June 14, 2019
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15:07Now PlayingPresident Trump delivers remarks on expanding health coverage options for employers and workers through health reimbursement arrangements.
President Donald Trump’s attempt to transform American health insurance is almost complete.
Twenty months ago, frustrated after attempts to repeal Obamacare fell apart in the Republican-controlled Senate, Trump pledged to use executive power to do what Congress failed to legislate. An executive order set in motion regulations to promote “healthcare choice and competition across the United States.”
On Thursday, the administration finished the last of three rules to do just that -- advancing conservative policies without undoing the central framework established by the ACA.
Together, the changes have loosened Obama-era restrictions on short-term health plans that don’t meet the Affordable Care Act’s standards. They’ve permitted small employers to join together to buy lightly regulated coverage called association health plans. And the rule published Thursday gives employers, particularly small businesses, more flexibility to steer tax-exempt dollars to employees for health care.
The administrative actions are far short of repealing or replacing the Affordable Care Act, the law that expanded coverage to about 20 million people. Many of the ACA’s elements remain largely intact, including billions of dollars in subsidies, strict standards for insurance plan design, and rules that protect people with pre-existing medical conditions.
But Trump’s agencies have “taken administrative steps to shift the health law quite significantly,” said Larry Levitt, senior vice president for health reform at the Kaiser Family Foundation, a health research group.
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