Major changes for healthcare enrollment under Trump. Are you among the 24 million people affected?
- Replies 3
In a landscape where healthcare is as vital as the air we breathe, a major shift has just rippled through the United States, courtesy of President Donald Trump's executive orders
With a stroke of executive authority, Trump has ushered in changes that could reshape the health care coverage for an estimated 24 million Americans. Let’s dissect what this means for you, your loved ones, and the fabric of healthcare in our nation.
Before we delve into the details of Trump's executive orders, let's take a moment to appreciate the Affordable Care Act (ACA), more popularly known as Obamacare.
Since its inception in 2010, the ACA has been the lifeline for millions, providing health insurance for around 24 million Americans this year.
On January 20, 2025, President Trump signed a series of executive orders with the intent to reverse several key elements of the ACA, particularly those expanded during the Biden administration.
This includes the rollback of Biden's 2021 executive order 14009, or the “Strengthening Medicaid and the Affordable Care Act” which broadened open enrollment periods, and 2022's executive order 14070, which sought to lower ACA premiums.
Executive Order 14009 aimed to undo the measures that limited ACA provisions or made healthcare less accessible. It also promoted lengthened enrollment periods and provided more federal support to ensure more access to affordable healthcare.
It also restored protections for individuals with pre-existing conditions and reinforced nondiscrimination policies in healthcare. Aside from this, it led many executive departments and agencies to review their existing regulations, order, and policies to ensure their alignment with the goal of strengthening Medicaid and the ACA.
Meanwhile, Executive Order 14070 aimed to enhance marketplace subsidies, extend postpartum Medicaid coverage, and provide new incentives for states to improve their Medicaid programs.
President Donald Trump, as stated in his executive order, said, “The previous administration has embedded deeply unpopular, inflationary, illegal and radical practices within every agency and office of the federal government.”
He also added that “The revocations within this order will be the first of many steps the United States Federal Government will take to repair our institutions and our economy.”
Source: PBS NewsHour / Youtube.
Financial literacy instructor Alex Beene warns that these reversals could lead to a decline in ACA enrollment, saying, “...It's fair to say the reversal in trajectory from President Biden's original executive order will lead to fewer Americans enrolling in insurance under the Affordable Care Act. That executive order extended enrollment periods for many states and excelled funding for outside entities to assist Americans in enrolling. The rescinding of it could return those enrollment time periods to their original length and cause assistance through third parties to decrease over time."
Kevin Thompson, CEO of 9i Capital Group, echoes these concerns, expressing “Third-party funding played a significant role in boosting ACA participation. These funds, along with government subsidies, helped offset premiums for millions of Americans, driving the enrollment gains seen in recent years. A reduction in this funding will likely lead to lower enrollment numbers.”
These health care changes are but the tip of the iceberg in Trump's broader agenda to change federal policies and ensure assertion of executive power.
From the “largest deportation program of criminals” targeting undocumented immigrants to imposing 25% tariffs on neighboring countries like Canada and Mexico, and declaring a national energy emergency to boost domestic oil and gas production, Trump is making major changes across the board.
Have you or someone you know been affected by these healthcare changes? Do you have tips for navigating the new landscape? Share your stories and advice in the comments below!
With a stroke of executive authority, Trump has ushered in changes that could reshape the health care coverage for an estimated 24 million Americans. Let’s dissect what this means for you, your loved ones, and the fabric of healthcare in our nation.
Before we delve into the details of Trump's executive orders, let's take a moment to appreciate the Affordable Care Act (ACA), more popularly known as Obamacare.
Since its inception in 2010, the ACA has been the lifeline for millions, providing health insurance for around 24 million Americans this year.
On January 20, 2025, President Trump signed a series of executive orders with the intent to reverse several key elements of the ACA, particularly those expanded during the Biden administration.
This includes the rollback of Biden's 2021 executive order 14009, or the “Strengthening Medicaid and the Affordable Care Act” which broadened open enrollment periods, and 2022's executive order 14070, which sought to lower ACA premiums.
President Trump has issued executive orders affecting the healthcare marketplace, which could impact 24 million Americans. Image source: PBS NewsHour / Youtube.
Executive Order 14009 aimed to undo the measures that limited ACA provisions or made healthcare less accessible. It also promoted lengthened enrollment periods and provided more federal support to ensure more access to affordable healthcare.
It also restored protections for individuals with pre-existing conditions and reinforced nondiscrimination policies in healthcare. Aside from this, it led many executive departments and agencies to review their existing regulations, order, and policies to ensure their alignment with the goal of strengthening Medicaid and the ACA.
Meanwhile, Executive Order 14070 aimed to enhance marketplace subsidies, extend postpartum Medicaid coverage, and provide new incentives for states to improve their Medicaid programs.
President Donald Trump, as stated in his executive order, said, “The previous administration has embedded deeply unpopular, inflationary, illegal and radical practices within every agency and office of the federal government.”
He also added that “The revocations within this order will be the first of many steps the United States Federal Government will take to repair our institutions and our economy.”
Source: PBS NewsHour / Youtube.
Financial literacy instructor Alex Beene warns that these reversals could lead to a decline in ACA enrollment, saying, “...It's fair to say the reversal in trajectory from President Biden's original executive order will lead to fewer Americans enrolling in insurance under the Affordable Care Act. That executive order extended enrollment periods for many states and excelled funding for outside entities to assist Americans in enrolling. The rescinding of it could return those enrollment time periods to their original length and cause assistance through third parties to decrease over time."
Kevin Thompson, CEO of 9i Capital Group, echoes these concerns, expressing “Third-party funding played a significant role in boosting ACA participation. These funds, along with government subsidies, helped offset premiums for millions of Americans, driving the enrollment gains seen in recent years. A reduction in this funding will likely lead to lower enrollment numbers.”
These health care changes are but the tip of the iceberg in Trump's broader agenda to change federal policies and ensure assertion of executive power.
From the “largest deportation program of criminals” targeting undocumented immigrants to imposing 25% tariffs on neighboring countries like Canada and Mexico, and declaring a national energy emergency to boost domestic oil and gas production, Trump is making major changes across the board.
Have you or someone you know been affected by these healthcare changes? Do you have tips for navigating the new landscape? Share your stories and advice in the comments below!
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