Ensuring the vitality of Medicaid is a priority for President Joseph Biden's Administration. In one of his first acts after being inaugurated, President Biden (D) issued an executive order to strengthen the program. Section 1 of the order cites the positive effect the Affordable Care Act has had on reducing the uninsured rate in the country, establishing consumer protections, and strengthening the health care system. He notes, however, that many eligible people still remain uninsured, and he said that his administration views health care as a priority: ‘[I]t is the policy of my Administration to protect and strengthen Medicaid and the ACA and to make high-quality healthcare accessible and affordable for every American,” he wrote. Section 3 of the order directs all agency heads to review their regulations, policies, guidance documents, and other papers to ensure that they advance the priorities stated in Section 1: (a) The Secretary of the Treasury, the Secretary of Labor, the Secretary of Health and Human Services, and the heads of all other executive departments and agencies with authorities and responsibilities related to Medicaid and the ACA (collectively, heads of agencies) shall, as soon as practicable, review all existing regulations, orders, guidance documents, policies, and any other similar agency actions (collectively, agency actions) to determine whether such agency actions are inconsistent with the policy set forth in section 1 of this order. As part of this review, the heads of agencies shall examine the following: (ii) demonstrations and waivers, as well as demonstration and waiver policies, that may reduce coverage under or otherwise undermine Medicaid or the ACA; (iv) policies or practices that may present unnecessary barriers to individuals and families attempting to access Medicaid or ACA coverage, including for mid-year enrollment; and (v) policies or practices that may reduce the affordability of coverage or financial assistance for coverage, including for dependents. President Biden remarked that he is '“restoring the Affordable Care Act and restoring the Medicaid [program] to the way it was before Trump became president, which by fiat he changed, made more inaccessible, more expensive and more difficult for people to qualify for either of those two items.'‘
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