{"id":647937,"date":"2024-12-16T08:00:00","date_gmt":"2024-12-16T13:00:00","guid":{"rendered":""},"modified":"2025-08-14T13:20:56","modified_gmt":"2025-08-14T17:20:56","slug":"potential-health-policy-administrative-actions-in-the-second-trump-administration","status":"publish","type":"post","link":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/","title":{"rendered":"Potential Health Policy Administrative Actions in the Second Trump Administration"},"content":{"rendered":"<div\n\tclass=\"no-sidebar wp-block-kff-shared-content--extra-wide wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Potential Health Policy Administrative Actions in the Second Trump Administration<\/h1>\n\n\t\t\t<h2 class=\"post-header__subheading\">President-elect Trump could exercise executive branch authority through administrative action to quickly move forward on some policy changes without congressional action.<\/h2>\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Dec 16, 2024<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Potential%20Health%20Policy%20Administrative%20Actions%20in%20the%20Second%20Trump%20Administration&#038;body=https%3A%2F%2Fwww.kff.org%2Felections%2Fpotential-health-policy-administrative-actions-in-the-second-trump-administration%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t<div class=\"wp-block-kff-shared-content-main__content__inner\">\n\t\t\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1280px\">\n<p class=\"has-text-align-left wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">This is a quick guide to potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration. Click the + to expand for details of each potential action.<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Note: This is not an exhaustive list of possible administrative actions by President-elect Trump and the guide may be updated as new information becomes available up until his inauguration on January 20, 2025.<\/p>\n\n\n\n<div id=\"menu\" class=\"wp-block-group has-white-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-1 wp-block-buttons-is-layout-flex\" style=\"margin-top:0px\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--1\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#aca\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Affordable Care Act<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--2\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#abortion\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Abortion<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--3\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#contraception\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Contraception<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--4\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#medicaid\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Medicaid<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--5\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#immigration\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Immigration and Health<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--6\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#lgbtq\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">LGBTQ Health Policy<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--7\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#racial-equity\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Racial Health Equity and DEI Initiatives<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--8\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#global-health\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Global Health<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--9\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#prescription-drugs\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Prescription Drugs<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--10\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#fentanyl\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Fentanyl<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--11\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#long-term-care\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Long-term Care<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<section id=\"aca\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--40)\">\n<h2 class=\"wp-block-heading\" id=\"h-affordable-care-act\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Affordable Care Act<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-1 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-29&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-14&quot;,&quot;contentId&quot;:&quot;tenup-accordion-14-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-14-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-14-content\" aria-expanded=\"false\" id=\"tenup-accordion-14-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-13 icon-position-right h3 wp-elements-e71155f3916c4b7169c8486df2e525e1 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-1 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Continue to implement hospital and health plan price transparency requirements.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-14-header\" id=\"tenup-accordion-14-content\" inert style=\"color:#333333;\" class=\"wp-elements-8af66e67b8b5bc93359200b6ae6dc9ef wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Using authority under the Affordable Care Act, the first Trump administration issued the first price transparency requirements. The Biden administration built on the Trump-era rules on <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/price-transparency-and-variation-in-u-s-health-services\/\">price transparency<\/a> to address implementation challenges and compliance. President-elect Trump, on his 2024 campaign site, vowed to continue his previous efforts regarding price transparency. Potential future administrative efforts could include addressing concerns regarding <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/ongoing-challenges-with-hospital-price-transparency\/#Descriptive%20statistics%20of%20negotiated%20rates%20for%20diagnostic%20colonoscopy\">data quality<\/a> and continuing <a href=\"https:\/\/www.healthaffairs.org\/content\/forefront\/hospital-price-transparency-progress-and-commitment-achieving-its-potential\">enforcement<\/a> activities.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-16&quot;,&quot;contentId&quot;:&quot;tenup-accordion-16-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-16-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-16-content\" aria-expanded=\"false\" id=\"tenup-accordion-16-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-15 icon-position-right h3 wp-elements-23819bb88daf8a6207d98af6712658a0 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-2 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Make changes to ACA Marketplace enrollment processes.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-16-header\" id=\"tenup-accordion-16-content\" inert style=\"color:#333333;\" class=\"wp-elements-800d9be7b9b959533c77220251fa2add wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The incoming Trump administration may wish to alter current operational Marketplace enrollment standards and may narrow opportunities for enrollment. For example, the Trump administration may do away with certain special enrollment opportunities created by the Biden administration, shorten the open enrollment window for states using Healthcare.gov, or allow state-based exchanges more leniency in setting different open enrollment periods. The first Trump administration reduced the length of the open enrollment period.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In his first term, President Trump\u2019s administration <a href=\"https:\/\/www.cms.gov\/newsroom\/press-releases\/centers-medicare-and-medicaid-services-cms-announces-streamlined-direct-enrollment-process-consumers\">allowed<\/a> enhanced direct enrollment sites (EDEs), which permit brokers to enroll people in ACA Marketplace coverage directly through a web broker website, bypassing Healthcare.gov. More recently, there have been concerns that some brokers are fraudulently enrolling or switching plans without the consumer\u2019s consent. The Biden administration has responded by suspending certain brokers and taking other steps to ensure consumers consent to any changes in their coverage. The incoming Trump administration may take additional action to curb fraud. There are many possible approaches to addressing fraud, some of which could make it harder for consumers to enroll in coverage.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-18&quot;,&quot;contentId&quot;:&quot;tenup-accordion-18-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-18-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-18-content\" aria-expanded=\"false\" id=\"tenup-accordion-18-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-17 icon-position-right h3 wp-elements-9943a92205b6291a3369d1c84636ccbf wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-3 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong><strong>Limit or eliminate funding for Affordable Care Act consumer assistance and outreach programs.<\/strong><\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-18-header\" id=\"tenup-accordion-18-content\" inert style=\"color:#333333;\" class=\"wp-elements-07afe4dddfaac9e5dc4d8a63d47d1d2e wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The first Trump administration significantly cut funding by 84% for the ACA\u2019s Navigator programs, which provide outreach, education, and enrollment assistance to consumers on the Marketplace and Medicaid. The administration also cut outreach funding by 90%. These actions may have contributed to <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/state-indicator\/marketplace-enrollment\/?activeTab=graph&amp;currentTimeframe=0&amp;startTimeframe=10&amp;selectedRows=%7B%22wrapups%22:%7B%22united-states%22:%7B%7D%7D%7D&amp;sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\">stagnating<\/a> Marketplace enrollment during his time in office. The Biden administration <a href=\"https:\/\/modern.kff.org\/private-insurance\/issue-brief\/navigator-funding-restored-in-federal-marketplace-states-for-2022\/\">restored<\/a> outreach and enrollment assistance and funding for Navigators. The current Navigator grant program period runs through August 2029, but the next Trump administration could cut funding for other marketing or consumer education and outreach activities.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-20&quot;,&quot;contentId&quot;:&quot;tenup-accordion-20-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-20-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-20-content\" aria-expanded=\"false\" id=\"tenup-accordion-20-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-19 icon-position-right h3 wp-elements-57d18dc39d16c0f720246110a6917499 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-4 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong><strong><strong>Require separate payments for abortion coverage in ACA Marketplace plans.<\/strong><\/strong><\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-20-header\" id=\"tenup-accordion-20-content\" inert style=\"color:#333333;\" class=\"wp-elements-b63a6f593f7da438e17b966881476b5e wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The ACA <a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/156.280\">requires<\/a> people enrolled in qualified health plans that offer abortion benefits to pay for that coverage using private, not federal, dollars. As a result, plans have been required to segregate payments for abortion coverage. Under the Obama and Biden administrations, issuers have been permitted to segregate the nominal payment for abortion coverage after the consumer paid the total bill. The first Trump administration issued <a href=\"https:\/\/www.federalregister.gov\/documents\/2019\/12\/27\/2019-27713\/patient-protection-and-affordable-care-act-exchange-program-integrity\">final regulations<\/a> that would have required two separate bills and payments, one for abortion coverage and another for the rest of the premium. The implementation of these <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/issue-brief\/the-status-and-likely-impact-of-final-regulations-on-payments-for-abortion-coverage-in-aca-marketplace-plans\/\">regulations<\/a> was blocked by court order. The incoming Trump administration may re-issue these rules.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-22&quot;,&quot;contentId&quot;:&quot;tenup-accordion-22-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-22-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-22-content\" aria-expanded=\"false\" id=\"tenup-accordion-22-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-21 icon-position-right h3 wp-elements-8ad126fdbc02053c2ca3cb4381c68eee wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-5 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong><strong><strong><strong>Approve or reject state waivers.<\/strong><\/strong><\/strong><\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-22-header\" id=\"tenup-accordion-22-content\" inert style=\"color:#333333;\" class=\"wp-elements-7b90dccce3af278dca3ea8c83f85d8e9 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The first Trump administration encouraged<a href=\"https:\/\/modern.kff.org\/affordable-care-act\/issue-brief\/new-rules-for-section-1332-waivers-changes-and-implications\/\"> state flexibility<\/a> in implementing ACA private coverage reforms, mostly by approving <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/fact-sheet\/tracking-section-1332-state-innovation-waivers\/\">reinsurance waivers<\/a> that were sought by both red and blue states. If <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/issue-brief\/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire\/\">enhanced subsidies<\/a> in the Inflation Reduction Act expire, leading to a return of the \u201c<a href=\"https:\/\/modern.kff.org\/policy-watch\/falling-off-the-subsidy-cliff-how-aca-premiums-would-change-for-people-losing-rescue-plan-subsidies\/\">subsidy cliff<\/a>,\u201d there may be renewed desire for reinsurance waivers or other state-specific changes to the ACA markets.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-24&quot;,&quot;contentId&quot;:&quot;tenup-accordion-24-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-24-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-24-content\" aria-expanded=\"false\" id=\"tenup-accordion-24-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-23 icon-position-right h3 wp-elements-ac0c7eb0b2a3c82d8f9cec99369c11f5 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-6 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate expansion of short-term, limited-duration health plans (STLDs).<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-24-header\" id=\"tenup-accordion-24-content\" inert style=\"color:#333333;\" class=\"wp-elements-4d5c8bc6ba948d2a950d698b5e24f5ac wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The Trump administration may reinstate the standards for STLDs issued during his first term. <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/issue-brief\/understanding-short-term-limited-duration-health-insurance\/\">STLDs<\/a> offer fewer covered benefits and consumer protections compared to plans that meet ACA standards and, as a result, typically have lower premiums but increased financial risk for enrollees. In 2017, President Trump issued an <a href=\"https:\/\/www.federalregister.gov\/documents\/2017\/10\/17\/2017-22677\/promoting-healthcare-choice-and-competition-across-the-united-states\">executive order<\/a> directing HHS to take steps to expand the availability of STLDs. The following year, HHS finalized a new regulation expanding their duration and renewability from three months to 36 months. In 2024, the Biden administration issued a final regulation limiting their total duration to four months (the rule is in effect but facing legal challenges). The Trump administration could reverse this action.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-26&quot;,&quot;contentId&quot;:&quot;tenup-accordion-26-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-26-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-26-content\" aria-expanded=\"false\" id=\"tenup-accordion-26-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-25 icon-position-right h3 wp-elements-4d7f50d1a713b4d68469bf95875b47bb wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-7 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate expanded access to association health plans (AHPs).<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-26-header\" id=\"tenup-accordion-26-content\" inert style=\"color:#333333;\" class=\"wp-elements-50a79ebee7d19277511292c5f40f35ab wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">AHPs allow small employers and professional associations to band together to purchase group health insurance for their employees and members. During his first term, President Trump <a href=\"https:\/\/www.federalregister.gov\/documents\/2018\/06\/21\/2018-12992\/definition-of-employer-under-section-35-of-erisa-association-health-plans\">relaxed<\/a> federal standards for AHPs, allowing certain AHPs to be considered single large group employer plans, which are exempt from the ACA\u2019s individual and small group market standards. A federal judge invalidated the new rule, which the Trump administration appealed. The appeal was paused when President Biden took office, and his administration subsequently rescinded the rule. The next Trump administration may take action to reinstate expanded access to AHPs, though it is unclear whether a similar rule would hold up under potential legal scrutiny.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-28&quot;,&quot;contentId&quot;:&quot;tenup-accordion-28-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-28-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-28-content\" aria-expanded=\"false\" id=\"tenup-accordion-28-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-27 icon-position-right wp-elements-90ee93c77b39a63c47a3646beb855411 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-8 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Revise guidance implementing section 1557 of the Affordable Care Act (ACA), removing LGBTQ protections.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-28-header\" id=\"tenup-accordion-28-content\" inert style=\"color:#333333;\" class=\"wp-elements-2d6c8a42ec150ff8789b73f3853bd5c2 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Section 1557 holds the health law\u2019s major nondiscrimination protections, including those on the basis of sex, which the Biden administration <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/issue-brief\/the-biden-administrations-final-rule-on-section-1557-non-discrimination-regulations-under-the-aca\/\">interpreted<\/a> to include protections on the basis of sexual orientation and gender identity. In his first term, Trump <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/the-trump-administrations-final-rule-on-section-1557-non-discrimination-regulations-under-the-aca-and-current-status\/\">issued guidance<\/a> indicating that sex protections would extend only to individuals based on their biological sex assigned at birth. His administration would likely issue a new regulation akin to this, removing LGBTQ protections. Additionally, in his first term, Trump used the regulation as a vehicle to remove sexual orientation and gender identity protections from other regulations outside of 1557, and he may pursue this approach again. Section 1557 implementing regulations have been heavily litigated across the Obama, Trump and Biden administrations, and legal challenges are likely to continue. Additionally, the impact of the Supreme Court ruling in <a href=\"https:\/\/modern.kff.org\/private-insurance\/issue-brief\/supreme-court-decision-limiting-the-authority-of-federal-agencies-could-have-far-reaching-impacts-for-health-policy\/\"><em>Loper Bright v. Raimondo<\/em><\/a>, finding that regulations like those implementing 1557 are no longer entitled to judicial deference where a statute is ambiguous, is yet to be seen. At the same time, some courts have found that 1557 protections exist within the ACA statute itself, outside of rulemaking.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-2 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--30\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"abortion\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-abortion\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px\">Abortion<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-2 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-55&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-32&quot;,&quot;contentId&quot;:&quot;tenup-accordion-32-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-32-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-32-content\" aria-expanded=\"false\" id=\"tenup-accordion-32-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-31 icon-position-right h3 wp-elements-75b9c147ff1980f08bfaafff70a70072 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-9 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Direct the FDA to revoke the approval of mifepristone or revert to older dispensing protocols under the REMS. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-32-header\" id=\"tenup-accordion-32-content\" inert style=\"color:#333333;\" class=\"wp-elements-5c812aef4f58c7e04829c6c05254a39a wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Over the past decade, the FDA has approved changes in the <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/fact-sheet\/the-availability-and-use-of-medication-abortion\/\">Risk Evaluation and Mitigation Strategies<\/a> (REMS) (special conditions FDA applies to some drugs) that have broadened access to medication abortion pills. Prior to the most recent REMS modifications, the pills could only be prescribed and dispensed in person by a physician. The updated REMS extends the time period that medication abortion can be used during a pregnancy (from 7 weeks to 10 weeks of pregnancy) and allows access via telehealth, mailing of pills, and availability through retail pharmacies. Given the ongoing federal litigation related to the recent REMS and the approval of mifepristone, the new FDA leadership could review those revisions and potentially revert to older restrictions on mifepristone. President-elect Trump <a href=\"https:\/\/www.nbcnews.com\/politics\/donald-trump\/trump-interview-meet-press-kristen-welker-election-president-rcna182857\">recently indicated<\/a> he will probably not restrict access to medication abortion but left room to change his position.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-34&quot;,&quot;contentId&quot;:&quot;tenup-accordion-34-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-34-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-34-content\" aria-expanded=\"false\" id=\"tenup-accordion-34-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-33 icon-position-right h3 wp-elements-bdf1524eb1cd3f5669361fc9169561ae wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-10 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Enforce the Comstock Act to ban the distribution of medication abortion pills and other supplies in all states. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-34-header\" id=\"tenup-accordion-34-content\" inert style=\"color:#333333;\" class=\"wp-elements-11363d6a8d54b42717c34a88e7e82e0b wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">An 1873 anti-obscenity law, the Comstock Act, prohibits the mailing of medications used for abortion. The Biden administration\u2019s Department of Justice determined that the Act only applies when the sender intends for the material or drug to be used for an illegal abortion, but since there is no way to determine the intent of the sender, they did not recommend enforcement. While President-elect Trump has said he would not enforce the Comstock Act, Vice President-elect Vance and many anti-abortion Republicans have called for enforcement of the law. The Trump administration could decide to interpret the Act differently than the Biden DOJ and prohibit mailing of abortion medications and supplies to all states, which would be a de facto national abortion ban.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-36&quot;,&quot;contentId&quot;:&quot;tenup-accordion-36-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-36-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-36-content\" aria-expanded=\"false\" id=\"tenup-accordion-36-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-35 icon-position-right wp-elements-8ce53b6afeb3947b1a4f88fd5c9301f8 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-11 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Stop enforcing the Emergency Medical Treatment and Labor Act (EMTALA) for emergency abortion care. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-36-header\" id=\"tenup-accordion-36-content\" inert style=\"color:#333333;\" class=\"wp-elements-c5215a9c669f09546eeb885895ce0cd4 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Shortly after <em>Roe v. Wade<\/em> was overturned, the Biden administration issued <a href=\"https:\/\/www.cms.gov\/files\/document\/qso-22-22-hospitals.pdf\">guidance<\/a> in July 2022 regarding the enforcement of the EMTALA, a federal law requiring hospitals to provide stabilizing treatment to patients. The guidance clarified that hospitals and physicians have obligations to provide stabilizing care, including abortion, to preserve the <em>health <\/em>of a pregnant person, not only in situations where abortion is necessary to save a patient\u2019s <em>life<\/em>. <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/dashboard\/exceptions-in-state-abortion-bans-and-early-gestational-limits\/\">Six states<\/a> (AR, ID, MS, OK, SD, and TX) have no health exception to their state abortion ban. President-elect Trump says he believes in exceptions for \u201clife of the mother\u201d but has not weighed in on health exceptions. Given the ongoing federal litigation on the Biden EMTALA guidance, the next Trump administration could reverse the guidance or limit enforcement of EMTALA violations.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-38&quot;,&quot;contentId&quot;:&quot;tenup-accordion-38-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-38-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-38-content\" aria-expanded=\"false\" id=\"tenup-accordion-38-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-37 icon-position-right wp-elements-45e6fbfce2fd2473aee601982de6a37f wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-12 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Rescind HIPAA regulations to safeguard abortion privacy.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-38-header\" id=\"tenup-accordion-38-content\" inert style=\"color:#333333;\" class=\"wp-elements-bb2582bfbe662209318259d6af0716da wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In April 2024, HHS finalized a <a href=\"https:\/\/www.federalregister.gov\/documents\/2024\/04\/26\/2024-08503\/hipaa-privacy-rule-to-support-reproductive-health-care-privacy\">regulation<\/a> adding a new category of protection to HIPAA privacy regulations for the use and disclosure of reproductive health information in certain circumstances. The rule prohibits health care providers, health plans and others from disclosing, for example, information about reproductive health care, such as abortion or contraception counseling obtained legally, to a law enforcement agency seeking to investigate or impose legal liability related to that care. Most of the reproductive health privacy rule will be effective on December 23, 2024. The Trump administration may take administrative action to rescind this rule and perhaps alter existing HIPAA protections giving states greater leeway to require disclosure of reproductive health information. In addition, the Trump administration might choose not to defend pending <a href=\"https:\/\/modern.kff.org\/medicare\/issue-brief\/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration\/\">litigation<\/a> that challenges HIPAA privacy standards that limit states\u2019 ability to disclose reproductive health information to law enforcement authorities.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-40&quot;,&quot;contentId&quot;:&quot;tenup-accordion-40-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-40-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-40-content\" aria-expanded=\"false\" id=\"tenup-accordion-40-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-39 icon-position-right wp-elements-9cd26263a7a85308129dafa3aba2b63b wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-13 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Rescind guidance to retail pharmacies about nondiscrimination obligations.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-40-header\" id=\"tenup-accordion-40-content\" inert style=\"color:#333333;\" class=\"wp-elements-b3dbe4d966ba832300aebda1ff21c549 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In the wake of the <em>Dobbs <\/em>ruling in 2022, HHS issued <a href=\"https:\/\/www.hhs.gov\/civil-rights\/for-individuals\/special-topics\/reproductive-healthcare\/pharmacies-guidance\/index.html\">guidance<\/a> reiterating to retail pharmacies the prohibitions on discrimination, and the application of these rules to supplying prescribed medications such as contraceptives as well as medications that could affect pregnancy outcomes. The Trump administration could rescind this guidance to address a <a href=\"https:\/\/www.texasattorneygeneral.gov\/sites\/default\/files\/images\/press\/Filed%20Complaint.pdf\">legal challenge<\/a> filed by the state of Texas.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-42&quot;,&quot;contentId&quot;:&quot;tenup-accordion-42-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-42-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-42-content\" aria-expanded=\"false\" id=\"tenup-accordion-42-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-41 icon-position-right wp-elements-048bb8af8ab93cb805c20f96e306ae24 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-14 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Revoke rules authorizing access to abortion care under the Veteran\u2019s Administration.<\/strong><span class=\"Heading2Char\" style=\", sans-serif;font-size: medium\"><span style=\"font-size: 10pt;line-height: 15.4667px;font-family: Arial, sans-serif;color: black\"><\/span><\/span><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-42-header\" id=\"tenup-accordion-42-content\" inert style=\"color:#333333;\" class=\"wp-elements-7b4061c0cbd393f34f8eca60cfce6c68 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During the Biden administration, the VA issued a <a href=\"https:\/\/www.govinfo.gov\/content\/pkg\/FR-2022-09-09\/pdf\/2022-19239.pdf\">rule<\/a> in 2022 (<a href=\"https:\/\/www.federalregister.gov\/documents\/2024\/03\/04\/2024-04275\/reproductive-health-services\">finalized<\/a> without changes in 2024) amending the Department\u2019s medical regulations authorizing the VA to provide abortion services to veterans and CHAMPVA beneficiaries in all states when the pregnancy is the result of rape or incest, or if the life or the health of the pregnant person is endangered. The rule also allowed for the provision of abortion counseling in the VA. Prior to this rule change, the VA was prohibited from providing any abortion services, with no exceptions allowed, a standard stricter than the Hyde Amendment. Should the next Trump administration revoke this rule, the VA may return to a policy banning the provision of any abortion care in response to opposition by House Republicans and <a href=\"https:\/\/attorneygeneral.utah.gov\/ag-reyes-files-amicus-brief-in-opposition-to-vas-new-abortion-rule\/\">Attorneys General<\/a> in states with abortion bans.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-44&quot;,&quot;contentId&quot;:&quot;tenup-accordion-44-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-44-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-44-content\" aria-expanded=\"false\" id=\"tenup-accordion-44-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-43 icon-position-right wp-elements-8745a5df725c96c3915ce28391186c77 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-15 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Revoke support for active military troops and their spouses who seek abortion or fertility care.<\/strong><span style=\"font-size: 10pt;line-height: 15.4667px;font-family: Arial, sans-serif\"><\/span><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-44-header\" id=\"tenup-accordion-44-content\" inert style=\"color:#333333;\" class=\"wp-elements-af7dfdc7f9c485b424daad5df11e71ee wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In 2023, the Department of Defense (DoD) approved a new policy providing travel and transportation allowances for troops and their dependents who must go out of their area to obtain an abortion or fertility care (troops and spouses). The Department also provides up to <a href=\"https:\/\/s3.amazonaws.com\/static.militarytimes.com\/assets\/pdfs\/1676579531.pdf\">three weeks<\/a> of administrative absence, including to accompany a dependent, to obtain abortion or fertility services. The policy also gives service members<a href=\"https:\/\/s3.amazonaws.com\/static.militarytimes.com\/assets\/pdfs\/1676579133.pdf\"> up to 20 weeks <\/a>to notify their superiors about a pregnancy and states that clinicians should maintain a service member\u2019s privacy and not inform a commanding officer about a pregnancy. These policies could be reversed or amended by new DoD leadership. There have been calls by anti-abortion lawmakers to rescind this policy.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-46&quot;,&quot;contentId&quot;:&quot;tenup-accordion-46-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-46-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-46-content\" aria-expanded=\"false\" id=\"tenup-accordion-46-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-45 icon-position-right wp-elements-341b8e0280ab43cbc7739beeaee750ba wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-16 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Exclude abortion from the protections of the Pregnant Workers Fairness Act.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-46-header\" id=\"tenup-accordion-46-content\" inert style=\"color:#333333;\" class=\"wp-elements-236e695496d5523e8efcf3024633b3e1 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The Biden administration issued a <a href=\"https:\/\/www.federalregister.gov\/documents\/2024\/04\/19\/2024-07527\/implementation-of-the-pregnant-workers-fairness-act\">final rule<\/a> and interpretive guidance to implement the Pregnant Workers Fairness Act, which requires a covered entity to provide reasonable accommodations to a qualified employee&#8217;s or applicant&#8217;s known limitations related to, affected by, or arising out of pregnancy, childbirth, or related medical conditions, unless the accommodation will cause an undue hardship on the operation of the business of the covered entity. The Biden administration includes abortion in the definition of \u201cpregnancy, childbirth or related medical conditions.\u201d There are several <a href=\"https:\/\/modern.kff.org\/report-section\/state-and-federal-reproductive-rights-and-abortion-litigation-tracker-federal-litigation\/\">ongoing lawsuits<\/a> in federal courts challenging this rule that the incoming Trump administration is not likely to defend. The Trump administration may issue new rules that do not include abortion in the definition of \u201cpregnancy, childbirth or related medical conditions.\u201d<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-48&quot;,&quot;contentId&quot;:&quot;tenup-accordion-48-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-48-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-48-content\" aria-expanded=\"false\" id=\"tenup-accordion-48-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-47 icon-position-right wp-elements-fdde40ccc281eacb34bf64792819097e wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-17 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Bar the use of NIH funds for research involving fetal tissue derived from abortions.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-48-header\" id=\"tenup-accordion-48-content\" inert style=\"color:#333333;\" class=\"wp-elements-edd0e20a6a119de7c13e43ca5539b1ba wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In <a href=\"https:\/\/grants.nih.gov\/grants\/guide\/notice-files\/NOT-OD-19-128.html\">2019<\/a>, under the first Trump administration, the NIH issued a new policy that required applicants for NIH research funds to undergo an ethics review if their study involved fetal tissue derived from abortions. Fetal tissue research has been used to study human development, immune function, vaccine development, and other biomedical research on certain cancers and chronic conditions. The first Trump administration also prohibited the use of federal dollars to purchase fetal tissue for biomedical studies by government employees. The Biden administration <a href=\"https:\/\/grants.nih.gov\/grants\/guide\/notice-files\/NOT-OD-21-111.html\">reversed<\/a> these limitations, but the incoming Trump administration is expected to reinstate them.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-50&quot;,&quot;contentId&quot;:&quot;tenup-accordion-50-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-50-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-50-content\" aria-expanded=\"false\" id=\"tenup-accordion-50-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-49 icon-position-right wp-elements-b660f8cf8e80f30cdf10dd58ff736c62 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-18 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong><a style=\"font-size: medium\"><\/a><a style=\"font-size: medium\"><\/a><a style=\"font-size: medium\"><\/a>Require separate payments for abortion coverage in ACA Marketplace plans<\/strong>.\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-50-header\" id=\"tenup-accordion-50-content\" inert style=\"color:#333333;\" class=\"wp-elements-b63a6f593f7da438e17b966881476b5e wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The ACA <a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/156.280\">requires<\/a> people enrolled in qualified health plans that offer abortion benefits to pay for that coverage using private, not federal, dollars. As a result, plans have been required to segregate payments for abortion coverage. Under the Obama and Biden administrations, issuers have been permitted to segregate the nominal payment for abortion coverage after the consumer paid the total bill. The first Trump administration issued <a href=\"https:\/\/www.federalregister.gov\/documents\/2019\/12\/27\/2019-27713\/patient-protection-and-affordable-care-act-exchange-program-integrity\">final regulations<\/a> that would have required two separate bills and payments, one for abortion coverage and another for the rest of the premium. The implementation of these <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/issue-brief\/the-status-and-likely-impact-of-final-regulations-on-payments-for-abortion-coverage-in-aca-marketplace-plans\/\">regulations<\/a> was blocked by court order. The incoming Trump administration may re-issue these rules.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-52&quot;,&quot;contentId&quot;:&quot;tenup-accordion-52-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-52-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-52-content\" aria-expanded=\"false\" id=\"tenup-accordion-52-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-51 icon-position-right wp-elements-a3d0c4f602e50e22f5d223f61cc78d04 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-19 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Approve waivers that exclude Planned Parenthood clinics and other providers from the Medicaid program.\u00a0<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-52-header\" id=\"tenup-accordion-52-content\" inert style=\"color:#333333;\" class=\"wp-elements-26bf7eb64bc7c5060a5571812e53b52c wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During the first Trump administration, CMS <a href=\"https:\/\/www.medicaid.gov\/federal-policy-guidance\/downloads\/smd18003.pdf\">revoked<\/a> Obama-era guidance that reiterated federal Medicaid policy requiring free choice of provider for Medicaid enrollees using family planning services. Additionally, CMS also <a href=\"https:\/\/www.medicaid.gov\/medicaid\/section-1115-demonstrations\/downloads\/tx-healthy-women-demo-appvl-01222020.pdf\">approved<\/a> a Section 1115 waiver application from Texas that excluded clinics that offer both family planning and abortion services from participating in the state\u2019s family planning program, in direct violation of federal Medicaid policy. Elimination of federal funds to clinics that offer both contraception and abortion services is a priority of conservative lawmakers, and it is expected that if more states submit similar waiver requests, the Trump administration would approve them.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-54&quot;,&quot;contentId&quot;:&quot;tenup-accordion-54-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-54-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-54-content\" aria-expanded=\"false\" id=\"tenup-accordion-54-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-53 icon-position-right wp-elements-d9de178bbb106c62bb1f08d2af45f61f wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-20 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate Mexico City Policy and potentially expand it further. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-54-header\" id=\"tenup-accordion-54-content\" inert style=\"color:#333333;\" class=\"wp-elements-59aca653bf01fff58dea3bcde9867a71 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump is expected to reinstate, through executive action, the <a href=\"https:\/\/modern.kff.org\/global-health-policy\/issue-brief\/the-mexico-city-policy-an-explainer\/\">expanded Mexico City Policy<\/a>, or \u201cProtecting Life in Global Health Assistance,\u201d issued in his first term. The Mexico City Policy, first announced in 1984 by the Reagan administration, has been rescinded and reinstated by subsequent administrations along party lines ever since. Before the first Trump administration, the policy, when in effect, required foreign NGOs to certify that they would not \u201cperform or actively promote abortion as a method of family planning\u201d using funds from any source (including non-U.S. funds) as a condition of receiving U.S. global family planning assistance. In 2017, President Trump reinstated but also significantly expanded the policy to apply it to the vast majority of other U.S. global health assistance, including PEPFAR, for the first time. Some have recommended that President-elect Trump expand the policy even further.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--56\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"contraception\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-contraception\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Contraception<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-3 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-61&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-58&quot;,&quot;contentId&quot;:&quot;tenup-accordion-58-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-58-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-58-content\" aria-expanded=\"false\" id=\"tenup-accordion-58-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-57 icon-position-right wp-elements-d53b9bd9af526a66ae771b039812f4d5 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-21 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate limitations to the Title X Family Planning Program.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-58-header\" id=\"tenup-accordion-58-content\" inert style=\"color:#333333;\" class=\"wp-elements-68bc52ac6a59293ad6b5789d6954c765 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The first Trump administration issued <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/issue-brief\/new-title-x-regulations-implications-for-women-and-family-planning-providers\/\">Title X regulations<\/a> that prohibited sites that receive Title X funding from referring pregnant clients seeking abortion to abortion providers, requiring referrals to prenatal or adoption options. They also disqualified all sites that had co-located family planning and abortion services or were affiliated with abortion providers. This led to the withdrawal of almost a third of the sites from the <a href=\"https:\/\/modern.kff.org\/womens-health-policy\/issue-brief\/rebuilding-the-title-x-network-under-the-biden-administration\/\">Title X network<\/a> and was associated with a sharp drop in the number of patients served by the program. The Biden administration reversed these changes, and the next Trump administration could reinstate them.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-60&quot;,&quot;contentId&quot;:&quot;tenup-accordion-60-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-60-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-60-content\" aria-expanded=\"false\" id=\"tenup-accordion-60-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-59 icon-position-right wp-elements-8db4522fcbad073f1dc657a155f535da wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-22 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Overturn recently expanded contraceptive coverage regulations.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-60-header\" id=\"tenup-accordion-60-content\" inert style=\"color:#333333;\" class=\"wp-elements-94ede8cfd0e09c4d7a3ca9cde7b8c8e2 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">In October 2024, the Biden administration proposed <a href=\"https:\/\/www.federalregister.gov\/documents\/2023\/02\/02\/2023-01981\/coverage-of-certain-preventive-services-under-the-affordable-care-act\">a new rule<\/a> that would build on the ACA\u2019s coverage requirements and expand coverage of contraception without cost-sharing for those with private insurance. If finalized, most private insurers would be required to cover all FDA-approved methods without cost sharing unless the plan also covers a therapeutic equivalent without cost-sharing. In addition, plans would need to cover over-the-counter (OTC) contraceptives without a prescription from a clinician, and insurers would also be required to disclose to enrollees that OTC contraceptives like Opill and emergency contraception are included in this coverage. The proposed rule also addresses new coverage requirements for other OTC contraceptive methods, such as male condoms. Assuming the Biden administration finalizes this rule, the new Congress and President-elect Trump could overturn it within the first 60 days using the Congressional Review Act.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-4 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--62\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"medicaid\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-medicaid\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Medicaid<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-4 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-71&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-64&quot;,&quot;contentId&quot;:&quot;tenup-accordion-64-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-64-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-64-content\" aria-expanded=\"false\" id=\"tenup-accordion-64-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-63 icon-position-right wp-elements-bbc904c8f2f1ca08e6f135f6f803e61b wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-23 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Delay implementation or issue new regulations to undo final regulations streamlining Medicaid enrollment and renewal processes<\/strong>.<span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-64-header\" id=\"tenup-accordion-64-content\" inert style=\"color:#333333;\" class=\"wp-elements-5266b37a671b8478df22d7aaa49e5f88 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The Biden administration finalized two rules designed to make it easier for eligible individuals to enroll in and retain Medicaid and CHIP coverage and to facilitate transitions to Basic Health Plan or Marketplace coverage for those who are no longer eligible. The <strong>&nbsp;<\/strong><a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/what-does-the-medicaid-eligibility-rule-mean-for-low-income-medicare-beneficiaries-and-the-medicare-savings-programs-msps\/\">Medicare Savings Program<\/a> (MSP)rule helps eligible Medicare beneficiaries more easily access Medicaid coverage of Medicare premiums and cost sharing through the MSPs. The second rule simplifies application, enrollment, and renewal processes for <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/streamlining-medicaid-childrens-health-insurance-program-and-basic-health-program-application\">Medicaid, CHIP and the Basic Health Program<\/a> enrollees and removes access barriers for children in CHIP, including waiting periods, lifetime limits on coverage, and lock-out periods for failure to pay premiums. Each rule is expected to increase Medicaid enrollment by about one million people. The Trump administration could delay implementation of provisions that have not yet gone into effect or issue new regulations that would undo some or all of the rule\u2019s provisions.&nbsp; The impact of those actions may be less significant for the MSP rule, which had been implemented by most states as of October 2022, according to a <a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/what-are-the-primary-medicaid-eligibility-pathways-for-dual-eligible-individuals\/\">KFF survey<\/a>. During his first term, the Trump administration issued <a href=\"https:\/\/www.medicaid.gov\/federal-policy-guidance\/downloads\/cib062019.pdf\">guidance<\/a> calling for more <a href=\"https:\/\/files.kff.org\/attachment\/Issue-Brief-Recent-Medicaid-CHIP-Enrollment-Declines-and-Barriers-to-Maintaining-Coverage\">frequent eligibility checks<\/a> between renewal periods.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-66&quot;,&quot;contentId&quot;:&quot;tenup-accordion-66-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-66-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-66-content\" aria-expanded=\"false\" id=\"tenup-accordion-66-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-65 icon-position-right wp-elements-cbd578e1f6aa5611af324cb40c12f6fc wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-24 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Approve waivers that include work requirements as a condition of Medicaid eligibility, premiums, and other eligibility restrictions.\u00a0 <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-66-header\" id=\"tenup-accordion-66-content\" inert style=\"color:#333333;\" class=\"wp-elements-89958fb8ec88b390d26f2bcc84c4bfdf wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\"><a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state\/\">Section 1115<\/a> Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute, so long as the approach is likely to \u201cpromote the objectives of the Medicaid program.\u201d Waivers generally reflect priorities identified by states as well as changing priorities from one presidential administration to another. Each administration has some discretion over which waivers to approve and encourage, but that discretion is not unlimited. The Trump administration\u2019s Section 1115 <a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/medicaid-waiver-priorities-under-the-trump-and-biden-harris-administrations\/\">waiver policy<\/a> emphasized work requirements \u2013 which were challenged in court \u2013 and other eligibility restrictions and capped financing. During President Trump\u2019s first term, CMS also made changes to 1115 waiver budget neutrality policy, limiting the amount of federal funds that could be used for waiver spending.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-68&quot;,&quot;contentId&quot;:&quot;tenup-accordion-68-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-68-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-68-content\" aria-expanded=\"false\" id=\"tenup-accordion-68-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-67 icon-position-right wp-elements-17b800afe85c90aba6d2271798e78b31 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-25 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Delay implementation or issue new regulations to undo final access and managed care rules. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-68-header\" id=\"tenup-accordion-68-content\" inert style=\"color:#333333;\" class=\"wp-elements-87914aa7ed89a6b70d6adfba4591ebef wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The Biden administration finalized major Medicaid regulations designed to promote quality of care and advance access to care for Medicaid enrollees. The <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/ensuring-access-medicaid-services-final-rule-cms-2442-f\">Access rule <\/a>addresses several dimensions of access: increasing provider rate transparency and accountability, standardizing data and monitoring, and creating opportunities for states to promote active enrollee engagement in their Medicaid programs. The rule also includes many provisions governing access to home care (also known as home- and community-based services or HCBS), which include ensuring that at least 80% of spending on certain services be spent on <a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/payment-rates-for-medicaid-home-and-community-based-services-states-responses-to-workforce-challenges\/\">compensation<\/a> for direct care workers and requiring states to report the number of people on <a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/a-look-at-waiting-lists-for-medicaid-home-and-community-based-services-from-2016-to-2024\/\">waiting lists<\/a> for care. The <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicaid-and-childrens-health-insurance-program-managed-care-access-finance-and-quality-final-rule\">Managed Care rule<\/a> addresses Medicaid managed care access, financing, and quality, including strengthening standards for timely access to care and states\u2019 monitoring and enforcement efforts. The Trump administration could delay implementation of certain provisions, which would reduce regulation of managed care companies and other providers while rolling back enrollee protections, payment transparency, and improved access. Alternatively, the Trump administration could issue new regulations that would undo all or some of the provisions in the final regulations. During his first term, President Trump took administrative <a href=\"https:\/\/modern.kff.org\/report-section\/president-trumps-record-on-health-care-issue-brief\/#Medicaid\">action<\/a> to change Medicaid managed care rules, including <a href=\"https:\/\/modern.kff.org\/medicaid\/issue-brief\/cmss-2020-final-medicaid-managed-care-rule-a-summary-of-major-changes\/\">relaxing<\/a> rules around network adequacy and beneficiary protections.<span style=\"font-size: medium\"><\/span><\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-70&quot;,&quot;contentId&quot;:&quot;tenup-accordion-70-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-70-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-70-content\" aria-expanded=\"false\" id=\"tenup-accordion-70-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-69 icon-position-right wp-elements-a3d0c4f602e50e22f5d223f61cc78d04 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-26 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Approve waivers that exclude Planned Parenthood clinics and other providers from the Medicaid program.\u00a0<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-70-header\" id=\"tenup-accordion-70-content\" inert style=\"color:#333333;\" class=\"wp-elements-26bf7eb64bc7c5060a5571812e53b52c wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During the first Trump administration, CMS <a href=\"https:\/\/www.medicaid.gov\/federal-policy-guidance\/downloads\/smd18003.pdf\">revoked<\/a> Obama-era guidance that reiterated federal Medicaid policy requiring free choice of provider for Medicaid enrollees using family planning services. Additionally, CMS also <a href=\"https:\/\/www.medicaid.gov\/medicaid\/section-1115-demonstrations\/downloads\/tx-healthy-women-demo-appvl-01222020.pdf\">approved<\/a> a Section 1115 waiver application from Texas that excluded clinics that offer both family planning and abortion services from participating in the state\u2019s family planning program, in direct violation of federal Medicaid policy. Elimination of federal funds to clinics that offer both contraception and abortion services is a priority of conservative lawmakers, and it is expected that if more states submit similar waiver requests, the Trump administration would approve them.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-5 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--72\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"immigration\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-immigration-and-health\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Immigration and Health<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-5 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-85&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-74&quot;,&quot;contentId&quot;:&quot;tenup-accordion-74-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-74-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-74-content\" aria-expanded=\"false\" id=\"tenup-accordion-74-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-73 icon-position-right wp-elements-8732481aaa11ac6fe7fdbfdacde0ffbe wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-27 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>End the Deferred Action for Childhood Arrivals (DACA) program and associated ACA Marketplace coverage expansion. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-74-header\" id=\"tenup-accordion-74-content\" inert style=\"color:#333333;\" class=\"wp-elements-1e911d3e94d436c19851fee74d810241 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">DACA was originally established via executive action in June 2012 to protect certain undocumented immigrants who were brought to the U.S. as children from removal proceedings and receive authorization to work for renewable two-year periods. During his prior term, President-elect <a href=\"https:\/\/modern.kff.org\/compare-2024-candidates-health-care-policy\/#immigrant-health-coverage\">Trump<\/a> sought to end DACA but was blocked by the Supreme Court in 2020. The Biden administration issued <a href=\"https:\/\/www.federalregister.gov\/documents\/2022\/08\/30\/2022-18401\/deferred-action-for-childhood-arrivals\">regulations<\/a> in 2022 to preserve DACA protections. In addition, in May 2024, the Biden administration published <a href=\"https:\/\/public-inspection.federalregister.gov\/2024-09661.pdf\">regulations<\/a> to extend eligibility for Affordable Care Act (ACA) <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/overview-and-implications-of-the-aca-marketplace-expansion-to-daca-recipients\/\">Marketplace coverage<\/a> with premium and cost-sharing subsidies to DACA recipients, who were previously ineligible for federally funded health coverage options. The regulation became effective November 1, 2024. DACA and the coverage expansion are facing <a href=\"https:\/\/modern.kff.org\/medicare\/issue-brief\/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration\/\">legal challenges<\/a>, which could result in them being eliminated. Additionally, Trump administration officials have <a href=\"https:\/\/www.nytimes.com\/2020\/06\/19\/us\/politics\/trump-daca.html\">indicated<\/a> that the administration will try to eliminate the program again during his second term. However, in a <a href=\"https:\/\/www.nbcnews.com\/politics\/donald-trump\/trump-interview-meet-press-kristen-welker-election-president-rcna182857\">recent interview<\/a>, President-elect Trump said he will work on addressing the status of &#8220;Dreamers,&#8221; and indicated a willingness to work with Democrats on that issue. There are over <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/overview-and-implications-of-the-aca-marketplace-expansion-to-daca-recipients\/\">half a million<\/a> active DACA recipients, a majority of whom are working and many of whom have U.S.-born children, who could be at risk of deportation if the program is eliminated. Elimination of the coverage expansion for DACA recipients would leave the nearly <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/hhs-final-rule-clarifying-eligibility-deferred-action-childhood-arrivals-daca-recipients-and-certain\">100,000<\/a> uninsured DACA recipients it is estimated to cover without an affordable coverage option.&nbsp;<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-76&quot;,&quot;contentId&quot;:&quot;tenup-accordion-76-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-76-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-76-content\" aria-expanded=\"false\" id=\"tenup-accordion-76-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-75 icon-position-right wp-elements-a3ad1505fbb82e95c284457b03944e15 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-28 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate changes to public charge policy to include health coverage programs.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-76-header\" id=\"tenup-accordion-76-content\" inert style=\"color:#333333;\" class=\"wp-elements-52a76ea0314b77dc8823bdde809e12e2 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump could reinstate his first administration\u2019s changes to public charge policies. Under longstanding immigration policy, federal officials can deny entry to the U.S. or adjustment to lawful permanent resident (LPR) status (i.e., a \u201cgreen card\u201d) to someone they determine to be a <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/2022-changes-to-the-public-charge-inadmissibility-rule-and-the-implications-for-health-care\/\">public charge<\/a>. During his prior term, President-elect Trump issued <a href=\"https:\/\/www.govinfo.gov\/content\/pkg\/FR-2019-08-14\/pdf\/2019-17142.pdf\">regulations<\/a> in 2019 that broadened the scope of programs that the federal government would consider in public charge determinations to newly include the use of non-cash assistance programs like Medicaid and the Children\u2019s Health Insurance Program (CHIP). The Biden administration rescinded these changes in 2021. <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/living-in-an-immigrant-family-in-america-how-fear-and-toxic-stress-are-affecting-daily-life-well-being-health\/\">Research<\/a> suggests that the 2019 changes made by the Trump administration increased fears among immigrant families about participating in programs and seeking services, including health coverage and care. As of November 2024, President-elect Trump has not indicated whether his administration plans to reinstate his first-term changes to public charge policy.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-78&quot;,&quot;contentId&quot;:&quot;tenup-accordion-78-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-78-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-78-content\" aria-expanded=\"false\" id=\"tenup-accordion-78-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-77 icon-position-right wp-elements-2b7922fe4c8a68e990154b08242e9ed7 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-29 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Carry out mass detentions and deportations of millions of immigrants.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-78-header\" id=\"tenup-accordion-78-content\" inert style=\"color:#333333;\" class=\"wp-elements-a48a367c8fb02258a3b0ae2c03db20a0 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump has stated that he will use the U.S. military to carry out <a href=\"https:\/\/www.nytimes.com\/2023\/11\/11\/us\/politics\/trump-2025-immigration-agenda.html\">mass deportations<\/a> of tens of millions of undocumented immigrants residing in the U.S., <a href=\"https:\/\/www.pewresearch.org\/short-reads\/2019\/06\/12\/us-unauthorized-immigrant-population-2017\/\">many<\/a> of whom have been living and working in the country for decades. Such a policy could lead to <a href=\"https:\/\/www.vox.com\/2024-elections\/383845\/trump-mass-deportations-immigration-family-separation\">family separations<\/a> as well as <a href=\"https:\/\/www.cnn.com\/2024\/11\/07\/politics\/trump-immigrant-detention-plans\/index.html\">mass detentions<\/a>, which can have negative implications for the <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/living-in-an-immigrant-family-in-america-how-fear-and-toxic-stress-are-affecting-daily-life-well-being-health\/\">mental health<\/a> and well-being of immigrant families and also put their <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/family-consequences-of-detention-deportation-effects-on-finances-health-and-well-being\/\">physical health<\/a> at risk. Mass deportations also could negatively impact the U.S. workforce and economy, where immigrants make significant contributions through outsized roles in certain occupations, including <a href=\"https:\/\/modern.kff.org\/policy-watch\/the-growing-role-of-foreign-educated-nurses-in-u-s-hospitals-and-implications-of-visa-restrictions\/\">health care<\/a>, and through <a href=\"https:\/\/itep.org\/undocumented-immigrants-taxes-2024\/\">billions<\/a> of dollars in tax contributions.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-80&quot;,&quot;contentId&quot;:&quot;tenup-accordion-80-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-80-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-80-content\" aria-expanded=\"false\" id=\"tenup-accordion-80-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-79 icon-position-right wp-elements-115feb0d872869aca3bb99920fee3d73 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-30 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>End birthright citizenship for children of some immigrants.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-80-header\" id=\"tenup-accordion-80-content\" inert style=\"color:#333333;\" class=\"wp-elements-3bab22dfdf6b41152217b2c3b0fc21f0 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump has said that he will sign an executive order to end birthright citizenship for the children of some immigrants despite it being a right guaranteed under the U.S. Constitution. This proposed action would limit access to <a href=\"https:\/\/www.bu.edu\/sph\/news\/articles\/2023\/trumps-anti-immigrant-rhetoric-policies-contributed-to-decline-in-healthcare-among-children-of-immigrants\/\">health coverage<\/a> and care for the children of immigrants since they may not have lawful status. It may also have broader ramifications for the nation\u2019s workforce and economy, potentially exacerbating existing <a href=\"https:\/\/modern.kff.org\/medicaid\/press-release\/in-response-to-home-care-workforce-shortages-most-states-report-increasing-medicaids-payment-rates-and-expanding-worker-opportunities\/\">worker shortages<\/a>, including in health care, where adult children of immigrants play an <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/the-role-of-adult-children-of-immigrants-in-the-u-s-health-care-workforce\/\">outsized role<\/a> as physicians, surgeons, and other practitioners.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-82&quot;,&quot;contentId&quot;:&quot;tenup-accordion-82-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-82-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-82-content\" aria-expanded=\"false\" id=\"tenup-accordion-82-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-81 icon-position-right wp-elements-0477f4335f668a9202ceb2ff172830c1 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-31 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate \u201cRemain in Mexico\u201d policy.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-82-header\" id=\"tenup-accordion-82-content\" inert style=\"color:#333333;\" class=\"wp-elements-c637c6f10d4c326f9ac44a9e012795a1 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump <a href=\"https:\/\/www.politico.com\/news\/2024\/11\/06\/donald-trump-second-term-policies-00187157\">plans<\/a> to reinstate <a href=\"https:\/\/www.dhs.gov\/archive\/news\/2019\/01\/24\/migrant-protection-protocols\">Migrant Protection Protocols<\/a>, often referred to as the \u201cRemain in Mexico\u201d policy, which his administration first implemented in 2019. Under this policy, asylum seekers are required to remain in Mexico, often in <a href=\"https:\/\/www.nbcnews.com\/news\/us-news\/dangerous-conditions-persist-migrants-wait-biden-administration-stop-r-rcna37907\">unsafe conditions<\/a>, while they await their immigration court hearings. The Biden administration <a href=\"https:\/\/www.texastribune.org\/2022\/06\/29\/supreme-court-migrant-protection-protocols-remain-mexico-biden\/\">ended<\/a> this policy in 2022 following some legal challenges. However, it implemented a series of increasingly restrictive <a href=\"https:\/\/www.dhs.gov\/news\/2024\/09\/30\/fact-sheet-joint-dhs-doj-final-rule-issued-restrict-asylum-eligibility-those-who\">limits<\/a> on asylum eligibility in 2023 and 2024 in response to a high number of border encounters.<span style=\"font-size: medium\"><\/span><\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-84&quot;,&quot;contentId&quot;:&quot;tenup-accordion-84-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-84-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-84-content\" aria-expanded=\"false\" id=\"tenup-accordion-84-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-83 icon-position-right wp-elements-4199f2934155edcd6344790e6988636a wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-32 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Limit entry of humanitarian migrants.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-84-header\" id=\"tenup-accordion-84-content\" inert style=\"color:#333333;\" class=\"wp-elements-2013e412a9c68834237f51a648d8bb54 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During his first term, President-elect Trump set the annual <a href=\"https:\/\/www.migrationpolicy.org\/programs\/data-hub\/charts\/us-refugee-resettlement\">refugee admissions ceiling<\/a> at its lowest levels, ranging from 50,000 in 2017 to a historic low of 18,000 in 2020, and it is likely that he will reduce the admissions ceiling for refugees in his second term. The President-elect has also said that he will close the <a href=\"https:\/\/www.newsweek.com\/donald-trump-vows-terminate-harris-phone-app-smuggling-migrants-1954040\">CBP One<\/a> application created by the Biden administration, which allows asylum seekers to seek <a href=\"https:\/\/www.cnn.com\/2024\/11\/11\/us\/closed-border-trump-immigration-deportation\/index.html\">lawful entry<\/a> to the U.S. by making an interview appointment with the DHS, which could lead to \u201c<a href=\"https:\/\/www.cnn.com\/2024\/11\/11\/us\/closed-border-trump-immigration-deportation\/index.html\">mass cancellation<\/a> of appointments\u201d and possibly an increase in attempts to cross the border outside of ports of entry. Trump also has indicated that he will <a href=\"https:\/\/news.bloomberglaw.com\/daily-labor-report\/trump-threatens-temporary-immigration-shield-soaring-under-biden\">roll back<\/a> temporary protected status (TPS) designations for some immigrants, including those from Haiti. <a href=\"https:\/\/www.uscis.gov\/humanitarian\/temporary-protected-status\">TPS<\/a> designations protect immigrants from countries deemed unsafe by the DHS from deportation and provide them with employment authorization but do not provide a pathway to long-term residency or citizenship. As of March 2024, over <a href=\"https:\/\/aboutblaw.com\/bf16\">860,000<\/a> immigrants from 16 countries were protected by TPS. Loss of TPS would put people at risk for deportation, which could contribute to family separation, which in turn can have negative impacts on the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33691151\/\">mental<\/a> and <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/fact-sheet\/key-health-implications-of-separation-of-families-at-the-border\/\">physical health<\/a> of immigrant families and broader negative consequences for the <a href=\"https:\/\/www.npr.org\/2023\/08\/26\/1195670024\/theres-a-labor-shortage-in-the-u-s-why-is-it-so-hard-for-migrants-to-legally-wor\">workforce<\/a> and economy.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-6 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--86\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"lgbtq\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-lgbtq-health-policy\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">LGBTQ Health Policy<\/h2>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-6 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-93&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-88&quot;,&quot;contentId&quot;:&quot;tenup-accordion-88-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-88-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-88-content\" aria-expanded=\"false\" id=\"tenup-accordion-88-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-87 icon-position-right wp-elements-90ee93c77b39a63c47a3646beb855411 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-33 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Revise guidance implementing section 1557 of the Affordable Care Act (ACA), removing LGBTQ protections.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-88-header\" id=\"tenup-accordion-88-content\" inert style=\"color:#333333;\" class=\"wp-elements-2d6c8a42ec150ff8789b73f3853bd5c2 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Section 1557 holds the health law\u2019s major nondiscrimination protections, including those on the basis of sex, which the Biden administration <a href=\"https:\/\/modern.kff.org\/affordable-care-act\/issue-brief\/the-biden-administrations-final-rule-on-section-1557-non-discrimination-regulations-under-the-aca\/\">interpreted<\/a> to include protections on the basis of sexual orientation and gender identity. In his first term, Trump <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/the-trump-administrations-final-rule-on-section-1557-non-discrimination-regulations-under-the-aca-and-current-status\/\">issued guidance<\/a> indicating that sex protections would extend only to individuals based on their biological sex assigned at birth. His administration would likely issue a new regulation akin to this, removing LGBTQ protections. Additionally, in his first term, Trump used the regulation as a vehicle to remove sexual orientation and gender identity protections from other regulations outside of 1557, and he may pursue this approach again. Section 1557 implementing regulations have been heavily litigated across the Obama, Trump and Biden administrations, and legal challenges are likely to continue. Additionally, the impact of the Supreme Court ruling in <a href=\"https:\/\/modern.kff.org\/private-insurance\/issue-brief\/supreme-court-decision-limiting-the-authority-of-federal-agencies-could-have-far-reaching-impacts-for-health-policy\/\"><em>Loper Bright v. Raimondo<\/em><\/a>, finding that regulations like those implementing 1557 are no longer entitled to judicial deference where a statute is ambiguous, is yet to be seen. At the same time, some courts have found that 1557 protections exist within the ACA statute itself, outside of rulemaking.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-90&quot;,&quot;contentId&quot;:&quot;tenup-accordion-90-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-90-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-90-content\" aria-expanded=\"false\" id=\"tenup-accordion-90-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-89 icon-position-right wp-elements-d0846c397370873363dbfc9174a23281 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-34 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Issue executive orders limiting LGBTQ protections, including in health care.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-90-header\" id=\"tenup-accordion-90-content\" inert style=\"color:#333333;\" class=\"wp-elements-4924bfed6ff2f3f5cc5f40d49f628259 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Trump <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/president-trumps-plan-to-protect-children-from-left-wing-gender-insanity\">has stated<\/a> that he would \u201csign a new executive order instructing every federal agency to cease all programs that promote the concept of sex and gender transition at any age.\u201d This suggests taking administrative actions that could limit access to programs, services, or protections for LGBTQ people. It is also expected that Trump would rescind Biden administration executive orders aimed at promoting equity, protections, and data collection for LGBTQ people, including in health care.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-92&quot;,&quot;contentId&quot;:&quot;tenup-accordion-92-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-92-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-92-content\" aria-expanded=\"false\" id=\"tenup-accordion-92-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-91 icon-position-right wp-elements-bc8db3e261ab458d8f809c7b7a2e92a8 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-35 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Limit access to gender affirming care for minors and, potentially, adults.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-92-header\" id=\"tenup-accordion-92-content\" inert style=\"color:#333333;\" class=\"wp-elements-d8b2ab6f3e60fcdebd3b44ffa94d159b wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Trump has <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/president-trumps-plan-to-protect-children-from-left-wing-gender-insanity\">stated<\/a> that he would use \u201cfederal health and safety standards\u201d to limit minor access to gender affirming care, including by \u201cdeclar[ing] that any hospital or healthcare provider\u2026[providing prescription or surgical gender affirming care to a] minor youth will no longer meet federal health and safety standards for Medicaid and Medicare\u2014and will be terminated from the program.\u201d This would significantly limit the ability of providers and facilities offering this care.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--94\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"public-health\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-public-health\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Public Health<\/h2>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-7 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-99&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-96&quot;,&quot;contentId&quot;:&quot;tenup-accordion-96-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-96-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-96-content\" aria-expanded=\"false\" id=\"tenup-accordion-96-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-95 icon-position-right wp-elements-3d13182eca9390b1c573df14b9597f3c wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-36 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Change Federal Vaccine Recommendations and Regulatory Processes <\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-96-header\" id=\"tenup-accordion-96-content\" inert style=\"color:#333333;\" class=\"wp-elements-47aba4308824917375c06bf8e1607513 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During his first term, President Trump spearheaded the successful \u201c<a href=\"https:\/\/trumpwhitehouse.archives.gov\/briefings-statements\/remarks-president-trump-operation-warp-speed-vaccine-summit\/\">Operation Warp Speed<\/a>\u201d, the federal government\u2019s effort to support rapid research on and development of COVID-19 vaccines. However, he has also questioned vaccine mandates, threatening to <a href=\"https:\/\/www.npr.org\/2024\/05\/11\/1245900177\/trump-rally-speech-talking-points-rhetoric-immigration-abortion\">withdraw<\/a> education funding from schools that require vaccines, and <a href=\"https:\/\/time.com\/7201582\/donald-trump-vaccines-fact-check-2024\/\">shown support<\/a> for the false link between vaccination and autism. In addition, President-elect Trump has announced his intention to nominate Robert F. Kennedy Jr. as Secretary of Health and Human Services and Tom Weldon as the Director of the Centers for Disease Control and Prevention, each of whom has <a href=\"https:\/\/www.usatoday.com\/story\/news\/factcheck\/2024\/12\/18\/rfk-jr-vaccines-misinformation-fact-check\/76943652007\/\">expressed concerns about vaccine safety<\/a> and <a href=\"https:\/\/www.washingtonpost.com\/health\/2024\/12\/15\/dave-weldon-trump-cdc-vaccine-skepticism\/\">promoted the false claim that childhood vaccinations are linked to autism<\/a>. While both <a href=\"https:\/\/www.nbcnews.com\/politics\/2024-election\/trump-win-rfk-jr-says-wont-take-away-anybodys-vaccines-rcna178955\">President-elect Trump<\/a> and <a href=\"https:\/\/www.nbcnews.com\/politics\/2024-election\/trump-win-rfk-jr-says-wont-take-away-anybodys-vaccines-rcna178955\">Kennedy<\/a> have said they won\u2019t take at least certain vaccines away from people, and the <a href=\"https:\/\/modern.kff.org\/policy-watch\/how-hhs-fda-and-cdc-can-influence-u-s-vaccine-policy\/\">federal government<\/a> cannot impose or revoke vaccine requirements for children in school, or enforce other broad vaccine mandates at the national level (with potential exceptions in limited cases during times of a declared public health emergencies), federal officials do have significant authority to affect vaccine policy and access. This includes the ability to: influence or bypass federal advisory committees regarding vaccine approvals and recommendations; adjust criteria for vaccine approvals and reviews; change federal vaccine-related liability policies, which could weaken or eliminate liability protections for vaccine manufacturers; end emergency use authorization, currently granted under section 564 of the Federal Food, Drug, and Cosmetic Act, of certain COVID-19 vaccines; make some state or local funding contingent on certain policies (such as ensuring no vaccine mandates for schools); and communicate to the public in ways that question the value and safety of vaccines, which in turn could contribute to growing mistrust and further <a href=\"https:\/\/modern.kff.org\/policy-watch\/childhood-vaccination-rates-continue-to-decline-as-trump-heads-for-a-second-term\/\">reductions in vaccine coverage<\/a>.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-98&quot;,&quot;contentId&quot;:&quot;tenup-accordion-98-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-98-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-98-content\" aria-expanded=\"false\" id=\"tenup-accordion-98-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-97 icon-position-right wp-elements-c995cb0cedb56e573430f9afa6b2a31b wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-37 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Influence water fluoridation practices through federal recommendations and regulation<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-98-header\" id=\"tenup-accordion-98-content\" inert style=\"color:#333333;\" class=\"wp-elements-da01328345fcd27385017db261584d3c wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump\u2019s intention to nominate Robert F. Kennedy Jr., who has long been critical of water fluoridation, as Secretary of Health and Human Services has raised questions about the potential for the new administration to influence water fluoridation practices in the United States; indeed, Kennedy has&nbsp;<a href=\"https:\/\/x.com\/RobertKennedyJr\/status\/1852812012478398923\">said<\/a>&nbsp;the incoming administration will recommend that fluoride be removed from public water on&nbsp;<a href=\"https:\/\/www.factcheck.org\/2024\/11\/trump-embraces-rfk-jr-s-views-on-vaccines-fluoride\/\">day one<\/a>. While the federal government cannot require state and local communities to <a href=\"https:\/\/modern.kff.org\/other\/issue-brief\/water-fluoridation-in-the-u-s-the-federal-role-in-policy-and-practice\/\">fluoridate their water<\/a> or remove fluoridation requirements already in place, the Environmental Protection Agency regulates maximum allowable fluoride levels and the Centers for Disease Control and Prevention provides guidance to state and local communities on optimal levels of fluoride. Both agencies could seek to re-evaluate regulations (in the case of EPA) or guidance (in the case of CDC), which could affect fluoridation practices across the country. &nbsp;In fact, a U.S. district judge&nbsp;recently <a href=\"https:\/\/www.eenews.net\/articles\/epa-in-a-really-tough-spot-after-landmark-fluoride-ruling\/\">ordered<\/a>&nbsp;the EPA to take further regulatory action on fluoride and the EPA is reviewing the court decision.&nbsp;<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-8 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--100\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"racial-equity\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-racial-health-equity-and-dei-initiatives\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Racial Health Equity and DEI Initiatives<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-8 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-103&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-102&quot;,&quot;contentId&quot;:&quot;tenup-accordion-102-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-102-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-102-content\" aria-expanded=\"false\" id=\"tenup-accordion-102-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-101 icon-position-right wp-elements-67950a7b3afbe52d840587afd43a82de wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-38 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Eliminate equity-focused initiatives and issue anti-diversity, equity, and inclusion (DEI) executive orders.<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-102-header\" id=\"tenup-accordion-102-content\" inert style=\"color:#333333;\" class=\"wp-elements-34932828827af514f9b42870d39b8e56 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During his first term, President Trump took executive action to&nbsp;<a href=\"https:\/\/trumpwhitehouse.archives.gov\/presidential-actions\/executive-order-combating-race-sex-stereotyping\/\">prohibit<\/a>&nbsp;federal agencies and contractors from providing training based on \u201cdivisive concepts\u201d such as racism and sexism. The Biden administration revoked the executive order by President Trump and identified advancing racial equity as a whole-of-government federal <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/presidential-actions\/2021\/01\/20\/executive-order-advancing-racial-equity-and-support-for-underserved-communities-through-the-federal-government\/\">priority<\/a>. It took action to advance equity through a series of <a href=\"https:\/\/www.whitehouse.gov\/equity\/\">executive orders<\/a> that led to the creation of <a href=\"https:\/\/www.whitehouse.gov\/equity\/2022-agency-equity-plans\/\">Equity Action Plans<\/a> across agencies and facilitated a wide array of <a href=\"https:\/\/modern.kff.org\/racial-equity-and-health-policy\/issue-brief\/disparities-in-health-and-health-care-5-key-question-and-answers\/\">federal actions<\/a> focused on reducing health disparities. It is likely that President-elect Trump will rescind many Biden administration actions focused on equity and pursue actions to eliminate DEI initiatives. As a candidate, he <a href=\"https:\/\/www.usatoday.com\/story\/money\/2024\/05\/01\/donald-trump-anti-white-racism-dei\/73528246007\/\">vowed<\/a> to focus on \u201canti-White\u201d racism, not racism against people of color. It has been <a href=\"https:\/\/www.wsj.com\/politics\/elections\/inside-trump-worlds-prep-for-a-second-term-fc5b27cc\">reported<\/a> that supporters of President-elect Trump have drafted an executive order that would eliminate programs that promote DEI. President-elect Trump also made earlier <a href=\"https:\/\/time.com\/6972270\/donald-trump-anti-white-bias-exclusive\/\">statements<\/a> indicating that he would pursue policies to address what he says is a \u201cdefinite anti-White feeling in America\u201d and bring <a href=\"https:\/\/www.msnbc.com\/the-reidout\/reidout-blog\/trump-department-education-dei-rcna180046\">federal civil rights cases<\/a> against schools that engage in racial discrimination \u201cunder the guise of equity.\u201d Such actions could impede efforts to increase the diversity of the health care provider workforce. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4454423\/\">Research<\/a> suggests affirmative action bans have contributed to a decline in enrollment of medical school students who are underrepresented students of color.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-9 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--104\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"global-health\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-global-health\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Global Health<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-9 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-115&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-106&quot;,&quot;contentId&quot;:&quot;tenup-accordion-106-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-106-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-106-content\" aria-expanded=\"false\" id=\"tenup-accordion-106-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-105 icon-position-right wp-elements-d9de178bbb106c62bb1f08d2af45f61f wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-39 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate Mexico City Policy and potentially expand it further. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-106-header\" id=\"tenup-accordion-106-content\" inert style=\"color:#333333;\" class=\"wp-elements-59aca653bf01fff58dea3bcde9867a71 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump is expected to reinstate, through executive action, the <a href=\"https:\/\/modern.kff.org\/global-health-policy\/issue-brief\/the-mexico-city-policy-an-explainer\/\">expanded Mexico City Policy<\/a>, or \u201cProtecting Life in Global Health Assistance,\u201d issued in his first term. The Mexico City Policy, first announced in 1984 by the Reagan administration, has been rescinded and reinstated by subsequent administrations along party lines ever since. Before the first Trump administration, the policy, when in effect, required foreign NGOs to certify that they would not \u201cperform or actively promote abortion as a method of family planning\u201d using funds from any source (including non-U.S. funds) as a condition of receiving U.S. global family planning assistance. In 2017, President Trump reinstated but also significantly expanded the policy to apply it to the vast majority of other U.S. global health assistance, including PEPFAR, for the first time. Some have recommended that President-elect Trump expand the policy even further.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-108&quot;,&quot;contentId&quot;:&quot;tenup-accordion-108-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-108-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-108-content\" aria-expanded=\"false\" id=\"tenup-accordion-108-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-107 icon-position-right wp-elements-47ef3555ef02e8d8dd049cdc07e25039 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-40 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Cease U.S. engagement in pandemic treaty negotiations.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-108-header\" id=\"tenup-accordion-108-content\" inert style=\"color:#333333;\" class=\"wp-elements-8ef0b97a012d2765f666564d8c7bac9d wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Since 2021, countries that are members of the World Health Organization (WHO) have been negotiating a new global \u2018pandemic agreement\u2019 to address weaknesses identified during the international response to COVID-19. The Biden administration has <a href=\"https:\/\/modern.kff.org\/global-health-policy\/issue-brief\/the-pandemic-agreement-what-it-is-what-it-isnt-and-what-it-could-mean-for-the-u-s\/\">supported<\/a> the concept and engaged in the process since it began. However, President-elect Trump has <a href=\"https:\/\/www.instagram.com\/realdonaldtrump\/reel\/CygeiuHun0i\/\">stated<\/a> that under his administration, U.S. engagement with the negotiations will be \u201cimmediately terminated,\u201d and several Republican members of Congress have also raised concerns about the U.S. signing on to such a treaty. Without U.S. support, the prospects of a new treaty would be <a href=\"https:\/\/www.npr.org\/2024\/11\/13\/nx-s1-5184410\/how-will-the-trump-administration-affect-efforts-to-fight-global-pandemics\">significantly weakened<\/a>.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-110&quot;,&quot;contentId&quot;:&quot;tenup-accordion-110-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-110-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-110-content\" aria-expanded=\"false\" id=\"tenup-accordion-110-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-109 icon-position-right wp-elements-eef7f8529ea69179378713db7616ffd1 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-41 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Halt funding for and withdraw from the World Health Organization (WHO).<\/strong><span style=\"font-size: medium\"><\/span>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-110-header\" id=\"tenup-accordion-110-content\" inert style=\"color:#333333;\" class=\"wp-elements-9ee6972a60f484fd9505b4d1c9796619 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\"><strong>Halt funding for and withdraw from the World Health Organization (WHO)<\/strong>. President-elect Trump has <a href=\"https:\/\/www.instagram.com\/realdonaldtrump\/reel\/CygeiuHun0i\/\">stated<\/a> his intention to halt U.S. funding for and withdraw the U.S. from membership in WHO. During his first term, he froze U.S. funding to WHO and initiated a process to terminate U.S. membership over critiques of WHO\u2019s role in the global COVID-19 response. Under U.S. law, an administration must notify WHO of its intention to withdraw, which becomes official one year after such notification. President Biden took office before this time period was met, and he reversed President Trump\u2019s decision and restored funding. The U.S. has historically been one of the largest funders of WHO, with U.S. <a href=\"https:\/\/modern.kff.org\/coronavirus-covid-19\/fact-sheet\/the-u-s-government-and-the-world-health-organization\/\">contributions<\/a> ranging between $163 million and $816 million annually over the last decade.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-112&quot;,&quot;contentId&quot;:&quot;tenup-accordion-112-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-112-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-112-content\" aria-expanded=\"false\" id=\"tenup-accordion-112-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-111 icon-position-right wp-elements-b0db5b9832d0d7c426681533db7b1b40 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-42 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Rejoin Geneva Consensus Declaration on Women\u2019s Health and Protection of the Family.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-112-header\" id=\"tenup-accordion-112-content\" inert style=\"color:#333333;\" class=\"wp-elements-0c20b7c335f2520db8005cd8a55ea2ec wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump has <a href=\"https:\/\/x.com\/TeamTrump\/status\/1704578485782462837\">stated<\/a> that his second administration will rejoin the <a href=\"https:\/\/documents.un.org\/doc\/undoc\/gen\/n20\/344\/30\/pdf\/n2034430.pdf\">Geneva Consensus Declaration<\/a>, an October 2020 statement that was initially crafted and signed by the U.S. \u2013 along with 31 other countries \u2013 and meant to enshrine certain values and principles related to women\u2019s health and family, including a rejection of the \u201cinternational right to abortion.\u201d The Biden administration <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/presidential-actions\/2021\/01\/28\/memorandum-on-protecting-womens-health-at-home-and-abroad\/\">withdrew<\/a> the U.S. from the Geneva Consensus Declaration in 2021.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-114&quot;,&quot;contentId&quot;:&quot;tenup-accordion-114-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-114-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-114-content\" aria-expanded=\"false\" id=\"tenup-accordion-114-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-113 icon-position-right wp-elements-6a41050ef3aeadc45e0bc344b977574e wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-43 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Invoke the Kemp-Kasten amendment to prevent U.S. funding for UNFPA.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-114-header\" id=\"tenup-accordion-114-content\" inert style=\"color:#333333;\" class=\"wp-elements-862e66c52d02a2b1c1945c39f16b7531 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump is expected to again withhold U.S. funding from the United Nations Population Fund (UNFPA, the lead U.N. agency focused on global population and reproductive health) by using the <a href=\"https:\/\/modern.kff.org\/global-health-policy\/fact-sheet\/unfpa-funding-kemp-kasten-an-explainer\/\">Kemp-Kasten amendment<\/a>, a provision of U.S. law that states that no U.S. funds may be made available to \u201cany organization or program which, as determined by the president of the United States, supports or participates in the management of a program of coercive abortion or involuntary sterilization.\u201d To date, there has been no evidence that UNFPA supports these activities. In FY 2023, the U.S. contributed $194.4 million to UNFPA, making it the largest government contributor to UNFPA.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-10 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--116\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"prescription-drugs\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-prescription-drugs\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Prescription Drugs<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-10 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-119&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-118&quot;,&quot;contentId&quot;:&quot;tenup-accordion-118-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-118-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-118-content\" aria-expanded=\"false\" id=\"tenup-accordion-118-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-117 icon-position-right wp-elements-f9a75ceafa9378e694416a2b1e116832 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-44 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Reinstate executive order on manufacturing essential medicines in the U.S.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-118-header\" id=\"tenup-accordion-118-content\" inert style=\"color:#333333;\" class=\"wp-elements-3e803d8a2eada209aff2389d68f8f4ef wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump is <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/agenda47-returning-production-of-essential-medicines-back-to-america-and-ending-bidens-pharmaceutical-shortages\">expected to reinstate<\/a> an element of a <a href=\"https:\/\/trumpwhitehouse.archives.gov\/presidential-actions\/executive-order-ensuring-essential-medicines-medical-countermeasures-critical-inputs-made-united-states\/?utm_medium=email&amp;utm_source=ncl_amplify&amp;utm_campaign=230724-agenda47_returning_production_of_essential_medicines_back_to_america_and_ending_bidens_pharmaceutical_shortages\">2020 executive order<\/a> that would have removed essential medicines, medical countermeasures, and critical inputs to drugs and medical devices from U.S. commitments under the <a href=\"https:\/\/crsreports.congress.gov\/product\/pdf\/IF\/IF11651\">World Trade Organization Agreement of Government Procurement<\/a> (WTO GPA). This proposal was <a href=\"https:\/\/www.wita.org\/blogs\/biden-gpa-modification-medicines\/\">withdrawn by the Biden administration<\/a> in April 2021. The overarching goal of the 2020 executive order was to enhance the domestic production of essential medicines, medical countermeasures, and critical inputs in the face of supply chain vulnerabilities and drug shortages. The effect of removing these items from trade agreements would have meant that government agencies in the U.S. would have been unable to procure items on a <a href=\"https:\/\/www.fda.gov\/about-fda\/reports\/executive-order-13944-list-essential-medicines-medical-countermeasures-and-critical-inputs\">list<\/a> of essential medicines, medical countermeasures, and critical inputs developed by the U.S. Food and Drug Administration from other countries that are parties to the GPA. Although the Biden administration withdrew the trade-related proposal, it took other actions to bolster <a href=\"https:\/\/www.fda.gov\/about-fda\/reports\/executive-order-14017-americas-supply-chains\">pharmaceutical supply chains<\/a> and <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/presidential-actions\/2023\/12\/27\/memorandum-regarding-the-presidential-determination-and-waiver-pursuant-to-section-303-of-the-defense-production-act-of-1950-as-amended-on-essential-medicines-medical-countermeasures-and-critical\/\">enhance U.S. manufacturing<\/a> to address <a href=\"https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/3a9df8acf50e7fda2e443f025d51d038\/HHS-White-Paper-Preventing-Shortages-Supply-Chain-Vulnerabilities.pdf\">drug shortages<\/a>.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-11 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--120\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"fentanyl\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-fentanyl\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Fentanyl<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-11 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-129&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-122&quot;,&quot;contentId&quot;:&quot;tenup-accordion-122-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-122-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-122-content\" aria-expanded=\"false\" id=\"tenup-accordion-122-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-121 icon-position-right wp-elements-d1b1a44a9a51e49cec265b1e8adf6919 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-45 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Impose tariffs on Mexico, China, and Canada. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-122-header\" id=\"tenup-accordion-122-content\" inert style=\"color:#333333;\" class=\"wp-elements-13428aa566cb285c49ddfb2f6b103241 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump <a href=\"https:\/\/www.nytimes.com\/2024\/11\/25\/business\/economy\/trump-tariffs-canada-mexico-china.html\">stated<\/a> that on his first day in office he will impose tariffs on imports from Mexico and Canada at 25% and an <a href=\"https:\/\/www.politifact.com\/article\/2024\/dec\/02\/can-donald-trump-enact-tariffs-on-his-own-and-can\/https:\/www.politifact.com\/article\/2024\/dec\/02\/can-donald-trump-enact-tariffs-on-his-own-and-can\/\">additional 10%<\/a> on imports from China. He has <a href=\"https:\/\/www.nytimes.com\/2024\/11\/25\/business\/economy\/trump-tariffs-canada-mexico-china.html\">stated<\/a> that implementing tariffs will reduce the amount of fentanyl entering the U.S. and will address immigration concerns. Some suggest that tariffs may <a href=\"https:\/\/www.nytimes.com\/2024\/11\/26\/world\/asia\/trump-china-tariff-fentanyl.html\">hinder<\/a> <a href=\"https:\/\/www.whitehouse.gov\/ondcp\/briefing-room\/2023\/11\/07\/white-house-ondcp-statement-on-new-sanctions-issued-by-the-biden-harris-administration-to-target-sinaloa-cartel-members-and-disrupt-global-illicit-fentanyl-trafficking\/\">progress<\/a> on the fentanyl crisis made under the <a href=\"https:\/\/modern.kff.org\/mental-health\/issue-brief\/opioid-deaths-fell-in-mid-2023-but-progress-is-uneven-and-future-trends-are-uncertain\/\">Biden<\/a> <a href=\"https:\/\/modern.kff.org\/mental-health\/issue-brief\/teens-drugs-and-overdose-contrasting-pre-pandemic-and-current-trends\/\">administration<\/a>, potentially by compromising coordination between the U.S. and other countries, and may also provoke <a href=\"https:\/\/www.axios.com\/2024\/11\/26\/tariffs-retaliation-trump-mexico-canada-china\">retaliatory<\/a> <a href=\"https:\/\/www.bbc.com\/news\/articles\/cj6kj2752jlo\">actions<\/a> and <a href=\"https:\/\/www.politifact.com\/article\/2024\/dec\/02\/can-donald-trump-enact-tariffs-on-his-own-and-can\/https:\/www.politifact.com\/article\/2024\/dec\/02\/can-donald-trump-enact-tariffs-on-his-own-and-can\/\">increase the cost<\/a> of consumer goods in the U.S. During his first term, President Trump imposed smaller tariffs under the <a href=\"https:\/\/www.commerce.gov\/issues\/trade-enforcement\/section-232-steel\">1962 Trade Expansion Act<\/a> and the <a href=\"https:\/\/www.govinfo.gov\/content\/pkg\/COMPS-10384\/pdf\/COMPS-10384.pdf\">Trade Act of 1974<\/a>. In November 2024, <a href=\"https:\/\/www.congress.gov\/bill\/118th-congress\/house-bill\/10181\">legislation<\/a> was introduced to limit the implementation of import tariffs without Congressional approval and was referred to the House Committees on Foreign Affairs and Ways and Means.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-124&quot;,&quot;contentId&quot;:&quot;tenup-accordion-124-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-124-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-124-content\" aria-expanded=\"false\" id=\"tenup-accordion-124-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-123 icon-position-right wp-elements-c4c388a0e5e99ba448d34b8a147225d6 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-46 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Deploy U.S. military to the southern border to combat drug trafficking.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-124-header\" id=\"tenup-accordion-124-content\" inert style=\"color:#333333;\" class=\"wp-elements-0e3ff171d1548b2f0f19b0a133ed5081 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/president-donald-j-trump-declares-war-on-cartels\">stated<\/a> that he will \u201cDeploy all necessary military assets, including the U.S. Navy, to impose a full naval embargo on the cartels, to ensure they cannot use our region\u2019s waters to traffic illicit drugs to the U.S.\u201d In 2024, the Drug Enforcement Administration <a href=\"https:\/\/www.dea.gov\/press-releases\/2024\/06\/18\/federal-indictment-alleges-alliance-between-sinaloa-cartel-and-money\">reported<\/a> that fentanyl is most often traced to production by cartels in Mexico and the illegal transfer of chemical precursors required to produce fentanyl from certain manufacturers in China. While the Drug Enforcement Administration ties fentanyl production to cartels in Mexico, most fentanyl is <a href=\"https:\/\/modern.kff.org\/quick-take\/most-sentenced-for-trafficking-fentanyl-are-u-s-citizens\/\">trafficked<\/a> into and through the U.S. by American citizens, not migrants.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-126&quot;,&quot;contentId&quot;:&quot;tenup-accordion-126-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-126-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-126-content\" aria-expanded=\"false\" id=\"tenup-accordion-126-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-125 icon-position-right wp-elements-c826dc02b48136dcebc0a4197ae318c5 wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-47 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Intensify domestic law enforcement efforts related to fentanyl.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-126-header\" id=\"tenup-accordion-126-content\" inert style=\"color:#333333;\" class=\"wp-elements-c0d38e6c2b002fb02616e9826f1f9485 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">President-elect Trump stated that he will <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/agenda47-ending-the-scourge-of-drug-addiction-in-america\">direct<\/a> federal law enforcement to intensify their efforts against <a href=\"https:\/\/www.donaldjtrump.com\/agenda47\/agenda47-ending-the-scourge-of-drug-addiction-in-america\">gangs and organized crime<\/a>, including strengthening the role of the Immigration and Customs Enforcement Agency (<a href=\"https:\/\/rncplatform.donaldjtrump.com\/?_gl=1*12ihotf*_gcl_au*NjQ5MzQ0ODc5LjE3MzMxNTIyODA.&amp;_ga=2.151323449.1006708734.1733152281-491746136.1724983940\">ICE<\/a>). ICE has been involved with identifying <a href=\"https:\/\/www.dhs.gov\/sites\/default\/files\/2024-04\/23_0919_hsi_strategy-for-combatting-illicit-opioids.pdf\">fentanyl<\/a> distribution networks and is already <a href=\"https:\/\/www.ice.gov\/identify-and-arrest\/287g\">authorized<\/a> to delegate certain immigration officer functions to local law enforcement officers. President-elect Trump also intends to invoke the <a href=\"https:\/\/www.npr.org\/2024\/10\/19\/nx-s1-5156027\/alien-enemies-act-1798-trump-immigration\">Alien Enemies Act<\/a> to deport \u201cknown or suspected\u201d non-citizen drug dealers and cartel members. The Alien Enemies Act is a 1798 wartime authority that has only been invoked three times in U.S. history and may face <a href=\"https:\/\/www.npr.org\/2024\/10\/19\/nx-s1-5156027\/alien-enemies-act-1798-trump-immigration\">legal<\/a> challenges.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-128&quot;,&quot;contentId&quot;:&quot;tenup-accordion-128-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-128-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-128-content\" aria-expanded=\"false\" id=\"tenup-accordion-128-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-127 icon-position-right wp-elements-78bd71021c6988717b52c988707072cb wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-48 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Expand federal coverage for faith-based treatment and flexibilities for protected leave during addiction treatment. <\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-128-header\" id=\"tenup-accordion-128-content\" inert style=\"color:#333333;\" class=\"wp-elements-28f90225fcf9c09fc83c4f08e47fcee0 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">Interest in faith-based treatment has grown, but many faith-based organizations are <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S2949875924002844\">less likely<\/a> to provide or accept patients using medications for opioid use disorder despite evidence showing reduced <a href=\"https:\/\/www.nih.gov\/news-events\/news-releases\/methadone-buprenorphine-reduce-risk-death-after-opioid-overdose\">mortality<\/a>. President-elect Trump plans to expand family leave protections for those seeking addiction treatment, which may build on the Family Medical Leave Act (<a href=\"https:\/\/www.dol.gov\/agencies\/whd\/fmla\">FMLA<\/a>). FMLA currently offers some employment protections for <a href=\"https:\/\/webapps.dol.gov\/elaws\/whd\/fmla\/10c9.aspx\">substance use treatment<\/a>.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-12 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--130\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n\n\n\n<section id=\"long-term-care\" class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" id=\"h-long-term-care\" style=\"padding-top:50px;padding-bottom:20px;font-size:44px;line-height:1.2\">Long-term Care<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:0px;margin-bottom:0px\"\/>\n\n\n\n<section class=\"wp-block-tenup-accordion-group is-layout-flex wp-container-tenup-accordion-group-is-layout-12 wp-block-accordion-group-is-layout-flex\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;activeId&quot;:null,&quot;groupId&quot;:&quot;tenup-accordion-group-133&quot;,&quot;allowMultiple&quot;:true}\">\n\t\n\n<div class=\"wp-block-tenup-accordion\" data-wp-interactive=\"tenup\/accordion\" data-wp-context=\"{&quot;isExpanded&quot;:false,&quot;accordionId&quot;:&quot;tenup-accordion-132&quot;,&quot;contentId&quot;:&quot;tenup-accordion-132-content&quot;,&quot;headerId&quot;:&quot;tenup-accordion-132-header&quot;}\" data-wp-init=\"callbacks.setupListeners\">\n\t\n\n<button aria-controls=\"tenup-accordion-132-content\" aria-expanded=\"false\" id=\"tenup-accordion-132-header\" style=\"color:#333333; font-size:20px;\" class=\"tenup-uikit-container-131 icon-position-right wp-elements-4fa82bffded494e194f7a9eaae3fc6ce wp-block-tenup-accordion-header has-text-color is-layout-flex wp-container-tenup-accordion-header-is-layout-49 wp-block-accordion-header-is-layout-flex\" type=\"button\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--id=\"context.headerId\" data-wp-bind--aria-controls=\"context.contentId\" data-wp-bind--aria-expanded=\"context.isExpanded\" data-wp-on--click=\"actions.toggle\">\n\t<span class=\"wp-block-tenup-accordion-item__title\">\n\t\t<strong>Relax regulations governing nursing facilities.<\/strong>\t<\/span>\n\t<span class=\"wp-block-tenup-accordion-item__icon\">\n\t\t<svg class=\"icon--collapsed\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M10.945 5.445v14h2v-14z\"\/><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t\t<svg class=\"icon--expanded\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"25\" fill=\"none\" viewBox=\"0 0 24 25\"><path fill=\"#004B88\" d=\"M18.945 11.445h-14v2h14z\"\/><\/svg>\t<\/span>\n<\/button>\n\n\n\n<div aria-hidden=\"true\" aria-labelledby=\"tenup-accordion-132-header\" id=\"tenup-accordion-132-content\" inert style=\"color:#333333;\" class=\"wp-elements-0978ea450ef0cb8e7570e501a10dc7f3 wp-block-tenup-accordion-content has-text-color\" data-wp-interactive=\"tenup\/accordion\" data-wp-bind--aria-hidden=\"!context.isExpanded\" data-wp-bind--aria-labelledby=\"context.headerId\" data-wp-bind--id=\"context.contentId\" data-wp-bind--inert=\"!context.isExpanded\">\n\t<div class=\"wp-block-tenup-accordion-content__body\">\n\t\t\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">During President Trump\u2019s first term, CMS proposed regulations that rolled back or relaxed many of the 2016 Obama-era regulations, categorizing them as \u201cunnecessary, obsolete, or excessively burdensome.\u201d The 2019 proposed regulations would have reduced the frequency of facility assessments from annually to biennially, removed the requirement that an infection preventionist work at a facility part-time, and removed the 14-day prescription limit for psychotropic drugs. Those regulations were not finalized during his first term, likely due to the onset of the COVID-19 pandemic, but President-elect Trump may reissue them or issue similar ones in a second term. The incoming administration may issue new regulations to undo regulations issued by the Biden administration that established the first-ever requirements for minimum staffing levels for nursing facilities. The incoming Trump administration could also choose <a href=\"https:\/\/modern.kff.org\/medicare\/issue-brief\/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration\/\">not to defend the rule from legal challenges or support litigation opposing the rule<\/a>. It is not clear if the incoming Trump administration will maintain and implement regulations issued under the Biden administration aimed at promoting transparency around nursing facility ownership.<\/p>\n\n\t<\/div>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-13 wp-block-buttons-is-layout-flex\" style=\"margin-top:15px;margin-bottom:15px;font-size:14px;font-style:normal;font-weight:400\">\n<div class=\"wp-block-button has-custom-font-size is-style-outline is-style-outline--134\" style=\"font-size:16px;text-decoration:underline\"><a class=\"wp-block-button__link has-black-color has-white-background-color has-text-color has-background has-link-color has-border-color has-foreground-border-color wp-element-button\" href=\"#menu\" style=\"border-width:0.5px;border-radius:5px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">Back to top<\/a><\/div>\n<\/div>\n<\/section>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/elections\/\">\n\t\t\t\tElections\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t\t\t<\/div>\n\t<\/section>\n\n\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration<\/p>\n","protected":false},"author":155412888,"featured_media":648725,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"authors":[],"exhibits":[],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"President-elect Trump could exercise executive branch authority through administrative action to quickly move forward on some policy changes without congressional action.","tag":"","search_keywords":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[31174],"tags":[],"series":[],"partner":[],"content-types":[579145492],"program":[],"class_list":["post-647937","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-elections","content-types-tracker"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Potential Health Policy Administrative Actions in the Second Trump Administration | KFF<\/title>\n<meta name=\"description\" content=\"Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Potential Health Policy Administrative Actions in the Second Trump Administration | KFF\" \/>\n<meta property=\"og:description\" content=\"Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF\" \/>\n<meta property=\"article:published_time\" content=\"2024-12-16T13:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-14T17:20:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"kffmichaelp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"kffmichaelp\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"29 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\"},\"author\":{\"name\":\"kffmichaelp\",\"@id\":\"https:\/\/www.kff.org\/#\/schema\/person\/dcda187052e246746e62ed6d2317333c\"},\"headline\":\"Potential Health Policy Administrative Actions in the Second Trump Administration\",\"datePublished\":\"2024-12-16T13:00:00+00:00\",\"dateModified\":\"2025-08-14T17:20:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\"},\"wordCount\":6519,\"publisher\":{\"@id\":\"https:\/\/www.kff.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png\",\"articleSection\":[\"Elections\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\",\"url\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\",\"name\":\"Potential Health Policy Administrative Actions in the Second Trump Administration | KFF\",\"isPartOf\":{\"@id\":\"https:\/\/www.kff.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png\",\"datePublished\":\"2024-12-16T13:00:00+00:00\",\"dateModified\":\"2025-08-14T17:20:56+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage\",\"url\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png\",\"contentUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png\",\"width\":1920,\"height\":1080},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.kff.org\/#website\",\"url\":\"https:\/\/www.kff.org\/\",\"name\":\"KFF - The independent source for health policy research, polling, and news\",\"description\":\"The independent source for health policy research, polling, and news\",\"publisher\":{\"@id\":\"https:\/\/www.kff.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.kff.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.kff.org\/#organization\",\"name\":\"KFF\",\"url\":\"https:\/\/www.kff.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kff.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/04\/KFF_Black.png\",\"contentUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/04\/KFF_Black.png\",\"width\":3186,\"height\":1296,\"caption\":\"KFF\"},\"image\":{\"@id\":\"https:\/\/www.kff.org\/#\/schema\/logo\/image\/\"}},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.kff.org\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Potential Health Policy Administrative Actions in the Second Trump Administration\",\"item\":\"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Potential Health Policy Administrative Actions in the Second Trump Administration\"}]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Potential Health Policy Administrative Actions in the Second Trump Administration | KFF","description":"Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/","og_locale":"en_US","og_type":"article","og_title":"Potential Health Policy Administrative Actions in the Second Trump Administration | KFF","og_description":"Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trump\u2019s record during his first administration, and expected actions that would reverse or modify regulations or guidance issued by the Biden administration","og_url":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/","og_site_name":"KFF","article_published_time":"2024-12-16T13:00:00+00:00","article_modified_time":"2025-08-14T17:20:56+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","type":"image\/png"}],"author":"kffmichaelp","twitter_card":"summary_large_image","twitter_misc":{"Written by":"kffmichaelp","Est. reading time":"29 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#article","isPartOf":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/"},"author":{"name":"kffmichaelp","@id":"https:\/\/www.kff.org\/#\/schema\/person\/dcda187052e246746e62ed6d2317333c"},"headline":"Potential Health Policy Administrative Actions in the Second Trump Administration","datePublished":"2024-12-16T13:00:00+00:00","dateModified":"2025-08-14T17:20:56+00:00","mainEntityOfPage":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/"},"wordCount":6519,"publisher":{"@id":"https:\/\/www.kff.org\/#organization"},"image":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage"},"thumbnailUrl":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","articleSection":["Elections"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/","url":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/","name":"Potential Health Policy Administrative Actions in the Second Trump Administration | KFF","isPartOf":{"@id":"https:\/\/www.kff.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage"},"image":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage"},"thumbnailUrl":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","datePublished":"2024-12-16T13:00:00+00:00","dateModified":"2025-08-14T17:20:56+00:00","breadcrumb":{"@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#primaryimage","url":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","contentUrl":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","width":1920,"height":1080},{"@type":"WebSite","@id":"https:\/\/www.kff.org\/#website","url":"https:\/\/www.kff.org\/","name":"KFF - The independent source for health policy research, polling, and news","description":"The independent source for health policy research, polling, and news","publisher":{"@id":"https:\/\/www.kff.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.kff.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.kff.org\/#organization","name":"KFF","url":"https:\/\/www.kff.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.kff.org\/#\/schema\/logo\/image\/","url":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/04\/KFF_Black.png","contentUrl":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/04\/KFF_Black.png","width":3186,"height":1296,"caption":"KFF"},"image":{"@id":"https:\/\/www.kff.org\/#\/schema\/logo\/image\/"}},{"@type":"BreadcrumbList","@id":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.kff.org"},{"@type":"ListItem","position":2,"name":"Potential Health Policy Administrative Actions in the Second Trump Administration","item":"https:\/\/www.kff.org\/elections\/potential-health-policy-administrative-actions-in-the-second-trump-administration\/"},{"@type":"ListItem","position":3,"name":"Potential Health Policy Administrative Actions in the Second Trump Administration"}]}]}},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2024\/12\/241209_Potential-Health-Policy-Admin-Actions-Under-Trump_Final.png","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgulFb-2IyB","primary_topic":"Elections","publishpress_future_action":{"enabled":false,"date":"2025-09-29 07:36:59","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"distributor_meta":false,"distributor_terms":false,"distributor_media":false,"distributor_original_site_name":"KFF","distributor_original_site_url":"https:\/\/www.kff.org","push-errors":false,"_links":{"self":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/647937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/users\/155412888"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/comments?post=647937"}],"version-history":[{"count":165,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/647937\/revisions"}],"predecessor-version":[{"id":684832,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/647937\/revisions\/684832"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/media\/648725"}],"wp:attachment":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/media?parent=647937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/categories?post=647937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/tags?post=647937"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/series?post=647937"},{"taxonomy":"partner","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/partner?post=647937"},{"taxonomy":"content-types","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/content-types?post=647937"},{"taxonomy":"program","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/program?post=647937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}