What we're experiencing now in Washington, D.C., doesn't happenoften. Seldom does the arrival of a new Congress and Administrationraise the prospect of widespread, broad and rapid changes in publicpolicy. As President Trump gets accustomed to his new digs at 1600Pennsylvania Ave., and the Republican majority in Congress preparesits proposals, a real chance exists for significantchange.

This kind of singular political alignment, where one partycontrols both the executive and legislative branches of government,occurs infrequently in modern times and is usually short-lived.Still, we are in for some significant changes. Let's look at a fewthat touch on insurance.

Health care

One of Donald Trump's main campaign pledges was to "repeal andreplace" the Affordable Care Act (ACA), known as Obamacare.Republicans in Congress are fully supportive of getting rid of theACA. But since the election, there have been indications that doingso may not be something that can be done quickly.

In the week before the presidential inauguration, signs began toappear that changes in healthcare may be more complicated than somethought. Although the GOP in the House voted more than 40 times torepeal the ACA, their plan to replace it is still being developed.President Trump promised that repeal and replacement will happen eithersimultaneously or in quick succession. He also said he would try tokeep Obamacare's provisions barring pre-existing conditionexclusions and allowing adult children to stay on their parents'plans until the age of 26. Some Republicans are now advocating forhaving a replacement plan done before acting on repeal.

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