She underwent a double mastectomy and has been cancer-free for four years. But her insurance plan cost nearly tripled -- rising from about
But thanks to the
But Slobodnik said since Tuesday's election, she's been extremely worried for herself and other breast cancer survivors she knows.
"This whole situation terrifies me," she admitted.
That's because Republican President-elect
The ACA has run into challenges over its lifetime. Parts of the law have been weakened through legal challenges.
In addition, several of the largest
Now Republican lawmakers, who have voted more than 50 times to repeal all or part of the law, have begun pressing Trump to deliver. Senate Majority Leader
But a complete repeal of Obama's ACA may not be immediately in the cards, as Republican lawmakers will hold 51 seats in the
In addition, Trump said on Friday he is open to keeping to key parts of the law -- a provision that allows children to stay on their parents' health plans until age 26 and a provision that prohibits insurers from denying coverage due to a patient's pre-existing conditions.
Instead, health policy experts said, Trump could try to dismantle key elements through a process called budget reconciliation. That would allow him to eliminate funding for the income-based subsidies that make the new insurance plans affordable, or cut the money providing expanded
"Some of the policy experts on the Republican side would say tearing it up and starting over would be very disruptive," said
'The big problem'
"The big problem is there is no real, clear plan for replacement," said
Days after the election, Trump's transition team released some details on his website similar to those discussed during the campaign, including re-establishing high-risk pools and allowing people to purchase insurance across state lines.
The state's version of
While the federal government provided 100 percent of funding to states that expanded
However, some elements could not be eliminated by depriving the law of funds. For example, the ACA prevents insurers from denying coverage to people based on their health or pricing insurance based on gender. Mandatory coverage of preventive benefits also would be unaffected -- short of a complete repeal.
It also is not clear if Trump would try to reverse the individual mandate, which requires people to purchase health insurance or pay a penalty. The goal of the requirement was to broaden the pool of policyholders to include more healthy Americans, which in turn would stabilize costs.
Trump also would face a tight deadline were he to try to dismantle the insurance exchanges by 2018; many state-based health insurance regulators require insurers to submit plans for the upcoming year by April or May -- only a few months into a new administration.
Enrollment opened on
Even still, there is a good deal of confusion surrounding the future of the exchanges.
She took part in a conference call with
"There still is a lot up in the air leading up to the
The federal government, for its part, still is putting out a positive message, saying in a Thursday statement that it's "all in for this Open Enrollment" time period.
"This is coverage that is vital to millions of Americans, and that is being proven yet again as more people sign up, including (Wednesday), when more than 100,000 people signed up for coverage, the highest single-day
Changes to the health care delivery system also were part of the ACA -- from moving to a more value-based payment system through Accountable Care Organizations to more coordinated care.
"We're a nonprofit, statewide system," she said. "We think about patients first and will continue to be that safety net, it's part of our mission.
"Obviously we are now getting reimbursed for those patients who were not covered before, so if that coverage stops the payments stop."
"The ACA started conversations," Rosener said -- conversations "that wouldn't have had the attention of the whole
Reuters contributed to this report.
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