New 2027 ACA draft rules could drive small firms toward individual market

By Allison Bell

News February 17, 2026 at 05:03 PM

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Jeff Smedsrud predicted in November 2024, correctly, that the Trump administration would be good for supplemental health products.
He now expects the administration to support ICHRAs.
He thinks the shift to ICHRAs could leave the fully insured market for very small groups with older, sicker, lower-income groups.

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