An early Trump administration plan to dismantle the Affordable Care Act through executive action was released publicly Wednesday.

The list was designed to show conservative Republicans how the Trump administration would take apart the healthcare law outside congressional action.

The list includes seven provisions that have already been enacted — like shorter open-enrollment periods — and a few that have not, like "skinny" Obamacare exchanges.



Republicans have so far failed to repeal and replace the Affordable Care Act in Congress, but President Donald Trump's administration appears to be carrying out a plan to undermine the law on its own.

Politico's Jennifer Haberkorn on Wednesday reported that Tom Price, then the health and human services secretary, attended a meeting with lawmakers last year in which a one-page document was presented that listed 10 steps the Trump administration planned to take to dismantle the law.

The steps do not need congressional approval and were designed to help reshape the seminal healthcare law, which came to be known as Obamacare, without input from Congress.

HHS has already implemented seven of the proposed changes, such as cutting the open-enrollment period for federal Obamacare exchanges in half during Trump's first year in office.

According to Politico, the 10-step list represented an attempt to win over conservatives during the repeal-and-replace fight. Some members, such as those in the House Freedom Caucus, insisted on a full-repeal strategy rather than the bill Republican leaders pushed.

The list provided a way to show reluctant members that the bill was not the only repeal measure that the Trump administration was pursuing.

Many advocates for Obamacare and health-policy experts said the changes on the list could undermine some of the protections afforded by Obamacare, destabilize the exchanges, and cause an increase in the number of uninsured.

The document was obtained by Democratic Sen. Bob Casey via a request to HHS. Casey originally heard about the document from media reports last March.

Here's a rundown of the 10 steps on the document: