With New Order, Biden Alludes to Array of ACA Rule Changes

Late last month, President Joe Biden issued an executive order (EO) that made headlines chiefly because it reopened the federal health insurance exchange and signaled that the end is near for controversial Trump-era Medicaid policies like work requirements. Yet the language in the order also indicates that Biden is directing federal regulators to make a host of revisions to the rules governing the Affordable Care Act (ACA) exchanges, which the Trump administration generally sought to loosen.

In his order, Biden tells federal agency leaders to review all existing regulations, orders, guidance documents and policies to determine if those actions violate the administration’s goal to “protect and strengthen Medicaid and the ACA and to make high-quality healthcare accessible and affordable for every American.”

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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