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.