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Health Reform Progress Beyond Repeal and Replace

Brian Blase, PhD

By Brian Blase (Original source Galen Institute)

“From the start of 2017 through the fall of that year, Congress labored to pass legislation to replace large parts of the Affordable Care Act. Ultimately, political obstacles proved insurmountable, and Congress was unable to enact a health reform bill. Soon after that failure, President Trump signed an executive order promoting health care choice and competition and directing the administration to issue rules expanding more affordable options, principally for middle-income families and small employers and their employees.

Over the next 20 months, the administration issued three major rules expanding coverage through Association Health Plans, short-term limitedduration insurance, and Health Reimbursement Arrangements. These rules, combined with Congress eliminating the penalty associated with the ACA’s individual mandate, have achieved many key objectives, including enhancing consumer choice of coverage, returning some insurance regulatory oversight from the federal government to states, and making health insurance subsidies fairer.”

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