On October 12, 2017, President Donald Trump signed an Executive Order Promoting Healthcare Choice and Competition Across the United States. The Executive Order requires federal agencies to consider rules that expand the ability of small businesses to band together to offer health care coverage that is not subject to the Affordable Care Act’s requirements.
The Executive Order highlights the ability of small businesses to join together to buy health coverage.[1] To do so, the Executive Order contemplates the use of Association Health Plans (“AHPs”).[2] Traditionally, AHPs are sponsored by trade organizations or interest groups.[3] However, the Trump administration could potentially amend current rules, which means that AHPs would no longer be subject to state regulations.[4] What does this mean for small businesses? It means that they (small businesses and employers) may expand their ability to offer group coverage across state lines, which provides a broader range of policies at lower rates.[5]
Large group plans do not have to adhere to all of the Affordable Care Act’s provisions.[6] This change might also allow AHPs to deny coverage to the group or set rates for the group based on medical history.[7] The administration, however, has confirmed that employers who opt to participate in AHPs will not be allowed to exclude employees or formulate premiums based on health conditions.[8] But, the associations could charge certain employers more than others based on their worker’s medical histories.[9]
One of the primary reasons for the Executive Order is to give small employers the same opportunity as large employers to obtain favorable terms for coverage. The Trump Administration believes that expanding access to AHPs will help small businesses defeat competitive disadvantages.
If you are interested in discussing the Executive Order’s potential impact on your small business, please contact the clinic at (336) 279-9217 or businessclinic@elon.edu to speak with a Student-Attorney.
[1] Tami Luhby, What’s in Trump’s health care executive order?, CNN (Oct. 13, 2017), http://money.cnn.com/2017/10/12/news/economy/trump-health-care-executive-order/index.html.
[2] Id.
[3] Id.
[4] Id.
[5] Id.
[6] Id.
[7] Id.
[8] Id.
[9] Id.