Even without congressional action, a second Trump administration will likely support major changes to Medicaid and the Affordable Care Act’s marketplaces, affecting millions of Americans.
Speaker Mike Johnson said a Trump victory would allow Republicans to embark on a “massive overhaul” of the Affordable Care Act. He said the party wants to “take a blowtorch to the regulatory state.”
JD Vance seemed to back away from a proposal to separate healthy and sick people in insurance markets, which could cause major disruption for people with pre-existing conditions.
Former President Donald J. Trump once promised to replace Obamacare with “something terrific.” But as the 2010 law has become more popular, he has sounded less confident about a repeal.
The Biden administration released data showing roughly one in seven U.S. residents had been covered by the Affordable Care Act at some point over the past decade.
The policy has played little role at the Democratic National Convention. Republicans continue to suggest Vice President Kamala Harris would pursue it as president.