Washington Power Has Shifted. Here’s How the ACA May Shift, Too.

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President-elect Donald Trump’s return to the White House may embolden Republicans looking to weaken or repeal the Affordable Care Act, but facing procedural and political obstacles. Trump’s interest in retooling the health law, along with support from high-ranking Republican lawmakers, could lead to significant changes. Congress has the power to change the ACA without Democratic votes using a process known as reconciliation, but tight margins mean any GOP defections could thwart efforts. Proposed changes include Medicaid funding adjustments and shifts in ACA subsidies. Trump could also use executive orders to begin implementing changes, potentially impacting millions who rely on the ACA for healthcare.

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