Background
Health Reform Under Trump >> Background (last updated 1.7.17)
Key Events Timeline
Note that further details and documentation for each listed event are provided elsewhere in this document.
International Initiatives
Federal Initiatives
6.22.16: House Speaker Paul Ryan releases “Better Way” plan to repeal and replace ACA.
11.8.16: Trump elected president in a surprise victory over Hillary Clinton; he wins electoral vote 306-232, while she receives roughly 2.4 million more popular votes.
11.11.16: After meeting with President Obama, Trump reasserts commitment to repeal and replacement of ACA but signals willingness to to retain provisions to prohibit insurers from denying coverage to those with pre-existing conditions and allowing young adults to age 26 to remain on their parents’ health plans.
11.29.16. Rep. Tom Price named by Trump transition team to head Department of Health and Human Services.
12.6.16. Urban Institute releases comprehensive report showing impact of partial ACA repeal through reconciliation.
12.9.16. A new coalition, Protecting Our Care, is launched to oppose ACA repeal, bringing together organizations that helped pass the ACA.
12.13.16. Outgoing CEA releases report: The Economic Record of the Obama Administration: Reforming the Health Care System summarizing impacts of ACA.
12.13.16. Brookings Institution releases comprehensive report showing the potential impact of ACA repeal before a replacement plan can be enacted.
State Initiatives
Medical Care System
Health Insurance System
However, by 2016, several problems were clearly evident in the ACA marketplaces, including rising premiums (these averaged 22% across all states), a shrinking number of plan choices as several large insurers elected to abandon or substantially reduce their participation in the ACA marketplaces and the failure of 20 out of 24 CO-OPs (not-profit health plans created expressly to offer ACA marketplace coverage).