Healthcare Policy
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
p , y , p
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
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SEE ALSO: Trump is now trying to destroy Obamacare by himself »
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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
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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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