Vance tries to rewrite history on Trump and the Affordable Care Act — but the former president tried to take the law down, not build it up or protect Americans’ health insurance
The Republican presidential ticket — presidential nominee Donald Trump and vice presidential nominee JD Vance — attend the 9/11 Memorial ceremony on Sept. 11, 2024, in New York. As president, Donald Trump cut funding for Affordable Care Act marketing, outreach and enrollment assistance and expanded access to short-term, limited-coverage plans that Democrats call"junk insurance."
The remarks follow statements the former president made during his Sept. 10 debate with Vice President Kamala Harris in Philadelphia. Trump said of the Affordable Care Act,"are enrolled this year in plans sold through the marketplaces it created. That makes the law a tricky political issue for Republicans, who have largely retreated from their attempts over the last decade to repeal it.
Two months earlier, the Congressional Budget Office warned that stopping the payments could cause some insurers to leave the ACA marketplace — and that premiums would rise by 20% in the first year. Meanwhile, the Trump administration expanded access to some kinds of less expensive health coverage that isn’t compliant with Affordable Care Act rules, includingthat generally have more restrictions on care and can leave consumers with surprise medical bills. Democrats call the plans"junk insurance."
Trump administration policies, for example, didn’t buttress the act, but often undermined enrollment outreach efforts or were advanced to sabotage the insurance marketplace. Also, Trump vocally supported congressional efforts to overturn the law and legal challenges to it.Telephone interview, Sabrina Corlette, co-director of the Center on Health Reforms at Georgetown University, Sept. 16, 2024
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