Instant Insights / The latest ACA moves

The Trump administration has taken a lot of swipes at the Affordable Care Act this year. Here's a look at what's changed.


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New York, Massachusetts and Vermont have already taken steps to defang the AHP strategy, and other states have indicated their opposition to the GOP strategy. (Image: Shutterstock)

Frustrated in their attempts to demolish in one fell swoop the Affordable Care Act, Republicans have turned to a “one thousand small cuts” strategy to disable the act. Among the largest of those small cuts: expansion and promotion of association health plans, or AHPs, via a White House written rule. But if several state authorities have their way, this cut, if not healed, may be wrapped in legal bandages.

Compared to the myriad other attacks, the AHP strategy offers more long-term promise for undermining Obamacare. The Trump Administration has marketed the “skinny” plans as a solution for “the little guy”—meaning small business owners—to provide affordable insurance to employers and small business owners themselves. The key to the affordability: Such plans don’t have to meet the full requirements of the act.

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