Committee, Committee on Appropriations, Committee on House Administration, Natural Resources Committee, House Judiciary Committee, Education and the Workforce Committee, Ways and Means Committee, and Energy and Commerce Committee on the same day it was introduced. The Energy Committee sent it to the Subcommittee on Health on September 20. The Natural Resources Committee sent it to the Subcommittee on Indian and Alaska Native_Affairs on September 23. On October 15, the Judiciary Committee sent it to both the Subcommittees on Constitution and Civil Justice and Regulatory Reform, Commercial And Antitrust Law. Debate and discussion Critics of H.R. 3121 note that it would include repealing the Affordable Care Act in its