Trump Intends Boosting Lower Premium Health Plans

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Trump Intends Boosting Lower Premium Health Plans. President Donald Trump is moving to put his own stamp on health care with an executive order Thursday that aims to make lower-premium plans more widely available.

Trump Intends Boosting Lower Premium Health Plans
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But the changes Trump hopes to bring about could take months or even longer, according to administration officials who outlined the order for reporters Thursday morning. The proposals may not be finalized in time to affect coverage for 2019, let alone next year.

White House domestic policy director Andrew Bremberg stressed that Trump still believes Congress needs to repeal and replace the Obama-era Affordable Care Act. The White House described the order as first steps.

Why it would take so long: The proposals have to go through the federal government’s rule-making process, which involves public notice and comment, and that can take time.

Administration officials one of the main ideas is to ease the way for groups and associations of employers to sponsor coverage that can be marketed across the land. That reflects Trump’s longstanding belief that interstate competition will lead to lower premiums for consumers who buy their own health insurance policies, as well as for small businesses.

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Those “association health plans” could be shielded from some state and federal insurance requirements. But responding to concerns, the White House said participating employers could not exclude any workers from the plan, or charge more to those in poor health. Trump Intends Boosting Lower Premium Health Plans.

It’s also unlikely to reverse the trend of insurers exiting state markets. About half of U.S. counties will have only one “Obamacare” insurer next year, although it appears that no counties will be left without a carrier as was initially feared. White House officials said over time, the policies flowing from the president’s order will give consumers more options.

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Democrats are bracing for another effort by Trump to dismantle “Obamacare,” this time with the rule-making powers of the executive branch. Staffers at the departments of Health and Human Services, Labor and Treasury have been working on the options since shortly after the president took office.

The president’s move is also likely to encounter opposition from medical associations, consumer groups and perhaps even some insurers — the same coalition that so far has blocked congressional Republicans from repealing Obama’s Affordable Care Act.

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State attorneys general and state insurance regulators may try to block the administration in court, seeing the plan as a challenge to their traditional oversight authority.

As Trump himself once said, health care is complicated and working his will won’t be as easy as signing a presidential order.

Experts say the executive order probably won’t have much impact on premiums for 2018, which are expected to be sharply higher in many states for people buying their own policies.

Sponsors would have to be found to offer and market the new style association plans, and insurers would have to step up to design and administer them.

For insurers, this would come at a time when much of the industry seems to have embraced the consumer protections required by the Obama health law. Trump Intends Boosting Lower Premium Health Plans.

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Depending on the scope of regulations that flow from Trump’s order, some experts say the alternatives the White House is promoting could draw healthy people away from “Obamacare” insurance markets, making them less viable for consumers and insurers alike

But conservatives such as Sen. Rand Paul, R-Ky., believe the federal government has overstepped its bounds in regulating the private health insurance market.

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