The House pulled the American Health Care Act (AHCA), the bill intended to repeal and replace ACA, just moments before they were scheduled to vote Friday afternoon (3/24/17). And while it appears that President Trump is moving on from healthcare, we are still left with questions on how the government will administer the ACA moving forward.

Based on President Trump’s executive order in January, he would like HHS and all other federal agencies to minimize the burdens of the ACA. So, what can we expect for the future of ACA? We will have to wait and see.

  • Republicans may take another stab at passing a major ACA reform bill
  • With regulatory updates, HHS could:
    • Redefine essential health benefits.
    • Weaken enforcement or redefine who is exempt from individual mandate, though there are some legal limitations.
    • Take advantage of a part of the ACA that lets states have broad latitude to carry out the law’s goals (starting this year).
  • HHS could drop a court case left over from the Obama administration which could cut Marketplace subsidies by more than half.
  • How will the administration handle the next open enrollment for the Marketplace in November?
    • The end of the most recent open enrollment Trump’s administration pulled some advertising resulting in a dip in Marketplace enrollment.
    • The uncertainty created will likely increase premiums for next year.
 
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