![]() ![]() ![]() However, actions by the Trump administration to allow the purchase of association-based and short-term health plans may lead to more harm for insurance markets. The markets seem to have stabilized by now. The withholding of so-called cost-sharing subsidies temporarily threw many of the nation's insurance markets into turmoil. Next, the Trump administration relaxed oversight of provider networks in the insurance marketplaces to undoing the ACA's contraception coverage requirements. In a concerted effort, administration officials sought to raise uncertainty about the future of the health law by making a slew of false and misleading statements about the ACA. Since taking office, the Trump administration has also taken a slew of actions seeking to damage and undo much of the ACA. Most recently, states like Idaho and Iowa are seeking to allow the sale of low-quality insurance products prohibited under the ACA. Various states have passed have prevented state employees from cooperating with the federal government in any implementation activities. Many states have refused to establish insurance marketplaces or expand their Medicaid program. Many Republican-controlled state legislatures and governors have done their fair share to oppose the implementation of the ACA.Äozens of lawsuits have been filed seeking to overturn parts or the entirety of the health law. Of course, Republican opposition has not emerged from Congress alone. What Republicans have done to make the ACA fail Our analysis shows that when it comes to the ACA, extremists have defined the politics of repeal and replace in fundamental ways. Our recent article published in the Journal of Health Policy, Politics, and Law shows that the driving force behind the continued repeal effort has been what political scientists call "intense policy demanders." These are mobilized activists who use their control of important electoral resources to shape the policy agenda. These legislators have shown little interest in letting up their opposition to kill the law. One of the hotbeds of resistance can be found in a small group of members of Congress, particularly in the House of Representatives. The program might still meet its goal of signing up 7 million people by March 31 REUTERS/Larry Downing ![]()
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