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Trump Posts Intent to Replace ACA with Health Savings Accounts, High Risk Pools, State Flexibility

Mental Health Task Force / Make It Work Milwaukee Update

Statement on the future of the ACA posted on the Trump transition web site:


It is clear to any objective observer that the Affordable Care Act (ACA), which has resulted in rapidly rising premiums and deductibles, narrow networks, and health insurance, has not been a success. A Trump Administration will work with Congress to repeal the ACA and replace it with a solution that includes Health Savings Accounts (HSAs), and returns the historic role in regulating health insurance to the States. The Administration’s goal will be to create a patient-centered healthcare system that promotes choice, quality and affordability with health insurance and healthcare, and take any needed action to alleviate the burdens imposed on American families and businesses by the law.

To maximize choice and create a dynamic market for health insurance, the Administration will work with Congress to enable people to purchase insurance across state lines. The Administration also will work with both Congress and the States to re-establish high-risk pools – a proven approach to ensuring access to health insurance coverage for individuals who have significant medical expenses and who have not maintained continuous coverage.

The Administration recognizes that the problems with the U.S. health care system did not begin with – and will not end with the repeal of – the ACA. With the assistance of Congress and working with the States, as appropriate, the Administration will act to:

  • Protect individual conscience in healthcare

  • Protect innocent human life from conception to natural death, including the most defenseless and those Americans with disabilities

  • Advance research and development in healthcare

  • Reform the Food and Drug Administration, to put greater focus on the need of patients for new and innovative medical products

  • Modernize Medicare, so that it will be ready for the challenges with the coming retirement of the Baby Boom generation – and beyond

  • Maximize flexibility for States in administering Medicaid, to enable States to experiment with innovative methods to deliver healthcare to our low-income citizens


Where President-elect Donald Trump Stands on Six Health Care Issues, Kaiser health care article summarizing the current stated positions on Medicare, Medicaid, and the ACA all of which are important to older adults and people with disabilities.

Stat: Changes Coming For Medicaid After Trump’s Election
While there has been lots of coverage of the repeal of the ACA and the impact that would have on states that expanded Medicaid under the act, as a state that never expanded, the bigger impact to Wisconsin’s Medicaid programs could be from Medicaid Block Grant proposals or per capita funding proposals. Governors are anticipating gaining more authority over the massive Medicaid health program for the poor now that Donald Trump is heading to the White House, while millions of Americans are wondering whether they will lose their coverage. But Trump made conflicting statements about Medicaid during the campaign, leaving experts scratching their heads about what his victory means for the people it covers. Moreover, despite his and fellow Republicans’ pledge to repeal the Affordable Care Act, there may be political push-back to taking away Medicaid coverage from the millions who got it under the law. (Joseph and Ross, 11/10)

Bremberg to lead Trump’s healthcare transition By Modern Healthcare | November 11, 2016

Sources say President-elect Donald Trump’s transition team for HHS will be led by Andrew Bremberg, who worked at the agency under President George W. Bush administration and more recently has been an adviser to Senate Majority Leader Mitch McConnell and Wisconsin Gov. Scott Walker’s fleeting presidential bid.
Bremberg was on Walker’s team when the candidate unveiled a healthcare proposal that included repealing the Affordable Care Act and splitting Medicaid into smaller programs with separate funding. During his two years in McConnell’s office, Bremberg played a major role in filling Republican slots on bipartisan agencies like the National Labor Relations Board and the Securities and Exchange Commission, according to Politico. He also served in the Mitt Romney campaign in 2012 with the direct responsibility for laying the groundwork for the repeal of the ACA.

 · Can Trump kill Obamacare? He’ll have to answer these questions first    STAT

Barbara Beckert, Milwaukee Office Director: DISABILITY RIGHTS WISCONSIN
6737 W. Washington St., Suite 3230, Milwaukee, WI 53214
414–773–4646 Voice ext 2724
414–773–4647 Fax

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Last edited by patricia obletz. Based on work by Tyler Schuster.  Page last modified on November 11, 2016, at 05:49 PM

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