Healthcare policy is destined for change following the election of Donald Trump and continued Republican Party control of the Senate and the House. While the exact nature of those changes remain to be seen, one thing is certain—the Affordable Care Act (ACA) will get a major overhaul.

Repeal of the Affordable Care Act (ACA) has been at the core of the Trump healthcare agenda. Trump’s website, which stated pre-election that his intention on Day One would be to “…..ask Congress to immediately deliver a full repeal of Obamacare” has been softened to “Either Obamacare will be amended or repealed and replaced.” The “repeal and replace” message also has been echoed by some Republicans. There are rumblings that Congressional Republicans may move for a budget reconciliation bill, which can be used by the Senate to pass significant revenue and spending measures. However, budget rules limit the ability to fully repeal the ACA through this mechanism.

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