1. Affordable Care Act
President Trump rescinded President Biden's extensions on ACA plan enrollments and funding for enrollment assistance. ACA enrollment had doubled to around 24 million under Biden due primarily to government subsidies reducing premiums. The impact of Trump's rescission on enrollment trends remains to be seen in the coming years.
2. Drug Policies
Trump rolled back Biden-era policies aimed at reducing drug spending by Medicaid and Medicare. The Biden administration had initiated models to lower costs, which weren't fully launched. Trump's rescission aims to improve price negotiations with drug companies, with 15 drugs targeted for negotiation, including Ozempic and Wegovy, by 2025.
3. U.S. Exit from WHO
Trump issued an order for the U.S. to exit the WHO, echoing his 2020 attempt blocked by Biden. Citing COVID-19 mishandling and political influence, Trump criticized unequal contributions, highlighting the U.S. as the top donor compared to China.
4. Immigration
Trump revoked a policy protecting undocumented individuals from arrest at "sensitive locations" like hospitals. This allows ICE to enforce immigration laws more freely, potentially leading to arrests in healthcare settings, affecting care for immigrants.
5. Covid-19
Trump revoked several Biden policies addressing the COVID-19 pandemic and future outbreaks. These changes eliminate policies seen as outdated post-COVID-19, including efforts on testing, research, economic relief, and international cooperation.
6. AI Regulation Changes
Trump scrapped Biden's order on "safe" AI use, arguing it stifled innovation. He introduced "Removing Barriers to American AI Innovation," opposing Biden's approach. Trump's administration supports the $500B "Stargate Initiative" for AI in healthcare and other sectors, but AI regulations remain uncertain.
7. Regulatory Freeze
Trump ordered a 60-day freeze on federal rulemaking to review existing regulations, affecting HHS's ability to issue healthcare rules. This pause allows assessment of prior and proposed regulations, such as HIPAA updates and telehealth prescriptions, ending on February 1st.
8. Abortion Spending
Trump reinstated the Hyde Amendment and Mexico City Policy, restricting federal funds for abortion. He also scaled back enforcement of the FACE Act, impacting abortion and reproductive health services through changes in spending and legal approaches.
9. Gender Affirming Care
Trump's order removes gender identity from federal policies and rescinds Biden-era protections related to sex and gender identity. Consistent with his campaign promises, this move faces potential legal challenges.
10. Freeze on Federal Grants and Loans
Trump attempted a pause on federal grants and loans, which was blocked by a judge over constitutional concerns. This freeze's impact on healthcare and infrastructure spending led to quick rescission, but the administration remains committed to reviewing federal expenditures.
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