POLITICO has learned that the Trump administration is planning to take a “major step forward” in repealing the Affordable Care Act, an issue that has become the focal point of the administration’s first 100 days.
The president has not specified how the administration would do that, but on Monday, he told reporters that the move is part of a broader agenda of dismantling the ACA.
It is unclear if that includes a full repeal of the law or just the individual mandate, a tax that requires people to buy health insurance or pay a penalty.
Trump has called for the repeal of both.
His top legislative priorities, though, remain health care, and his White House is trying to get it done by the end of the year.
It remains unclear whether the Trump team is considering a complete repeal of Obamacare or just its individual mandate.
Trump administration officials told POLITICO that a major goal is to have the individual market “run smoothly.”
That means making sure that people are getting their health insurance, and that the subsidies to help people afford the premiums don’t fall short of the cost of covering everyone.
The White House also is focused on reducing the burden of the ACA’s insurance mandates, a goal that would include a major shift in how the law is structured.
Those mandates, which impose monthly payments on businesses and individuals to buy insurance, have become the driving force behind the ACA marketplaces and helped drive the overall market.
The Trump administration has been working with the insurance industry to negotiate an arrangement that would reduce the costs of those subsidies, while still allowing insurers to continue to charge more.
“I have to tell you that the idea of an individual mandate repeal is something that we are working on, and we’re working very closely with the companies,” White House press secretary Sarah Huckabee Sanders said during a briefing on Monday.
“We’ve been working closely with them on the individual insurance mandate.
The idea is that we do the individual health insurance mandate repeal so that it doesn’t hurt the market.
While the White House did not specify a timeline for when a major move on the law might be taken, Sanders said it is important to get the individual mandates “done and passed.” “
And it’s something that I think the president would support very much.”
While the White House did not specify a timeline for when a major move on the law might be taken, Sanders said it is important to get the individual mandates “done and passed.”
But that won’t happen until the end the year, which means the administration is working on a big step forward in the process.
For now, it appears that a decision on whether to move ahead with the individual exchanges is still a matter of concern.
Health and Human Services Secretary Tom Price said Monday that he wants to wait to see how the individual markets evolve before determining how to roll them out.
“When it comes to health care in general, I am going to continue talking with all stakeholders to see what the best course of action is, to figure out what the most effective way to provide quality care to all Americans is,” Price told reporters at the White Senate.
“There’s a lot of things that need to be determined in that regard, but at this point, we’re going to wait until the marketplace is functioning and the premiums are actually going up to make that determination.”
As we reported in April, the White of the Department of Health and Health Care Policy has been trying to figure how to deal with the rising costs of insurance, even as it tries to work out how to replace the ACA with an alternative.
The administration has also been trying for months to work through a process to replace some of the subsidies that are part of the Affordable Health Care Act.
Those subsidies are worth about $7,500 per person, and the administration has struggled to come up with a way for Americans to purchase insurance without them.
The federal government has also had to figure what to do with millions of people who received tax credits that are supposed to help lower their costs, but the program has been plagued by problems and a lack of funding.
A spokeswoman for Price said that he expects to have an answer for the subsidy issue by the time he is sworn in.
That’s because the White has been unable to find any other options that can offer the same type of coverage.
“The president is determined to get this done, and he believes that there are options that we can do in a more effective way that would lower the costs and stabilize the market,” Price said.