President-elect Donald Trump’s plan for the ACA has two parts: repeal, then replace.
It's unclear whether both can happen at the same time and many experts predict that any transition will disrupt the insurance market and leave many without coverage. But there are two parts Trump wants to keep: protecting those with pre-existing health conditions from discrimination by insurers, and allowing young adults to remain under their parents' coverage until the age of 26.
One route Trump could take to repeal would be to follow past efforts to defund parts of the law. More specifically, end Medicaid expansion, federal subsidies for insurance, tax penalties for not being insured, and taxes that fund the ACA.
While we don’t know exactly what will replace it, one thing is for certain: whatever Trump decides to do with the ACA will affect over 20 million people currently enrolled in programs and under provisions of the law.
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