The GOP should take the approach that it is not necessary, or desirable, to push people out of the insurance they have as a result of the ACA. If Congress, working with the Trump administration, establishes a new system of insurance coverage, it can make the switch from old to new effective on a prospective basis. Over time, there would be a natural transition from the ACA to the replacement plan. A transition of this kind would mean allowing all persons who are now enrolled in an insurance plan offered on the exchanges to continue to be eligible for those plans, with premium subsidies provided under the rules of the ACA. It would also mean allowing all those who became eligible for Medicaid because of the expansion of the program in the ACA to stay enrolled in the program, even if a replacement plan eventually lowers the income eligibility levels for prospective Medicaid applicants. Allowing people to keep what they have today on an indefinite basis will help stabilize the marketplace and allow for an orderly, rather than a chaotic, transition.
December 29, 2016 at 2:33 PM EST