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.
A fierce battle with Georgia over a Medicaid experiment with stricter enrollment underscores the vast divide between parties over how to cover lower-income Americans.