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Presidential Transition Issues to Watch: Obamacare

As President-Elect Donald Trump prepares to take office and the 115th Congress already having convened, keep an eye on what happens with the Affordable Care Act, or Obamacare.

The campaign slogan from Trump and other congressional Republicans was "repeal and replace" Obamacare. That will be easier said than done.

However, with Republicans being in control of Congress and the White House, we know that major changes are in the works.

Congress seems likely to overhaul the state insurance marketplaces created by the Affordable Care Act (ACA) which allows workers without employer-provided coverage to shop for insurance.

Congress may also give states more control of their respective Medicaid provisions. Trump and House Speaker Paul Ryan have both favored the idea of turning Medicaid into a block grant program: the federal government would pay a fixed share and allow states to divvy the rest how they see fit.

Trump has voiced his support of keeping some of the ACA in place. Such as provisions for requiring insurers to cover those with pre-existing conditions and allowing young people to stay on their parents insurance until they turn 26.

Even today, both President Obama and Vice President-Elect Mike Pence met with their respective parties at the Capitol to discuss future strategies for the ACA.

Interacting with businesses daily and personally knowing several family members who have benefited from the ACA, plus the 20 million Americans who have gained health insurance coverage, what happens with the ACA will have far-reaching social, fiscal, and economic implications.

Here is a good read about what's happening on Capitol Hill by Politico. 


Inside the U.S. Capitol. Picture taken from my 2015 vacation to Washington, DC.


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