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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 1/15

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Trump just took a big step to unravel Obamacare Bob Bryan Oct 12, 2017, 12:08 PM

President Donald Trump. Getty Images/Pool

President Donald Trump on

Thursday signed an executive

order to unwind parts of the

A�ordable Care Act, taking

unilateral moves after Congress

was unable to overhaul the US

healthcare system through

legislation.

The order calls for allowing so-called association health plans and

short-term insurance plans, and it includes broad language

instructing various departments to look at ways to reduce insurance

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 2/15

g p y

costs.

Trump made it clear during a ceremony where he signed the order

that the action was designed to undermine and start to unravel the

ACA, the healthcare law also known as Obamacare.

"We've been hearing about the disaster of Obamacare for so long — in

my case most of it outside in civilian life and a long period of time

since I started running and for a long time since I became president

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 3/15

of the United States," Trump said. "I just keep hearing repeal, replace,

repeal, replace. Well, we're starting that process."

The order directs the relevant agencies to craft the outlined changes

through regulations, which are subject to the normal approval

process. This means they would most likely go into e�ect for the 2019

insurance year at the earliest.

Association health plans allow people in the ACA's individual or

small-group insurance exchanges to pool together to purchase

insurance at a more favorable rate. These plans would also not be

subject to certain Obamacare regulations, which could help make

them even cheaper for people participating, The Wall Street Journal

previously reported.

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 4/15

Additionally, the order instructs the Labor Department to look into

allowing the sale of these insurance plans across state lines. Trump

has long espoused this idea, but there are doubts about whether it

would bring down costs.

Short-term insurance plans are cheap but provide little coverage. The

ACA prevents people from buying these plans that o�er coverage for

more than 90 days, but the order calls for extending that to up to a

year.

Both aspects of the executive order appear to be targeted at allowing

healthier, younger people to obtain insurance for less than the cost of

plans on the Obamacare exchanges. Trump said this would allow

"millions of people" to get cheaper health insurance.

Experts say that while the changes outlined in the order could allow

some healthy people to get cheaper, more deregulated plans, older

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 5/15

and sicker people getting insurance through the Obamacare

exchanges could be left behind.

As the percentage of sicker people in the exchanges increases, so does

the cost of insuring them, which translates into insurers charging

higher prices for plans.

"Loosely regulated association plans could charge lower premiums to

healthy people, e�ectively leaving ACA marketplaces as high-risk

pools," tweeted Larry Levitt, a senior vice president at the Kaiser

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 6/15

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Family Foundation, a nonpartisan health-policy think tank.

Levitt continued: "With this executive order healthy people could pay

less for insurance, but middle-income people with pre-existing

conditions pay more."

The order, however, appears to call for allowing only small

businesses, not individuals, to use association health plans. This

could mute some of the negative e�ects on the exchanges since it

would apply to fewer people in the individual insurance marketplace.

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 7/15

In the wake of the collapse of Republicans' attempts to pass

healthcare legislation, Trump had signaled over the past few weeks

that he would consider both bipartisan deals and executive action to

reshape the ACA's insurance markets.

After holding a call with Senate Minority Leader Chuck Schumer last

week, the president on Saturday tweeted about the call and a possible

healthcare deal, then reiterated that to reporters as he departed the

White House for an event in North Carolina on Sunday.

Schumer immediately hit back at the executive order on Thursday,

saying it would result in worse coverage for many Americans.

"Having failed to repeal the law in Congress, the president is

sabotaging the system, using a wrecking ball to single-handedly rip

apart our health care system," Schumer said in a statement. "This

executive order is just the latest in a series of steps he has taken to

sabotage the health care system at the expense of millions of

Americans."

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 8/15

SEE ALSO: Trump is now trying to destroy Obamacare by himself »

NOW WATCH: Lawyer reveals courtroom tactics that White House reporters can use to treat President Trump like a 'hostile witness' during press brie�ngs

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 9/15

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 13/15

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 14/15

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6/27/2020 Trump executive order on healthcare, insurance, Obamacare plans - Business Insider

https://www.businessinsider.com/trump-ahp-healthcare-insurance-obamacare-executive-action-2017-10 15/15

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