A major agenda item for both President Donald Trump and the Republican-controlled Congress is repealing and replacing the Affordable Care Act, commonly known as Obamacare. The president took the first step, signing an executive order instructing federal agencies to grant relief to constituencies affected by the ACA through waivers, grants and deferments. The generally worded order leaves a lot of room for interpretation – leaving the states to figure out what “repeal and replace” will mean for consumers, health care providers and insurers. We look at the state’s perspective from Teresa Miller, Insurance Commissioner for Pennsylvania, who is hearing deep concerns from both health care enrollees and insurance companies. She walks us through some of the issues that have created instability in the health care marketplace and remedies for those aliments, without leaving consumers uninsured.

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