For now, congressional Republicans appear to have set aside efforts to repeal the Affordable Care Act (ACA). Yet, it’s increasingly clear that the Trump administration is doubling down on its attempts to seriously weaken the ACA’s Medicaid expansion by making it more difficult for millions of low-income people to get health coverage. The administration’s strategy is focused on state waivers, which do not require congressional approval. On Monday, the administration approved a sweeping new waiver in Arkansas that could jeopardize coverage for many low-income adults.
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