What happens in MA if Obamacare is repealed?

"We're really not sure what to expect for next year", he said.

"Donald Trump is a pragmatist". Also, without the cost controls and taxes brought on by the ACA, the federal deficit would increase by $353 billion over the next decade, according to the Congressional Budget Office, in addition to the number of insured Americans falling by 24 million.

It is hard to underestimate the stakes: The ACA sits atop a major tectonic plate of the US economy, almost 18% of which is health care related.

Medicaid will remain an integral part of any program, since coverage for the working poor and disabled cannot be provided as efficiently, both in terms of cost and scope of coverage, by private insurance as it can be through Medicaid.

Healey said her office is committed to working with legislative leaders to monitor federal health care policy and be ready for MA to respond in a way that protects the state's consumers and health care market. "I can say there's a broad commitment that we will fight to maintain the great programs and coverage that we have right now", Gens said.

"Any agenda to reduce dependency and increase self-sufficiency of those populations, Medicaid needs to be a piece of that", said Ed Haislmaier, senior research fellow at the Heritage Foundation, a conservative think tank.

"It's worrisome to talk about repeal without a well-thought out plan to replace Obacamare", she said.

Shortly after his election earlier this month, Trump moderated his campaign promise to repeal the ACA, saying in an interview that he would attempt to keep two popular provisions: banning insurers from excluding people with pre-existing conditions and allowing young people to stay on their parents' insurance until the age of 26.

Q: Since Republicans have pledged to repeal the law, can I ignore the law's requirement that I have health insurance? While these plans are not eligible for financial assistance, they might be less expensive than some on-marketplace options and still provide the same coverage and protections mandated by the Affordable Care Act.

It's risky to delay enrolling in health coverage.

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The plans begin coverage on January 1. So it is in a rough way with our movement toward a system providing basic universal health care.

But that can't be said of the prohibition against denial of coverage for those with pre-existing conditions. You could allow companies to charge much more for those with expensive medical conditions, but in many cases that will amount to the same thing as a prohibition on coverage.

In Massachusetts, without the mandate, projections showed that only a third of the uninsured would be covered, so then-Gov. The ACA greatly expanded the reach of Medicaid, though the Supreme Court later made this portion of the law discretionary. As long as it's the law, you should follow it, experts said. The monthly cost of a particular type of health insurance can sometimes be the easiest part of the insurance world to understand, but by itself, your premium cost is only half of what you need to know about a health insurance policy. "It seems to me that there's certainly positive attention on how the uninsured rate has gone down a lot in recent years". Again, in an economic and political environment in which rationing becomes necessary, politically weak groups will be vulnerable. People are asking whether subsidies might go away and whether premiums will rise or fall, Zhang said.

"I think we're going to take a look at what begins to happen and some of the thinking", Mr. Connor said.

One way to lower the medical premiums that individuals must pay for health coverage is to grant them an above-the-line tax deduction for those premiums, just as is provided for self-employed persons and employers. That's urgently needed. Federal Medicaid spending has shot up 40 percent in the last three years. Instead, she has tried to compensate by offering other perks, such as a higher 401 (k) match, more paid time off and flexible hours. You also need to consider what coverage the policy offers.

The best option for healthy millennials is often a basic plan covering potential catastrophes.

See more: Will Obamacare help or hurt your business?

How does Trump's plan measure up? It is also clear that improving the health of a nation's citizens can directly result in economic growth, partly because more people are more productive in the labor force.

But other small businesspeople emphasized there was no guarantee any new policy would serve their community.

David Seltz, executive director of the Health Policy Commission, said the first major signal about the administration's intentions will be who Trump appoints as Secretary of Health and Human Services.