Vice President for Health Policy
A federal appeals court will hear oral arguments tomorrow in Texas v. Azar, the lawsuit in which the Trump Administration and 20 Republican attorneys general are asking the courts to invalidate the entire Affordable Care Act (ACA). If the courts ultimately adopt the Administration’s position, 20 million people would lose health coverage, and millions more would pay more for coverage or care. Although the Administration has sought to distinguish its stance in the lawsuit from its policy position on health care, its health care proposals would have much the same consequences.
President Trump has repeatedly promised a legislative ACA repeal plan that would maintain coverage, reduce costs, and protect people with pre-existing health conditions. But the Administration has already endorsed at least six separate ACA repeal plans.
In 2017, the President supported four separate ACA repeal plans that Congress ultimately rejected — proposals that the Congressional Budget Office (CBO) concluded would each cause millions of people to lose coverage and raise costs for many more.
The President then embraced legislation introduced by Senators Bill Cassidy, Lindsey Graham, Ron Johnson, and Dean Heller (“Cassidy-Graham”) that also would repeal the ACA. In his 2020 budget, released in March, he called on Congress to first enact legislation based on Cassidy-Graham and then cut $765 billion over ten years from health care programs.
Like the President’s push for ACA repeal through the courts, his budget proposal would: