Trump's small-business health insurance plan struck down

Alicia Farmer
March 30, 2019

The Labor Department said in a CNN report it disagreed with the decision while the Justice Department said it will consider "all available options" after Bates' ruling.

While DeWine, like most Republicans, has always been a critic of the health-reform law nicknamed "Obamacare", he made similar comments on the campaign trail previous year that he's in favor of the part of the law prohibiting insurance companies from denying health coverage to someone because of a pre-existing medical condition.

The order, Trump said at the time, would give "millions of Americans with Obamacare relief". "Washington will continue to fight to protect hardworking Washingtonians' access to affordable health care, and hold the Trump Administration accountable to the rule of law".

"The final rule is clearly an end-run around the ACA", Bates wrote.

Verma, a close ally of Vice President Mike Pence, has become a lightning rod for pushing work requirements in Medicaid and spearheading the Trump administration's efforts to unilaterally unwind pieces of Obamacare. "And if we ignore both of those areas, and hope that the 2020 elections will be better somehow, without addressing real problems?"

29-Congressional Republicans' quest to repeal and replace the Affordable Care Act, known as Obamacare, just couldn't get across the finish line in 2017.

The Trump administration, however, is not waiting for Congress to change the health care system, particularly Obamacare. On Monday, the Justice Department said the entire Affordable Care Act should be struck down in a filing with a federal appeals court, a dramatic reversal of a stance it took previous year. It would turn the federal funding for Medicaid expansion and Obamacare's subsidies for premiums and out-of-pocket costs into a block grant program. Trump has great faith in his ability to fool people, but by now the public has probably figured out that the only Republican plan for health care is to not have a plan.

The governor didn't say exactly what moves he would make to follow through on such a guarantee, should the Affordable Care Act be struck down as unconstitutional.

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His administration this week surprised many when it asked a federal appeals court to strike down President Barack Obama's entire 2010 health care law, breaking with what had been a more modest effort to undo only parts of the act.

While the filing from the Justice Department doesn't alter law, the decision to comment on a pending case underscores how the Trump administration still views dismantling the law - which could cost 21 million Americans insurance - as a top priority.

"I feel comfortable saying that I speak for nearly, if not all, Republican senators when I say that this is the last thing they want to discuss", said one senior Republican leadership aide.

President Donald Trump has hailed the small-business plans as a big success, but their impact is hard to measure. He told small-business owners in June that "you're going to save massive amounts of money and have much better health care". Rick Scott of Florida, a former health care executive.

Many state officials see federal insurance regulation of small-business plans as infringing on their own traditional authority.

Almost three dozen new association health plans were launched recently, mainly by chambers of commerce, according to a January study by, an informational website. "This means that insulin is going to get more expensive".

Sen. John Kennedy of Louisiana said Obamacare should be struck down with "vengeance and furious anger". It has been issuing a series of rules and guidance that aim to undercut the landmark health reform law. He did not provide additional details about what the plan would include.

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