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Morning Briefing

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Friday, Nov 11 2016

Full Issue

Trump's Daunting Challenge: How Do You Actually Replace Obamacare?

There are several portions of the health law Donald Trump will be able to roll back on his first day. But he, and congressional Republicans, will find it hard to strip 20 million people of health care coverage overnight.

Trump has yet to lay out a detailed plan on how he'd replace Obamacare. But it's unlikely he and Congress will do anything that kills Obamacare for those who sign up for coverage next year, experts say. Open enrollment has already started, and the Obama administration estimated more than 11.4 million people will be insured through the exchanges in 2017. Any legislation will probably include a delayed shuttering of the exchanges -- and of the federal subsidies program that millions depend on to afford the policies -- to give enrollees time to find coverage elsewhere. The insurance industry will also need a period to adjust since any swift changes to the individual market could throw their businesses into turmoil. (Luhby, 11/10)

Republicans, who for six years have promised to repeal and replace the Affordable Care Act, will聽finally聽get their chance聽to do it.聽But even with聽control of the White House and Congress, it鈥檚 unclear聽whether the GOP can pull it off. (Levey, 11/10)

The budding new alliance between Donald Trump and congressional Republicans hides a tougher reality: Even with unified GOP control of Washington, the president-elect's priorities may have trouble getting through Congress. ... Repealing President Barack Obama's health care law? That looks likely to happen in some way, shape or form, but a number of states that accepted that law's expansion of the Medicaid health program for the poor are represented by Republicans. It will take painstaking and potentially lengthy negotiations to come up with a solution. (Werner, 11/11)

Trump benefits from the fact that House and Senate Republican leaders share his goal. Congress probably can readily rescind parts of the ACA that involve federal spending, through a method called budget reconciliation 鈥 a strategy that produced a bill early this year that President Obama vetoed but Trump would sign. This method requires 50 Senate votes 鈥 one fewer than the GOP majority in the next Senate 鈥 and could be used to eliminate federal subsidies for ACA health plans, the requirement that most Americans have insurance, and other important elements. (Gibbons-Neff and Fears, 11/10)

Donald Trump's election ushers in a time of high anxiety for people with health insurance under President Barack Obama's law, which expanded coverage to millions but has struggled to find widespread public acceptance. While repeal now seems likely, that may take Congress months. A replacement for the 2010 health care law could take even longer, and may retain some of its features. (Alonso-Zaldivar, 11/10)

President-elect Donald Trump has promised that he鈥檒l ask Congress to repeal the Affordable Care Act on Day One of his administration.聽If you鈥檙e shopping for coverage on the health insurance marketplace, should you even bother signing up? If everything鈥檚 going to change shortly after your new coverage starts in January anyway, what鈥檚 the point? (Andrews, 11/10)

President-elect Donald Trump and the Republicans leading congress have said that they plan to repeal the Affordable Care Act. That鈥檚 left a lot of consumers wondering what is changing for them. Here are a few questions and answers. (Wilde Mathews, 11/10)

To the millions of Californians who obtained health insurance as a result of the Affordable Care Act, know this: Despite the election of Donald Trump, who has promised to repeal the health law, nothing is going to happen to your coverage immediately. In fact, open enrollment for Covered California plans continues through January 31 despite the election outcome. (Bazar, 11/11)

Before Election Day, California鈥檚 insurance exchange was slated to meet soon to map out its 鈥渓ong-term vision鈥 for health reform. That conversation has suddenly shifted to whether the largest state-run marketplace has much of a long-term future itself. (Terhune, 11/10)

One of President-elect Donald Trump's promises was to decimate Obamacare and replace it with "something terrific." Majority Leader Mitch McConnell, who will once again lead the GOP in the Senate, said this week he is eager to get working on that goal. (Koff, 11/11)

President-elect Donald Trump's repeated campaign promises to repeal and replace the Affordable Care Act, also known as Obamacare, are causing anxiety among people who might lose their healthcare coverage, and the hospitals who treat them. (Zeltner, 11/10)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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