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Course Details

Course Information
  • smart_display Format

    Live Online with Live Q&A

  • signal_cellular_alt Difficulty Level

    Intermediate

  • work Practice Area

    Health

Date & Time
  • event Date

    Thursday, June 26, 2025

  • schedule Time

    1:00 p.m. ET./10:00 a.m. PT

  • timer Program Length

    90 minutes

Credit Information

  • This 90-minute webinar is eligible in most states for 1.5 CLE credits.

$297.00
CLE
ALL

This CLE webinar will examine recent actions by the Trump administration related to the Affordable Care Act (ACA), examining policy actions that include rescinding Biden-era measures, slashing funding for ACA navigators, and propounding a proposed rule that would make sweeping changes to ACA marketplace enrollment and eligibility. The expert panel will provide insight into how the administration's actions will likely impact the healthcare industry and marketplace participants.

Faculty

Rachel Carey
Counsel
Mcdonald Hopkins LLC

Ms. Carey brings extensive experience advising healthcare clients on a wide range of regulatory, transactional, and reimbursement issues. She partners with a wide range of clients, from independent providers and ambulatory surgery centers to academic medical centers and private equity investors, to navigate the evolving healthcare landscape. Ms. Carey’s practice is particularly focused on the development and operation of ambulatory surgery centers, certificate of need applications, and value-based care arrangements. She also advises clients in emerging areas such as artificial intelligence in healthcare, palliative care, and the creation of new physician residency and anesthesia assistant programs. Ms. Carey’s deep knowledge of the corporate practice of medicine, Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, and state-specific fee-splitting laws enables her to structure transactions that are both compliant and commercially strategic. Her transactional work is informed by a nuanced understanding of payer-provider dynamics, sharpened by her previous roles at Anthem and other managed care organizations.

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Description

The Trump administration has taken recent action related to the ACA that will impact millions, including rescinding Biden-era measures that increased ACA enrollment, slashing funding for ACA navigators, and issuing a proposed rule that will significantly impact ACA eligibility and enrollments across the country. 

The CMS proposed rule, one of the most notable actions, purportedly taken to crack down on fraud in the program, would shorten the annual open enrollment period by one month, end the availability of the monthly special enrollment period (SEP) for individuals with household incomes below 150 percent of the federal poverty level, and require all marketplaces to reinstitute pre-enrollment verifications of eligibility for SEPs and further verifications of income when there is no tax data available for verification.

Additionally, the proposed rule would further administration priorities by adding sex-trait modification to the list of services that may not be covered as essential health benefits beginning in plan year 2026; and would revert to a previous definition of "lawfully present" that excludes DACA recipients for purposes of enrolling in marketplace coverage.

Critics of the proposed rule claim its effect will be to shrink participation in the exchanges. And any impact on fraud will be minimal as the proposed rule only nominally affects agents and brokers, while the prior administration's rule made it more difficult for insurance agents to make unauthorized changes to consumers' coverage and expanded CMS' ability to punish bad actors.

Listen as our expert panel closely examines the new administration's actions related to the ACA including the recently proposed rule aimed at maintaining the integrity of the ACA. The panel will provide insight into the potential impact on the healthcare industry and offer best practices for compliance.

Outline

I.      Introduction: new administration and the ACA

II.    Rescinding Biden-era measures

III.   Funding cut for ACA navigators

IV.  CMS proposed rule related to ACA eligibility and enrollment

A.    Purpose

B.    Proposed changes

1.    Addressing improper enrollments

2.    Furthering administration policies

V.    Impact on healthcare industry and marketplace participants

VI.  Practitioner takeaways


Benefits

The panel will review these and other important considerations:

  • The new administration has taken what policy actions related to the ACA?
  • What are key changes in the proposed CMS rule that will impact ACA eligibility and enrollment?
  • How do the proposed rule changes advance the new administration's healthcare agenda?
  • What is the potential impact of the administration's actions on healthcare providers and ACA marketplace participants?