This document summarizes key issues around health care in the United States in 2017, including the future of the Affordable Care Act depending on who wins the presidential election. It notes that the ACA marketplaces need improvements, drug prices are a growing issue, and the Children's Health Insurance Program must be reauthorized. It outlines Hillary Clinton's proposals to modify the ACA and allow people to buy into Medicare, as well as Donald Trump's position to repeal the ACA and replace it with a less defined alternative centered around health savings accounts and more state flexibility.

1. Health care in 2017
Jennifer Haberkorn
Politico
jhaberkorn@politico.com

2. Health care in 2017 under either president
 ACA markets are in need of work
 Public pressure is building for something to be done on drug prices
 Children’s Health Insurance Program (CHIP) will have to be reauthorized by
September 2017 (more likely in the spring)
 ACA’s Cadillac tax likely needs to be addressed
Political dynamic:
 A very close Senate
 Likely smaller GOP majority in the House

3. Clinton win: What do we know
 ACA is here to stay (for at least four years)
 ACA repairs package to be offered
 Democrats will claim an election mandate to repair the law
 (If the GOP keeps the House,) Hill investigations into Obamacare will continue

4. Clinton win: Her proposals
https://www.hillaryclinton.com/issues/health-care/
 Allow people under 55 to buy into Medicare
 Bring down out of pocket costs like co-pays and deductibles
 Reduce the price of prescription drugs
 Repeal the Cadillac tax
 President Obama’s ACA repairs:
 Public option/public option fallback
 More subsidies
 Incentivize states to do Medicaid expansion
 Other possible ACA repairs:
 Technical fixes like more risk mitigation tools

5. Trump win: What do we know
 All of Obamacare reopened, the law’s future in serious doubt
 Unclear how much can be repealed, but a lot of it could be if Republicans have 51 votes in
the Senate.
 Industry likely to lobby hard to keep the law in place
 House Republicans would likely drive the repeal and replace effort
 Speaker Paul Ryan’s “Better Way” agenda
 Regulatory flexibility added to ACA

6. Trump win: His proposals
https://www.donaldjtrump.com/policies/health-care/
 Repeal Obamacare
 New patient-centered health care system
 Few details on what it would be
 Health savings accounts
 High-risk insurance pools
 Allow people to sell insurance across state lines
 Block grants for Medicaid
 Regulatory changes to the ACA
 More state flexibility