President Donald Trump planned Thursday to move forward inchanging U.S. health care by signing anexecutive order aimed at expanding low-cost insurance options, which critics saywill leave some with skimpy coverage and hurt already-strugglinginsurance markets.

This step would signal a shift in the administration’s strategy,which relied on Congress to repeal the Affordable Care Act. Trumpis now using the force of his executive rule-making authority toimplement long-favored GOP policy alternatives.

“With Congress the way it is, I decided to take it upon myself,”Trump said in remarks at the White House earlier in theweek. Senate Republicans failed within recent months to passlegislation to overhaul the ACA.

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