After the Election: What Will the Trump Administration Mean for Healthcare?
Key Polling Data
Kaiser Family Foundation Post-Election National Poll: Many ACA provisions are supported by a majority of Democrats, Republicans and Independents; a minority favor outright repeal with no replace.
Impacts of ACA Repeal
Proposed ACA Replacement Policies
- Trump Campaign Platform, Trump Campaign Website
- “Taking Stock of Health Reform: Where We’ve Been, Where We’re Going,” Timothy Jost, Health Affairs Blog (Dec. 6, 2016).
- Donald Trump's Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit, Commonwealth Fund, (Sept. 23, 2016): Issue brief looking at the ways in which President-elect Trump’s health reform proposals would impact insurance coverage and spending.
- House GOP Proposals Would Make Health Coverage Less Secure for All Americans, Center for American Progress (Aug. 1, 2016): In-depth critical analysis of how GOP health reform proposals would affect Medicare, Medicaid, and the private insurance market.
Policy Fact Sheets/Blogs
Shopping Across State Lines
- FAQ: Selling Health Insurance Across State Lines, Kaiser Family Foundation (Jan. 25, 2011): A primer on arguments for and against the practice.
- Selling Insurance Across State Lines: An Assessment of State Laws and Implications for Improving Choice and Affordability of Coverage, Georgetown University, Center on Health Insurance Reforms (October2012): Analysis of legislation enacted in six states allowing the sale of health insurance across state lines. No insurers have opted to enter these markets from out-of-state and the legislation has failed to meet its goals. This is attributed largely to the localized nature of healthcare delivery.
- Trump, House GOP Proposals Allowing Insurers to Sell Across State Lines Would Undermine Insurance Markets, Edwin Park, CBPP (Nov. 17, 2016): A critical analysis of proposals allowing health insurers to sell across state lines.
- “The Problem With GOP Plans to Sell Health Insurance Across State Lines,” The Upshot blog, New York Times (Aug. 31, 2015): Potential out-of-state insurers face financial and logistical challenges in establishing effective provider networks. Critics warn of a race-to-the-bottom as insurers move to states with the most lenient regulations.
- High-Risk Pools for Uninsurable Individuals, Kaiser Family Foundation (Aug. 1, 2016).
- Trump, House GOP High-Risk Pool Proposals a Failed Approach, Edwin Park, CBPP (Nov. 17, 2016): A critical analysis of GOP proposals to enact national high-risk pools.
- Consumer Guide to High-Risk Health Insurance Pools, National Association of Health Underwriters: A brief primer on high-risk pools.
- Why High Risk Pools (Still) Won’t Work, Jean Hall, The Commonwealth Fund (Feb. 13, 2015): Historical experience shows that high-risk pools are prohibitively expensive to administer, prohibitively expensive for consumers to purchase and result in lower-quality coverage.
- Realizing Health Reform’s Potential: Why a National High-Risk Insurance Pool Is Not a Workable Alternative to the Marketplace, Commonwealth Fund (December 2014): Issue brief examining high-risk pools and why they are not a workable solution for high-need patients.
Premium Support in Medicare
Premium Support for Non-group Market
High-Deductible Health Plans/Health Savings Accounts (HDHP/HSA)
Broaden Age Rating Bands
Medicaid Block Grants
- Medicaid Block Grant Would Slash Federal Funding, Shift Costs to States, and Leave Millions More Uninsured, Edwin Park, CBPP (Nov. 30, 2016): Explains anticipated effects of block granting Medicaid, including cost-shifting to states and anticipated benefit reductions.
- Block Grants and Per Capita Caps Would Dismantle Medicaid as We Know It, Community Catalyst (December2016): Fact sheet explaining block grants and the reasons they would potentially reduce access to and quality of Medicaid coverage.
- What Would Block Grants of Limits on Per Capita Spending Mean for Medicaid?, Sara Rosenbaum, et al., Commonwealth Fund (Nov. 18, 2016): An issue brief that examines proposals to block grant Medicaid and how they would create fundings gaps that could lead to a narrowing of coverage and benefits.
Background on Proposed Cabinet Appointments
Opportunities to Take Action