Trump issues executive order to start rolling back Obamacare

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With his signature, Trump sent a powerful signal on Day One of his presidency: His top priority in the Oval Office will be dismantling the health care law that covers some 20 million Americans.

The order does not change the law, but could have a significant impact nonetheless.

It directs the secretary of health and human services, as well as other agencies, to interpret regulations as loosely as allowed to minimize the financial burden on individuals, insurers, health care providers and others, CNN reports.

It stressed that agencies can “waive, defer, grant exemptions from or delay implementation of any provision or requirement” of Obamacare that imposes a burden “to the maximum extent permitted by law.”

One possible example is the individual mandate, which requires most Americans to be insured or pay a penalty unless they can prove a financial hardship. The Trump administration could try to loosen the criteria for qualifying for a hardship exemption. That way, fewer people would have to pay the penalty, which would be in line with the executive order and the call to provide relief to Americans suffering from the Obamacare’s high costs.

“This will set the gears of the bureaucracy moving in a very different direction,” said Larry Levitt, senior vice president at the Kaiser Family Foundation. “Many of the changes envisioned in this order will take time to implement, but it signals a clear direction.”

In keeping with longstanding Republican beliefs, the order also looks to give states more flexibility and control over their health care markets and to allow insurers to offer policies across state lines.

All of these actions will start to shift the nation’s health care rules toward Republican ideas. And it will allow the Trump administration to chip away at the law going forward.

However, little can be done until a health secretary — and other key HHS officials — are in place to work on changing those guidance and regulations. Trump’s choice to lead HHS, Tom Price, faces the Senate Finance Committee on Tuesday.

An HHS spokesman said the agency will not release a statement on Friday.

Much of Obamacare has already been set in regulation, which a president does not have the power to nullify and which can take months or even a year or two to change.

Also, Trump and other Republican leaders have repeatedly said they want a “smooth transition” to a GOP plan so that millions of Americans will not suddenly lose coverage.

“He has been told that he needs to comply with the law,” said Timothy Jost, an emeritus professor at Washington and Lee University School of Law, “but is directing the agencies to begin taking steps towards reducing regulatory requirements and giving more discretion to the states. It’s going to take time.”

Meanwhile, congressional Republicans are working to actually repeal major sections of the law — including the individual mandate, subsidies and penalties — but they remain divided over when and how to replace Obamacare. Conscious that millions of Americans are worried about losing their coverage, lawmakers have repeatedly said that their plan will give people more access to more affordable plans.

Trump has also said he is nearly done working on a replacement proposal. Republican leaders in Congress, however, have said they have not been consulted.

White House Chief of Staff Reince Priebus also sent out a memo to all government agencies and departments calling for a regulatory freeze.

See also: President Donald Trump’s full inauguration speech.

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