While well-intentioned, President Trump’s recent executive order “Promoting Choice and Competition Across the United States” is unlikely to achieve much of either.
Let’s look at the executive order’s three specific areas of reforms: Association Health Plans (AHP), short-term, limited duration insurance (STLDI), and health reimbursement arrangements (HRA). For each, it’s clear that more could be done to give people more options to fit their healthcare wants and needs.
So what should the President do? Congress is at an impasse when it comes to addressing the long-overdue issue of how to best move forward on healthcare. But there may be a simple solution to quickly bring lawmakers back to the table: Force members of Congress and their staffs to get their health insurance through the Obamacare exchanges, as the law intended.
Because of the “congressional exemption” granted by the Obama administration, lawmakers enrolled in the small business exchange, which was supposed to be restricted to employers with 50 or fewer employees. Had lawmakers and their staffers been forced into the individual health insurance exchanges as the law intended, they would not be able to continue to receive subsidies that pay for much of their health insurance premiums. Reversing this policy, which allows lawmakers to escape some of the most damaging aspects of the law, would send a very strong message to the lawmakers who supposedly represent us and impose laws by which we must live: If the individual exchanges are good enough for the American people, then they are good enough for the people who work for them.
Americans want – and need – healthcare access, choice, and affordability. But without the legislative votes to either make those changes directly through legislative action or through granting states more flexibility in crafting approaches to meet those goals, there remains little the President can do to directly affect these goals.
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