Beginning in January, the Republican-controlled Congress, working with the incoming Trump administration, will have the opportunity to roll back the Affordable Care Act and replace it with a plan that is less driven by federal control and regulation. The starting point for this effort ought to be that everyone in the United States should have health insurance, protecting them against major medical expenses. To do so, the GOP should:

• Grandfather Coverage Provided by the ACA
• Accept and Clarify Medicaid’s Role as the Safety Net Health Insurance Program
• Impose Cost-Discipline and Generate Revenue with an Upper Limit on the Tax Preference for Employer-Paid Premiums
• Build an Effective Auto-Enrollment Program to Achieve Higher Levels of Coverage