September 24, 2020
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2:04Now PlayingPresident Donald Trump signed an executive order on Thursday intended to pressure Republican lawmakers who have long been unable to forge an Obamacare alternative to come up with a plan to protect people with pre-existing conditions.
Trump has often promised he would produce a replacement for the Affordable Care Act, which guarantees insurers can’t deny coverage to sick people or charge them more. Just last week, the president said his plan is “ready.” But the order he plans to sign essentially abandons the issue to Congress, suggesting he won’t offer his own plan before the election.
A second order to be signed Thursday will direct U.S. Health and Human Services Secretary Alex Azar to work with Congress in addressing “surprise” hospital billings, Azar said in a briefing. The orders come as Trump faces Democratic criticism he’s failed to offer a replacement for the Affordable Care Act now facing a U.S. Supreme Court challenge.
While Azar said the president’s order would make it U.S. “policy” that people with pre-existing conditions can’t be denied insurance or made to pay more, he didn’t address what the administration could do about this without a law being passed.
The Thursday speech and accompanying orders are expected to lay out Trump’s broader vision for U.S. health care in a second term, two White House officials said. He will emphasize improving consumer choice, affordability, and quality of care for vulnerable groups. And the president will portray previous actions he’s taken to reduce drug costs, expand tele-medicine, and assist vulnerable groups like people with kidney disease as indicative of his approach toward a more ambitious health care overhaul in a second term.
What’s not expected: The president’s long-promised comprehensive replacement plan for Obamacare, which his administration is trying to persuade the Supreme Court to strike down. And experts say that Trump’s order on pre-existing conditions won’t provide meaningful protections to sick people who seek health insurance.
“An executive order by itself can’t accomplish anything,” said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation, a health research group. “It has to be followed by regulations, and there’s nothing in an executive order that can give the executive branch authority it doesn’t have.”
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