Introduce Repeal and Replace Obamacare Act

Current Status: Faltering

As of

"I will work with Congress to introduce the following broader legislative measures and fight for their passage within the first 100 days of my Administration:
...
5. Repeal and Replace Obamacare Act. Fully repeals Obamacare and replaces it with Health Savings Accounts, the ability to purchase health insurance across state lines, and lets states manage Medicaid funds. Reforms will also include cutting the red tape at the FDA: there are over 4,000 drugs awaiting approval, and we especially want to speed the approval of life-saving medications."

- "Donald Trump's Contract With The American Voter," October 2016

Congress is unlikely to be able to repeal the entire law without a supermajority of 60 votes in the Senate, but it can eliminate parts of the law with a simple majority. Experts say repealing just select parts of the law could lead to market chaos and an estimated 22 million Americans would lose coverage.

After an initial meeting with outgoing president Obama in November 2016, Trump said he would like to keep the provision forbidding discrimination based on pre-existing conditions and to allow young Americans to remain on their parents' healthcare plans. His subsequent appointment of Tom Price - an outspoken opponent of the ACA - as Health & Human Services secretary appears to double-down on his campaign promise.

On his first day in office, Trump signed an executive order aimed at the Affordable Care Act that pushes agencies to target provisions that impose a "fiscal burden" on a state or a "cost" or "regulatory burden" on individuals or businesses. Although it is not a direct action to void the ACA, his action could erode certain core features of the law while it is simultaneously being considered in Congress.

As of his 100th day in office, the Trump administration has introduced no legislation in this or any other matter. However, House Republicans introduced and passed a repeal bill in May 2017, a bill that Trump said he would support. Efforts in the Senate into Summer 2017 failed to move a health care bill forward, leading Trump to declare "we’ll let Obamacare fail," which appears to be a signal that he would neither repeal nor replace any time in the near future.

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