In his address to Congress Feb. 28, President Trump called for an end to the Affordable Care Act (ACA) while voicing support for a key part of GOP leaders’ replacement plan that has met resistance from some within the party.
He outlined principles that he said should guide Congress as it works to create a better health care system:
Ensure that Americans with preexisting conditions have access to coverage, and that there is a stable transition for those currently enrolled in plans available on the ACA exchanges.
Help Americans purchase their own coverage, through the use of tax credits and expanded health savings accounts.
Give governors the resources and flexibility they need with Medicaid “to make sure no one is left out.”
Give consumers the freedom to purchase health insurance across state lines, “creating a truly competitive national marketplace that will bring cost way down and provide far better care.”
Trump’s support of tax credits to help people afford coverage is in line with a recently leaked draft bill from the House, which would give consumers age-based tax credits to purchase individual market plans. That provision received pushback from two prominent conservative House members, who characterized the tax credits as a “new entitlement program.”
In addition, Trump’s mention of state flexibility regarding Medicaid could be seen as a reassuring nod to governors who have chosen to expand Medicaid eligibility in their states.