The Trump administration is moving to roll back key parts of the Affordable Care Act and to roll out a repeal of key taxes, according to a report published Thursday by the Heritage Foundation.
In a report titled “The Big Lie: Trump’s ObamaCare Repeal Threats the Future of American Health Care,” the conservative think tank analyzes the effects of the repeal of the individual mandate, the elimination of tax credits for buying insurance and the elimination a tax credit for buying coverage on the health insurance exchanges established under the Affordable Act.
The report also details a variety of other policy proposals that Trump has promised to pursue.
The president has said he would repeal the individual and employer mandates, which require people to buy health insurance, and to eliminate the income tax credits and the child tax credit, which offer subsidies to low- and middle-income people.
But he has said his repeal plan will be phased in gradually, and that the full plan will require changes to the tax code, not a sudden wholesale change.
He has also said he will eliminate a federal tax credit that is available to people who purchase coverage on HealthCare.gov, the federal website for health insurance plans offered by private companies, and he has vowed to repeal a tax break that helps low-income individuals purchase health insurance through Medicaid.
But it remains unclear how he would replace the tax credits with tax credits that could help people buy coverage on Marketplace insurance plans.
“This report shows the president’s lies are not just lying, they’re also dangerous, and they are going to harm the American people,” said the report’s lead author, Mark Holden, a former adviser to former President George W. Bush.
Trump has made the individual market a centerpiece of his campaign for the presidency.
But his administration has not made an effort to address its effects on health care in a significant way.
Trump campaigned on a promise to dismantle the Affordable Health Care Act, saying that it had been an “expensive and very bad deal” that had failed to protect people from unaffordable health insurance costs.
But the Affordable Healthcare Act has been a major driver of the nation’s economic recovery and is expected to remain in place until at least 2024.
The Trump Administration has said it will try to make the individual health insurance market a more competitive and efficient market.
“The Trump Administration is already rolling back key aspects of the [ACA] through a variety in policy and legislative maneuvers,” the report said.
“A repeal of Obamacare is likely to result in a massive increase in the number of uninsured Americans, while making it easier for insurers to profit from the health care market, which could undermine the stability of the market and drive up premiums.”
The report said that the Trump Administration “has not made a concerted effort to rollback these policy changes” and that there is a “great danger that the ACA’s essential features will be lost and replaced by a new law that may be more harmful to the American public.”
The Heritage Foundation report said:The Trump administration has also been moving to repeal key parts, such as the Medicaid expansion, the Children’s Health Insurance Program (CHIP), the Medicaid excise tax and the tax credit used to buy insurance.
These provisions were designed to provide coverage to low and moderate income Americans, who are disproportionately affected by the ACA, and it is likely that the repeal would result in many Americans losing their coverage, which would make the market less stable, the report added.
Trump is “under pressure to undo” all of the health law’s tax credits, the Heritage report said, and has vowed that the entire law will be repealed.
“Repealing the tax subsidies will result in fewer people buying insurance, more people buying coverage from third-party insurers, and higher premiums, all of which would likely increase the number and severity of out-of-pocket costs and the number, severity and cost of health care-related hospitalizations.”
The study said that there was no evidence to show that the individual tax credit is a major factor in the ACA.
And there is “little evidence that the tax deduction for state and local taxes contributes to a reduction in premiums, and in fact, a higher premium would result from a reduction of the tax refund,” the Heritage Institute said.
The Trump campaign has denied that the plan would result at all in fewer Americans having health insurance.
“President Trump is committed to protecting the ACA and making it a success.
Repealing the ACA is not going to happen, but we are moving forward on a comprehensive plan that will protect Americans from the consequences of repealing the ACA,” Trump campaign spokeswoman Sarah Huckabee Sanders said in a statement.