What Stays the Same
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ACA will still exist: The bill does not repeal the ACA itself.
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You can still enroll through HealthCare.gov or your state marketplace.
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Pre-existing condition protections remain intact.
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If you're unsubsidized today, you're likely in a higher income bracket or in a non-expansion state — this remains available to you under the new rules.
Plan Availability & Network Shrinking
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If insurers see fewer healthy enrollees or more market instability, they may drop plans or shrink provider networks.
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That could limit your choice of plans/doctors or increase premiums further