President Trump has repeatedly promised to protect those with pre-existing conditions, even as he has sought to kill the Affordable Care Act, which greatly expanded those safeguards.
“I’ve also made an ironclad pledge to American families. We will also protect patients with pre-existing conditions,” he said during his State of the Union address.
Facts First: Trump's claim about protecting those with pre-existing conditions is false. Though Trump says he would do this, his administration has consistently taken steps to undermine the Affordable Care Act — including joining a lawsuit aimed at striking down the law — without presenting alternative plans that would offer similar benefits.
The Affordable Care Act barred insurers in the individual market from denying people coverage or charging them higher premiums because of their health histories. Also, carriers had to provide comprehensive coverage -- offering 10 essential health benefits, including maternity, mental health and prescription drugs.
Trump has worked to undermine the Affordable Care Act from his first day in office, when he issued an executive order directing agencies to interpret its regulations as loosely as possible. He championed congressional Republicans' bills in 2017 that would have weakened the law's protections.
And his Justice Department is siding with a coalition of Republican states that are fighting in federal court to invalidate the Affordable Care Act. An appellate panel in December upheld a lower court ruling that found Obamacare's individual mandate unconstitutional but sent the case back to the lower court to decide whether the entire law must fall.
The President has said repeatedly that he would roll out a new health care plan that would protect those with pre-existing conditions, but he has yet to do so. Last April, he backed away from pushing for a vote on a replacement plan until after the 2020 election.
Meanwhile, he issued another executive order in late 2017 that would make it easier for Americans to buy alternatives to the Affordable Care Act that are cheaper, but offer fewer protections, such as short-term health plans. The law's defenders, however, fear that such plans could siphon off younger and healthier people, which could cause premiums to rise for those left buying policies in the Obamacare exchanges.
Trump's administration is also allowing states to make major changes to their Obamacare markets, which could also leave low-income, older or sicker residents with few choices and higher costs. Few states have taken the federal government up on this offer so far.