White House February, 2019

Executive Summary

The Trump Administration’s broad policy agenda is to deregulate markets and expand choice and competition to keep costs down for consumers and taxpayers. This report considers three changes that have the effect of expanding consumers’ health insurance options: (1) reducing, through The Tax Cuts and Jobs Act of 2017, the individual mandate penalty to zero owed by consumers who did not have federally approved coverage or an exemption; (2) permitting, via
a June 2018 rule, more small businesses to form Association Health Plans (AHPs) to provide lower-cost group health insurance to their employees; and (3) expanding, through an August 2018 rule, short-term, limited-duration insurance (STLDI) plans.

Previous assessments of the Affordable Care Act (ACA) have relied on ad hoc...

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