The incoming Trump administration may wish to change current marketplace listing operational standards and may restrict listing opportunities. For example, the Trump administration could eliminate some special enrollment opportunities created by the Biden administration, shorten the open enrollment window for states using Healthcare.gov, or allow state-based exchanges with more leniency in the definition of different open registration periods. The first Trump administration reduced the length of the open enrollment period.
During his first term, President Trump’s administration allowed Enhanced Direct Enrollment (EDE) sites, which allow brokers to enroll people in ACA Marketplace coverage directly through an online broker website, bypassing Healthcare.gov. More recently, concerns have been raised that some brokers are fraudulently signing up or changing plans without the consumer’s consent. The Biden administration responded by suspending some brokers and taking other steps to ensure consumers consent to any changes to their coverage. The new Trump administration may take additional steps to combat fraud. There are many possible approaches to combating fraud, some of which could make it more difficult for consumers to enroll in coverage.