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From Health Affairs:

Timothy Jost Analyzes The Latest Efforts To Repeal, Replace, And Repair The ACA

Bethesda, MD—Last month Health Affairs launched a monthly series in the journal, EYE ON HEALTH REFORM, summizing recent developments around changes to the Affordable Care Act (ACA). It is authored by Timothy Jost, a widely recognized expert of health law, who has closely followed the ACA. In the second report, “Cross-Currents And Complexities Abound,” completed as the House leadership was unveiling its long-awaited ACA repeal/replacement plan, Jost examines the “myriad policy and political challenges” facing the administration and Congress, focusing on the release of the American Health Care Act legislation on March 6 as well as efforts undertaken by the Trump administration in February to stabilize the individual insurance markets. He analyzes the administration’s February 15 notice of proposed rulemaking, which includes a “four-pronged approach” to tighten special enrollment period guidelines. These efforts, plus the February 22 announcement by the Department of Health and Human Services of a one-year extension on the sunsetting of ACA-noncompliant plans, amount to what Jost calls “a set of changes advocated by the insurance industry and others in the hope that insurers can be coaxed not to abandon the individual market until an ACA replacement is in place.” Jost also notes, however, another February 15 event: the announcement from the Internal Revenue Service that it would not reject filings which failed to prove health coverage, a move Jost says “undermines the individual responsibility requirement, and with it potentially the individual insurance market.”

Cross-Currents And Complexities Abound

By Timothy S. Jost

Jost is an emeritus professor at the Washington and Lee University School of Law and a contributing editor of Health Affairs

This edition of EYE ON HEALTH REFORM will also appear in the April issue of Health Affairs. For more detail and frequent updates on health reform, from Jost and others, visit Health Affairs Blog and From Obamacare To Trumpcare, Health Affairs’ portal for health reform-related content.

About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print, online, and on mobile and iPad app. Additional and late-breaking content is found at To update your subscription preferences, please visit our Alerts page on the website.