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It's unlikely that Trump will again attempt to repeal the ACA, which is widely popular among Americans. However, his administration could move to cut costs stemming from the Obama-era law, including allowing more generous subsidies for plans on ACA exchanges to expire next year. That would save taxpayers money, while causing the U.S. uninsurance rate to rise sharply after record gains in coverage under President Biden, according to experts.
Incoming Vice President J.D. Vance has also floated plans to let insurers stratify patients based on their health conditions, which could cut costs for healthier people but lead to skyrocketing spending for older individuals or those with chronic health conditions. Under Trump, the HHS could also reintroduce skimpy short-term health insurance and other non-ACA-compliant coverage, which were rolled back during the Biden administration.
As for Medicaid, Trump was largely silent during his campaign regarding the massive safety-net program, which covers almost 80 million Americans. However, the president-elect could revive guidance allowing states to shrink Medicaid eligibility through work requirements, controversial programs tying coverage eligibility to work or volunteering hours, and to cap program funding through block grants.
[EXTERNAL LINK] - How the healthcare industry is reacting to a second Trump term
Incoming Vice President J.D. Vance has also floated plans to let insurers stratify patients based on their health conditions, which could cut costs for healthier people but lead to skyrocketing spending for older individuals or those with chronic health conditions. Under Trump, the HHS could also reintroduce skimpy short-term health insurance and other non-ACA-compliant coverage, which were rolled back during the Biden administration.
As for Medicaid, Trump was largely silent during his campaign regarding the massive safety-net program, which covers almost 80 million Americans. However, the president-elect could revive guidance allowing states to shrink Medicaid eligibility through work requirements, controversial programs tying coverage eligibility to work or volunteering hours, and to cap program funding through block grants.
[EXTERNAL LINK] - How the healthcare industry is reacting to a second Trump term