General Discussion

https://healthlaw.org/authoritarian-project-2025-agenda-endangers-the-future-of-medicaid-and-the-affordable-care-act/

“The Project 2025 agenda would severely decrease access to and the quality of affordable private health insurance. It would expand “junk” health plans (short-term limited duration plans) that do not comply with the ACA’s protections (470). These plans may charge women and people with pre-existing conditions more for coverage and do not have to cover the ACA’s Essential Health Benefits, such as prescription drugs; pregnancy, maternity and newborn care; and preventive services, leaving many without the coverage they need. Project 2025 also seeks to separate unsubsidized and subsidized health plans into separate marketplaces, making it more difficult for people to compare various plans’ scope and quality (469).

Project 2025 directs the administration to reissue a 2019 Final Rule (473) that essentially made ACA’s modest protections for people to access abortion coverage meaningless, with devastating effects on health and economic futures. As part of its anti-science agenda, Project 2025 also conflates abortion and emergency contraception and proposes eliminating coverage of emergency contraception from the ACA’s contraceptive mandate (485). Further, the extremist playbook aims to undermine the ACA’s women’s preventive services mandate, which requires most health plans to cover recommended preventive services without cost-sharing, by narrowing coverage of evidence-based care and restoring ideologically driven and antiscience recommendations from the past (484–485).”