A lot of President-Elect Biden's sweeping health care plans will be stymied if Republicans maintain control of the Senate, but he can and probably will reverse much of what President Trump has done in health care administratively.
Some Trump actions Biden can reverse:

Short-term plans not covering pre-existing conditions
ACA outreach cuts
Work requirements and funding caps in Medicaid
Gender identity discrimination
Family planning funding restrictions
Immigration limits for those using health benefits
Possibly the most important thing President-Elect Biden can do in health care at this moment in history is approach the pandemic with facts, science, and empathy. None of those things require an act of Congress.
Beyond using administrative authority to undo much of what President Trump has done, I’d look for President-Elect Biden to use executive powers creatively to expand coverage, increase consumer protections, and make health care more affordable.
On Tuesday the Supreme Court hears the case to overturn the ACA. Even as president, Joe Biden can’t stop it unilaterally.

If Democrats sweep both Georgia senate runoffs, they could pass a bill to make the lawsuit moot. If not, buckle your seatbelts.
You may or may not agree with President-Elect Biden’s health care policies, but one thing is for sure: they will be more normal.

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More from @larry_levitt

28 Sep
Biden's public option proposal has gotten more attention, but his expansion of ACA premium subsidies could be an even bigger deal.

More than 12 million people with employer health insurance could save money. That's a group the ACA largely left out.

kff.org/health-reform/…
Biden's proposal to build on the ACA eliminates the "subsidy cliff," providing help to enrollees who are middle-income, older, and in rural areas.

It also eliminates the "firewall" that prevents people with expensive employer health insurance from accessing ACA subsidies.
If Democrats sweep the November election, Biden's proposal to expand ACA subsidies could attract broad support.

His proposal for a public option has significant public support, but would bring vehement opposition from the health care industry.
Read 6 tweets
19 Sep
President Trump and many other candidates opposing the ACA say they support protecting people with pre-existing conditions. Now seems like a good time to ask how they would do that if the ACA gets struck down, which is all of a sudden more likely.
Overturning the ACA is not only about pre-existing condition protections. It's also about the Medicaid expansion, closing the Medicare drug coverage donut hole, preventive services, Medicare payments to hospitals, taxes, and much more.

kff.org/health-reform/…
You can’t just click your heels together three times to get insurance companies to guarantee pre-existing condition protections.

It takes strict regulations, plus government spending to make coverage affordable and encourage people who are currently healthy to enroll, too.
Read 5 tweets
15 Sep
New federal data show the the number of people uninsured increased by one million in 2019, before the pandemic and economic crisis hit.

The number of people uninsured has been growing since 2016, reversing historic gains following passage of the ACA.

census.gov/newsroom/press… Image
The number of Americans uninsured increased by 2.3 million from 2016 to 2019, after dropping by 20 million in the years following passage of the Affordable Care Act in 2010.
There was a big increase in the share of Hispanics uninsured in 2019 -- 18.7%, up from 17.9% in 2018. Hispanics are the group most likely to be uninsured, and are being hit particularly hard by COVID-19 right now.
Read 5 tweets
13 Sep
President Trump has issued an executive order calling for regulations to cap drug prices paid in Medicare to those in other countries.

Joe Biden has proposed having the government negotiate drug prices paid by everyone.
Biden's drug pricing plan goes much further than Trump's, but both are proposing a significantly bigger role for the federal government in limiting drug prices.
President Trump's executive order on drug pricing does not by itself do anything. It has to be followed up by regulations, which will take time.

Trump has a history of bold talk on drug prices, only to pull back when it comes to putting actual regulations in place.
Read 4 tweets
19 Aug
As the campaign heats up, ACA opponents will say they'll protect people with pre-existing conditions if the Supreme Court overturns the law, as President Trump is arguing. The question is whether they have specific plans to accomplish that and maintain a stable insurance market.
If you want to protect people with pre-existing condition, you need to ensure:
1. No denial based on health.
2. Community rating.
3. Benefit requirements.
4. No pre-existing condition exclusions.
5. No annual or lifetime limits.
6. Subsidies to encourage healthy people enroll.
The questions above are the important ones to ask if President Trump follows through on an executive order promising to protect people with pre-existing conditions if the Supreme Court overturns the ACA.
Read 5 tweets
8 Aug
To be clear, the Affordable Care Act requires insurers to cover pre-existing conditions. President Trump is arguing before the Supreme Court that the ACA be overturned.
If you want to protect people with pre-existing condition, you need to ensure:
1. No denial based on health.
2. Community rating.
3. Benefit requirements.
4. No pre-existing condition exclusions.
5. No annual or lifetime limits.
6. Subsidies to encourage healthy people enroll.
I can't imagine what authority President Trump has to protect people with pre-existing conditions if the Supreme Court overturns the ACA, as he is advocating. There is no magic wand you can waive to just make it so.
Read 5 tweets

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