Trump Administration Proposes Cuts to ACA Enrollment Period and Coverage for 'Dreamers'

The proposal would shorten the enrollment window by a month, exclude certain immigrants from coverage, and remove gender-affirming care as an essential benefit.

• The Trump administration has proposed reducing the Affordable Care Act (ACA) open enrollment period from November 1 to December 15, cutting it short by one month.
• The Centers for Medicare and Medicaid Servicesclaims the change will streamline the process, reduce confusion, and lower the risk of adverse selection.
• The proposal would also end ACA coverage eligibility for immigrants brought to the U.S. as children under the Deferred Action for Childhood Arrivals (DACA) program, reversing a Biden-era policy.
• Gender-affirming care would no longer be classified as an essential health benefit under ACA plans starting in 2026, per the CMS proposal.
• The Biden administration had previously expanded ACA enrollment and subsidies, leading to record sign-ups, but these new proposals could reverse some of those gains.

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