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Rolling Back Trump

Every square is something Donald Trump or his administration signed, ordered, or put his name on since January 20, 2025. Some can be undone with a signature. Others will take an act of Congress, new rules, or years of rebuilding.

CMS rule · Jun 25, 2025 · Health

Made ACA coverage harder to get

Where it standsPartly blockedA federal judge in Maryland paused seven provisions in August 2025 and struck down nine in June 2026, including the $5 monthly charge and the past-due premium requirement. Other parts took effect.

A CMS rule added a $5 monthly charge for some fully subsidized enrollees, extra paperwork for special enrollment periods, and a requirement to pay past-due premiums, and shortened open enrollment. On Aug 31, 2026, CMS also canceled coverage for more than 760,000 people it said were signed up by brokers without authorization, many over missing paperwork such as Social Security numbers, and said another 419,000 are under investigation. KFF's Cynthia Cox said many of those removed were legitimately enrolled and simply didn't respond in time. Separately, enhanced ACA subsidies expired at the end of 2025 when Congress didn't renew them, raising premium payments an average of 114%.

How to roll it backCMS can rewrite the rule and restore coverage for eligible people who were dropped. Congress can restore the enhanced subsidies.
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How we choose

Anything Trump or his administration has done since January 20, 2025 that a future administration or Congress could reverse, limit, or keep from happening again. It goes on the list when official records document it or at least two major news outlets report it.

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Every morning we check the Federal Register, new laws, court rulings, and major news. New orders are confirmed by the Federal Register, AP, or Reuters before they're added. Descriptions come from the documents themselves and independent reporting, not White House press materials.

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