Tag

#Obamacare

2 incidents

Grade 1 of 5: Significant Democratic Concern

ACA Repeal Failures and Sabotage: Losing 51-49, Then Dismantling Piece by Piece

The administration's attempt to repeal and replace the ACA failed through three separate legislative vehicles: the American Health Care Act (AHCA) passed the House but died in the Senate; the Better Care Reconciliation Act failed to advance in the Senate; and the 'skinny repeal' (Health Care Freedom Act) failed 51-49 when McCain, Murkowski, and Collins voted against it. Following legislative failure, the administration cut the Navigator program (enrollment assistance) from $63 million to $10 million, reduced the open enrollment window, and created an association of short-term health plans that could deny coverage for pre-existing conditions. Termination of cost-sharing reduction payments to insurers triggered premium increases and a complex subsidy dynamic that ultimately cost the government more than the payments themselves.

Grade 2 of 5: Major Abuse of Power

ACA Sabotage: Deliberate Undermining of Health Insurance for Millions

Having failed to repeal the ACA legislatively (defeated by the 51-49 Senate vote, including John McCain's thumbs-down), the Trump administration used regulatory and administrative mechanisms to undermine it: eliminating the individual mandate penalty, cutting navigator and outreach funding from $63 million to $10 million, supporting a lawsuit arguing the entire ACA was unconstitutional, and expanding short-term health plans that excluded pre-existing conditions. CBO projected that repealing the individual mandate penalty (enacted by Congress in the 2017 tax law, which the President signed) would increase the number of uninsured by 13 million by 2027.