On the evening of his inauguration, President Trump issued a first executive order impacting the future of the Affordable Care Act (ACA). The timing and sweeping language sends a clear message to Congress regarding the direction of the new administration.
This order, in practice, is largely symbolic. The timing, itself, speaks as much as the wording. Importantly, President Trump cannot fully repeal the ACA via an executive order and the order offers no specifics within the larger ACA replacement agenda.
The order instructs all regulatory agencies to minimize the ACA burdens to the maximum extent permitted by law; and affords states more flexibility in creating an open health care marketplace.