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Shifting Power in Washington: What’s Next for the ACA?

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President-elect Donald Trump's return to the White House could embolden Republicans to weaken or repeal the Affordable Care Act (ACA). While they have long criticized the ACA for being costly and intrusive, significant changes would require overcoming political and procedural challenges. Republicans have proposed various strategies to curb the ACA’s reach, from modifying Medicaid funding to allowing skimpier health plans. However, the ACA remains popular, and past attempts to repeal it faced substantial opposition. Trump could also take action through executive orders or regulatory changes, potentially weakening protections or limiting access to ACA plans. Click here for article.

  • Trump's Agenda: Trump’s return could reinvigorate Republican efforts to weaken the ACA, focusing on changes to Medicaid, patient protections, and premium costs.

  • Procedural Hurdles: Despite GOP control over Congress, significant changes to the ACA may face opposition within the party itself due to the popularity of its protections.

  • Executive Action & Regulations: Trump could bypass Congress by issuing executive orders or regulations, such as allowing less comprehensive insurance plans or reducing outreach funding.

  • Medicaid & Subsidies: Republicans may push to modify Medicaid funding or let ACA subsidies expire, potentially increasing the uninsured rate and raising premiums for many Americans.

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