Trump Orders Expansion of Healthcare Insurance Options

Trump Orders Expansion of Healthcare Insurance Options

Despite the inability of republicans in Congress to roll back the Affordable Care Act (ACA), President Trump has promised an executive order to offer relief to healthcare consumers facing rising insurance premiums. He is using “the power of the pen,” according to a tweet, to overhaul healthcare.

Under the ACA, new insurance requirements prohibited insurers from denying sick consumers or placing annual and lifetime limits on medical coverage, and mandating a basic set of benefits. ACA requirements mandate coverage of prescription drugs, maternity care, and mental health treatment. Trump’s proposal will expand use of short-term plans and allow insurers to bypass some ACA requirements and protections.

Trump will not be able to ditch all existing insurance protections altogether, because they are law and can only be changed by an act of Congress.

According to Kaiser Health News, Trump’s order also instructs agencies to consider new regulations to:

  • Permit the practice of providing tax-free employer contributions through health reimbursement accounts that workers could use to buy individual market plans. The Obama administration had barred that practice. This adjustment might result in more employers dropping job-based coverage and simply giving workers money to buy their own plans.
  • Report on steps federal and state governments could take to “increase choice and reduce consolidation” in the health care market. A senior administration official said Trump is concerned about the growing number of regions served by only one or two insurers or hospital systems.

The Los Angeles Times said that critics fear, “… if implemented, the changes could result in more bare-bones coverage and pull healthier people out of the already struggling insurance markets, leading to higher premiums for those who remain in more-regulated coverage.”

If Trump’s executive order is enacted, changes will not affect upcoming open enrollment for 2018.

Michelle Dick
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Michelle Dick

Executive Editor at AAPC
Michelle A. Dick has been executive editor for AAPC for over 10 years. Prior to her work at AAPC, she was editor-in-chief at Eli Research and Element K Journals, and disk ad coordinator, web designer/developer, and graphic artist at White Directory Publishers, Inc. She has a Bachelor of Science in Graphic Design from the State University of New York - Buffalo State and is a member of the Flower City Professional Coders in Rochester, N.Y.
Michelle Dick
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Michelle A. Dick has been executive editor for AAPC for over 10 years. Prior to her work at AAPC, she was editor-in-chief at Eli Research and Element K Journals, and disk ad coordinator, web designer/developer, and graphic artist at White Directory Publishers, Inc. She has a Bachelor of Science in Graphic Design from the State University of New York - Buffalo State and is a member of the Flower City Professional Coders in Rochester, N.Y.

One Response to “Trump Orders Expansion of Healthcare Insurance Options”

  1. Laura ODonnell says:

    You say: “Despite the inability of republicans in Congress to roll back the Affordable Care Act (ACA)” but I think what you are referring to is that the majority of Congress was actually ABLE to think through legislation, with all its consequences, and not simply do as their president ordered. Kudos to Congress for once.

    Now if they could only formulate a plan to actually improve health care delivery in our country. A reflexive reaction to dismantle anything that President Obama promoted would not be helpful.

    I also disagree with your statement that with this extra-executive order “changes will not affect upcoming open enrollment for 2018.” If nothing else, it immediately adds to the confusion surrounding what is required of individuals. I do not think it accidental that this was proclaimed before the enrollment period. The Denver Post noted:, “Even so, with a shortened sign-up period and large cuts in federal funds for advertising and enrollment help already hobbling the marketplaces, “if there’s a lot of hoopla around new options that may be available soon, it could be one more thing that discourages enrollment,” said Larry Levitt, Kaiser Family Foundation’s senior vice president.” http://www.denverpost.com/2017/10/12/trump-executive-order-health-care/

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