I’m assuming that Biden will go into the administration and try to unwind any damage that Trump did.
- Lengthen the enrollment period
- Increase marketing outreach
- Increase funding for navigators
- Put an end to any talk of Medicaid work requirements
- Put an end to any talk of states not using the exchanges
- Place more limits on the use of Short-Term, Limited Duration plans (junk plans)
I doubt some things will change, including the individual mandate. I think it’s dead effectively, with a $0 penalty, which I doubt Biden will change. Not sure if Biden will re-authorize the CSR payments that Trump ended, which caused insurers to load up the pricing on their silver plans. He might leave that as-is, since the market has adjusted to it.
I’m wondering if Biden will be able to get McConnell to go along with a re-work of the subsidies that ends the 400% of federal poverty cliff, and maybe higher subsidy %'s for below 400%? I think he might be able to cut a deal with the Republicans where we beef up subsidies in exchange for a tax cut for business somewhere in the tax code.
Finally, I think there are a few more states that will expand Medicaid via referendum, bringing the total to 40-42 out of 50 plus DC.
It’s amazing how well the ACA has withstood the assault of this administration. In the link below, it’s enrolled an estimated 11.3 million people so far this year. It’s not a perfect law by any means, and needs alot more than what I listed above. But politically, there isn’t much wiggle room for Biden right now.