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 reporting and editing in various journalism roles for nearly a decade. Most recently, she was the senior editor of FierceHealthPayer, an e-newsletter covering the health insurance industry. A graduate of Penn State University, she previously served in editing roles at newspapers in Pennsylvania, Virginia and Colorado.

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