President-elect Donald Trump outlined some pieces of hishealth-care program, largely following ideas he laid out during hiscampaign, from a repeal of Obamacare, his predecessor’s signaturehealth law, to language indicating opposition to abortion.

The brief, 310-word plan gives few details about how Trump willreplace the Affordable Care Act, or ACA, except that itwould include health savings accounts, and an ability for insurersto sell coverage across state lines.

The document, posted Thursday on the presidential transitionwebsite, is the first look at Trump’s plan since the election. Itincludes protecting “innocent human life from conception to naturaldeath” and gives states a big role in regulating healthinsurance and in running their Medicaid health-insurance programsfor the poor.

“The Administration recognizes that the problems with the U.S.health-care system did not begin with -- and will not end with therepeal of -- the ACA,” according to the website.

Repealing ACA

The document is similar to a March blueprint from the Republicanpresident-elect’s campaign that endorsed a series of broad ideaspopular on the right, including allowing insurers to sell plansacross state lines, sending Medicaid funds as block grants tostates and making tax-free health savings account part of anestate.

On his transition page Thursday, Trump hinted at softening thecoverage guarantee for those with pre-existing conditions under theACA, saying high-risk pools -- state insurance programs forindividuals who are sick or otherwise unable to get coverage --would cover those with large medical expenses who have “notmaintained continuous coverage.” Repealing the ACA, a law passed in2010 that brought insurance to about 20 million people whopreviously lacked it, could leave those with pre-existingconditions without insurance.

The plan doesn’t address the rising cost of prescription drugs,which has been under intensifying scrutiny in the past year in theU.S., nor the possibility of re-importing safe, cheaper medicinesfrom abroad, which was one measure he’d called for in the past.

FDA reform

The document also doesn’t say whether Trump would retain some ofthe Affordable Care Act’s more popular provisions, including a ruleallowing children to stay on their parents’ plans to age 26.

Trump is calling for a reform of the Food and DrugAdministration “to put greater focus on the need of patients fornew and innovative medical products,” and says he will “modernize”Medicare, the U.S. health program for the elderly.

During his bid for the Republican nomination, Trump campaignedfor stretches at a time without mentioning the ACA, and was vagueabout his approach. “Repeal and replace with something terrific,”he said in July 2015. “I want to take care of everybody,” hesaid at the time.

His attacks intensified toward the end of the general electionamid news of rising premiums on the exchanges. At his final rallyon the eve of the election in Grand Rapids, Michigan, he called for“repealing and replacing the disaster known asObamacare.”

“With Obamacare, premiums are surging, companies are leaving,insurers are fleeing, doctors are quitting and deductibles aregoing right through the roof,” he said. A Hillary Clintonpresidency, he warned, would “destroy American health careforever.”

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