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Republican Senators Appeal to Trump, Democrats in Obamacare Bill

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In his first few hours as President of the United States, Donald Trump on Friday signed an executive order that will minimize the economic burdens of the Affordable Care Act.

"We're going to move carefully in conjunction with the administration to repeal and replace it with things like health savings accounts and interstate health insurance sales and high-risk pools at the state level to take care of people who have pre-existing conditions." he said. John Cornyn (R-Texas) toldthe Hill that even if Trump put out a more specific vision for how to replace Obamacare, he wasn't sure it would become the basis for the congressional Republicans plan for a replacement. It remains on the books, and his directive instructs agencies to act within "the maximum extent permitted by law".Complicating matters is the fact that Republicans, who control 52 seats in the Senate, need just 50 votes there to repeal Obamacare through the process known as budget reconciliation.

Cassidy and fellow Republican Sen.

Healthcare has been an essential part of Donald Trump's presidential campaign, and his promise to repeal the Affordable Care Act-i.e. Obamacare-won him support across the GOP.

And also, soon after he was sworn in, Mr. Trump signed an order to roll back a discount on the fees for a federal mortgage program that helps middle-class home buyers.

How the Republican replacement plan will directly affect employers and their compliance burden is not yet clear, but the employer mandate and (for small businesses) the 10 essential health benefits rule all seem likely to be on the chopping block.

"If you want Grandma living in the guest room, then repeal the Affordable Care Act", House Minority Leader Nancy Pelosi added. States were allowed to choose whether to adopt the Medicaid expansion, and 31 states including OH did so.

One health care expert who had been monitoring the likely repeal of the ACA told The Washington Post that Trump's executive order was a "bomb" tossed into the "already shaky" insurance market. But the prospect of so many people losing health insurance outweighs those hopes, he said.

In an interview with Vox, Levitt said the executive order was a symbolic indication that Trump isn't waiting on Congress "to start making big change".

Trump picked Rep. Tom Price, a six-term congressman from Atlanta, as secretary of Health and Human Services.

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