At their party retreat, the officials are coalescing around a strategy that would have not a single replacement for the Affordable Care Act but instead include changes through a budget bill, administrative action and later a series of individual bills addressing smaller aspects of the health system.
Trump administration has tools to break the health law. Will it use them?
Trump did not mention his plans for the health law in his inaugural address but later that day signed an order intended to “minimize the economic burden” of the health law.
An analysis by the Congressional Budget Office offers an estimate of the effects of the repeal plan offered by congressional Republican in 2015, which may be a blueprint for efforts currently underway to overhaul the health law.
Ending federal support of the group that helps supply women’s reproductive health care could complicate health law overhaul efforts.
In an interview and written commentary, the president comes out swinging about Republicans’ plans to delay a health law replacement, if they repeal the current law. That strategy, he said, “is, simply put, irresponsible.”
Republicans say they plan to pass a bill to overhaul the federal health law in the 17 days between when Congress convenes and Inauguration Day. But past congressional budget veterans say that could prove to be very difficult.
Privatizing the Medicare program for the elderly and disabled and turning the Medicaid program for the poor back to the states are long-time goals for Republicans in Congress and the White House.
The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
Republicans will likely chip away at the ACA piecemeal and say they will try to provide a soft exit.