The changes Trump’s executive order envisions would not alter the constraints imposed by the ACA or other federal statutes. They would work within those constraints. These changes would allow many consumers to avoid the ACA exchanges and ObamaCare’s hidden taxes—but then again, so did President Obama when he created “grandmothered” plans. They would make the costs of community rating, essential health benefits, and other hidden taxes more transparent—but so did “grandmothered” plans, as well as the steps President Obama took with Congress to increase premium-assistance-tax-credit clawbacks and to limit risk-corridor subsidies.
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