http://www.commonwealthfund.org/publications/blog/2017/jan/state-experiences-aca-repeal?omnicid=EALERT1156084&mid=henrykotula@yahoo.com

President-elect Donald Trump and congressional Republicans favor repealing major provisions of the Affordable Care Act (ACA) early in the new administration. Republicans may have enough votes from within their own party to do away with the health law’s premium and cost-sharing subsidies, individual mandate, and Medicaid expansion. But a broader repeal of the ACA’s insurance market reforms, and adoption of a replacement health care plan, may be more challenging. These steps need bipartisan support for passage and require Republicans to resolve ongoing internal differences regarding what a replacement law should look like; they may do so, but haven’t yet.

With the substance of an alternative plan up in the air, uncertainty has grown over when the law might be replaced. Republican leaders have suggested Congress should repeal parts of the ACA now and leave the details of replacement until later. But “repeal and delay” has drawn criticism from stakeholders and policy experts who point out the strategy is likely to cause significant harm to insurance markets and consumers long before a replacement plan materializes, and a growing number of lawmakers have expressed discomfort about the proposal.

What happens if Congress and the new president push ahead with partial repeal without securing support for a replacement? The resulting regulatory landscape would look like what several states had in place prior to the ACA. Their experiences were poor.

https://morningconsult.com/2017/01/20/in-inaugural-speech-trump-administration-silent-on-health-care/

President Donald Trump did not mention health care in his inaugural address Friday, and the new administration’s website did not have any immediate details on its health policy.

Trump has said he would put forth his own health care plan once his nominee to lead the Department of Health and Human Services, Rep. Tom Price (R-Ga.), is confirmed and in office.

Overhauling the Affordable Care Act has been cited as the top priority for both congressional Republicans and Trump, making its absence from Friday’s speech noteworthy. House Minority Leader Nancy Pelosi wore a lapel pin that read “#ProtectOurCare” at the inauguration, an ode to the Democratic Party’s efforts to defend former President Barack Obama’s signature health care law.

It’s still not clear when Price could be confirmed as HHS secretary. He’s scheduled to testify before the Senate Finance Committee, which will vote on his nomination, Tuesday.

Trump is expected to sign executive orders related to health care in the first days of his presidency.

http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/

Republican leaders in Congress and the incoming Trump administration have said that they plan to move quickly to repeal the Affordable Care Act (ACA) in the early weeks of 2017, with a delay in the date of when key aspects of the repeal would become effective until perhaps 2019 or 2020. This is the so-called “repeal and delay” option. They have also pledged to replace the law in separate legislation, or a series of bills, that would come later, although it is not clear what the replacement would look like or when it would pass.

We do not support this approach to repealing and replacing the ACA because it carries too much risk of unnecessary disruption to the existing insurance arrangements upon which many people are now relying to finance their health services, and because it is unlikely to produce a coherent reform of health care in the United States. The most likely end result of “repeal and delay” would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services.

Congress should instead roll back elements of the ACA in the same legislation that moves U.S. health care more deliberately toward a functioning marketplace that is less dependent on federal coercion and control. This approach provides the best chance of constructing a replacement plan that moves decisively in a better direction without unnecessarily creating chaos during the transition.