Affordable Care Act

Joey Palacios / Texas Public Radio

Open enrollment for health care plans under the Affordable Care Act begins Wednesday. The city and county, through its Enroll SA program, wants as many people as possible to register for health insurance, but cuts in federal funding might make it harder for some to register.

President Trump signed an executive order Thursday that is intended to provide more options for people shopping for health insurance. The president invoked his power of the pen after repeated Republican efforts to repeal the Affordable Care Act, also known as Obamacare, have failed.

"The competition will be staggering," Trump said. "Insurance companies will be fighting to get every single person signed up. And you will be, hopefully, negotiating, negotiating, negotiating. And you will get such low prices for such great care."

Republicans officially pulled the plug on their last-ditch effort to repeal and replace the Affordable Care Act on Tuesday.

"We don't have the votes," said Sen. Bill Cassidy, R-La., after a closed-door meeting of Senate Republicans. "And since we don't have the votes, we've made the decision to postpone the vote." Cassidy, along with Sen. Lindsey Graham, R-S.C., put together the proposal they hoped could pass the Senate.

Despite uncertainty about the future of the Affordable Care Act, there are still new parts of the law going into effect.

In fact, at the start of this year, a provision prohibiting discrimination on the basis of race, national origin, sex, age or disability in certain health programs or activities formally kicked in. In Texas, that has translated into a new standard for language-access programs across the state.

Updated at 7:15 p.m. ET

House Republicans are bringing their health care bill back for a vote on Thursday. The American Health Care Act was pulled from the House floor just minutes before an expected vote in March, which was seen as a stark failure of Republicans on a key campaign promise.

House Majority Leader Kevin McCarthy said Wednesday evening that they are confident in having enough votes to pass the bill in its latest form early Thursday afternoon.

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