President Trump Signs Executive Order That Will Allow Sale of Health Insurance Across State Lines Order will 'create a truly competitive national marketplace, bring costs down'

President Donald Trump signed an executive order Thursday that will allow Americans to purchase health insurance across state lines.

The order is intended to expand choices to current Obamacare plans and increase competition so that costs come down for consumers.

"The time has come to give Americans the freedom to purchase health insurance across state lines, which will create a truly competitive national marketplace that will bring costs way down and provide far better care," President Trump said.

Under the order, the secretary of labor will consider allowing American employers to form groups across states, which will expand access to Association Health Plans.

This action is intended to make it easier for employers to come together and give workers more options at lower rates in a large group market.

The executive order instructs three agencies—the Department of Health and Human Services, Treasury, and Labor—to consider increasing health care coverage through short-term limited duration insurance, which is not subject to the Affordable Care Act's rules and mandates. This type of insurance usually has high coverage limits and more providers.

The order also directs the same three agencies to make changes to Health Reimbursement Arrangements—employer-funded accounts—so workers would have more control and flexibility with spending on their health care needs.

According to Ed Haislmaier, a senior research fellow at the Heritage Foundation, the executive order Trump signed today is just the beginning of the process, but it's a move in the right direction for those who have been adversely affected by Obamacare.

"There won’t be any actual changes until they complete the regulatory revision process," Haislmaier said. "An executive order by itself doesn’t change regulations."

"Basically it's a move in the right direction to help people who have seen their choices reduced and costs increased due to Obamacare, particularly many small businesses and many self-employed," he said.

"There are limits to how much can be done by the administration on its own," Haislmaier explained. "Selling insurance across state lines was only going to make a modest difference before Obamacare and, to the extent that Obamacare imposes federal essential health benefits, the effects would be even less today."

"These are changes the administration is making in terms of interpreting the law, not actually changing law," he said. "The administration is inherently limited in what it can accomplish working within laws that are on the books. There is still a need for Congress to go in and make changes to the law that are more substantive."

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Sen. Rand Paul Writes Op-Ed Explaining New Executive Order

In an op-ed penned for Breitbart, Sen. Rand Paul (R-KY) explained that President Donald Trump's upcoming executive order--which would legalize the sale of health insurance across state lines--would come at zero cost for the taxpayer and would enable 28 million people "left behind" by Obamacare to purchase insurance cheaply. 

According to Paul, the executive order will create "Health Associations," which would allow people to create groups similar to large corporations in order to get lower premiums on their plans. Paul said that these Association Health Plans will "be among the biggest-free market reforms" of the healthcare industry in decades, and is a better alternative than repealing the bill outright. Paul called Trump "bold" in making these changes, and said that he worked with Trump for a long time to create this executive order.

From Breitbart

How will it work? Well, nationwide associations like the National Restaurant Association will be allowed to form groups across state lines and, with the leverage of size, demand Big Insurance bring down their outrageous premiums.

Many of the 28 million people left behind by Obamacare who still don’t have insurance work low-wage jobs in our fast food restaurants. The President’s decision today will allow workers from two million restaurants to come together to form a buying group and through sheer size get cheaper and better insurance.

Millions of people will be eligible for the same group insurance that big corporations offer. In fact, Health Associations may grow to be larger than the largest of our corporations. Currently, about half of private insurance is cross-state, self-insured ERISA plans, and most employees love them.  The President’s action today will allow the millions of people in the individual market an escape route to group insurance.

Association Health Plans will be among the biggest free-market reforms of health care in a generation, and it will do more to counter the impact of Obamacare than most of the repeal bills did, because it will actually go after regulations that the legislation didn’t touch due to Senate rules.

Existing law allows the President to legalize these new groups and plans. Where previous administrations have been weak, President Trump is bold to allow this reform.

Additionally, Paul explains that these new "Health Associations" are cross-state entities that are exempt from some of the costly state and federal regulations other plans face. Pre-existing conditions are not a disqualifier from the plan, either. Paul supports this plan as it is not a mandate, subsidy, or tax, but rather is a removal of regulations and other barriers.

..."Health Associations,"...

If this gets implemented properly, Trump will have the labor unions of all kinds supporting him. It is good for the membership AND gives each union a "bene" to offer to new members.

They can sue until the cows come home and it will go nowhere.


18 states sue over Trump-halted ObamaCare payments

A new multi-state lawsuit has been announced to stop President Trump from halting key ObamaCare payments to insurers.

Eighteen states and Washington, D.C., signed onto the lawsuit filed Friday in federal court in California, according to Sarah Lovenheim, a spokeswoman for California Attorney General Xavier Becerra (D).

On Thursday night, Trump announced he would stop making the payments, which led to an outcry from critics saying he was sabotaging the health-care law.

The complaint will seek a temporary restraining order, preliminary injunction and permanent injunction requiring the cost-sharing reduction payments be made.

The administration, on a monthly basis, had been funding cost-sharing reduction subsidies, which compensate insurers for lowering the out-of-pocket costs of certain ObamaCare enrollees.

Trump has repeatedly signaled he might cut them off, while insurers have been pleading for long-term certainty that they would continue.

"Without the Affordable Care Act [ACA] and its subsidies for these families, millions more would be left in the cold without coverage. California isn't about to turn its back on hardworking families who are fighting to hold onto their ACA health insurance. We've taken the Trump administration to court before and won, and we're ready to do it again if necessary,” Becerra said in a statement Thursday night, before the lawsuit was officially announced.

Additionally, New York Attorney General Eric Schneiderman (D) said he anticipates proceeding with litigation on a case that’s currently been on hold.

The House sued the Obama administration, arguing the White House was illegally funding cost-sharing reduction subsidies payments to insurers.

Earlier this summer, the U.S. Court of Appeals for the District of Columbia Circuit ruled that a coalition of attorneys general — including Schneiderman and Becerra — can defend the payments.

“The fast track for initial relief will be in the case we’re filing in California,” Schneiderman said, referring to the new lawsuit.

Trump Notices What’s Happened In US Just Days After He Signed Health Care Executive Order

"...companies that had been getting rich on tax money..."

President Donald Trump noted Saturday that companies that had been getting rich on tax money are now suffering after he took his long-considered action of ending the subsidies the government pays insurance companies as part of Obamacare.

“Health Insurance stocks, which have gone through the roof during the ObamaCare years, plunged yesterday after I ended their Dems windfall!” Trump tweeted.

Health Insurance stocks, which have gone through the roof during the ObamaCare years, plunged yesterday after I ended their Dems windfall!

Centene, which has a large Medicaid business, dropped almost 6 percent, Molina Healthcare fell more than 4 percent and Anthem tumbled about 3 percent, according to USA Today. 

Insurance companies were once big winners under Obamacare.

“Reports show the so-called ‘Big Five’ health insurers – UnitedHealth, Aetna, Cigna, Humana, and Anthem – have all outperformed the broader stock market by a wide margin since Obamacare was signed into law in March 2010,” David Williams, president of the Taxpayers Protection Alliance, wrote on The Daily Caller in 2015.

Subsidies sent about $7 billion to insurance companies in 2017, a number that could rise to $10 billion in 2018, CNBC reported. 

That stopped this week when Trump pulled the plug on what are call cost-sharing reductions.

“Based on guidance from the Department of Justice, the Department of Health and Human Services has concluded that there is no appropriation for cost-sharing reduction payments to insurance companies under Obamacare,” the White House said in a statement on Thursday.

Although the payments are gone, it is uncertain that costs to individuals will go up, because as premiums rise, so do the tax credits individuals can claim.

“We think the federal government might end up paying more,” Chet Burrell, president of CareFirst BlueCross BlueShield, told The Washington Post. “We’re already getting word from other analyses that this could increase federal outflows.”

But consumers might gain, because tax credits are ties to income.

“Federal subsidies are not going away and, as a result of this action, will go up, resulting in lower-cost options for many consumers,” said Greg Bury, a spokesman for the Midwest insurer Medica.

However, the end of subsidies comes as Trump has proposed vast administrative changes to Obamacare that could create an array of new insurance markets and products so that, for example, consumers looking for bare-bones plans could find a cheaper plan than anything on the market today.





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