In issuing an executive order on the Affordable Care Act, Trump has done something he's frequently talked about: using association health plans to establish a new class of lightly regulated insurance.

The leaked EO reveals, according to Andy Slavitt—who, according to his Twitter page, ran Medicare, Medicaid and the ACA for former President Obama—a plan that is designed to undermine the ACA and is "Long on propaganda [sic]. Short on details. Plenty of sabotage."

Among its provisions are the direction to the Secretary of Labor to consider expanding access to AHPs to "potentially allow American employers to form groups across State lines" to give workers access to "a broader range of insurance options at lower rates in the large group market" and also allows access to short-term limited-duration insurance, which is not subject to ACA regulations.|

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