The Executive Branch may support or undercut the ACA regardless of congressional action.
There is a difficult political reality: ACA marketplaces require active maintenance and federal support. The White House can take a number of behind-the-scenes steps to sabotage the exchanges and hasten their undoing. It has been deploying some of those tactics for weeks now — even prompting a review from the Government Accountability Office to see if these actions are legal.
Five ways the administration could weaken the ACA:
* Cost Sharing Reductions : So far Trump has continued the payments to insurers on a month-to-month basis. Insurers may bolt if the money goes away.
* Reduce enforcement of the individual mandate.
* Permit Bare Markets: The prior administration spent a lot of time reaching out to insurers, encouraging them to stick with the ACA markets. Even so, some locales have one or no choices of carriers.
* Reduce enrollment outreach: Simply choosing to not advertise would reduce enrollments.
* Criticism: HHS has taken an active role in criticizing the health law – pushing press releases and videos that argue it has hurt more than helped. In a statement issued after Friday’s early-morning vote, Health and Human Services Secretary Tom Price reiterated the administration’s commitment to “provide relief to Americans who are reeling from the status quo”.
Read more in Kaiser Health News