Strengthening Medicaid and the Affordable Care Act
Executive Order 14009
Strengthening Medicaid and the Affordable Care Act
By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows:
Sec. 2 Special Enrollment Period
Sec. 3 Immediate Review of Agency Actions
(i) policies or practices that may undermine protections for people with pre-existing conditions, including complications related to COVID-19, under the ACA;
(ii) demonstrations and waivers, as well as demonstration and waiver policies, that may reduce coverage under or otherwise undermine Medicaid or the ACA;
(iii) policies or practices that may undermine the Health Insurance Marketplace or the individual, small group, or large group markets for health insurance in the United States;
(iv) policies or practices that may present unnecessary barriers to individuals and families attempting to access Medicaid or ACA coverage, including for mid-year enrollment; and
(v) policies or practices that may reduce the affordability of coverage or financial assistance for coverage, including for dependents.
(b) Heads of agencies shall, as soon as practicable and as appropriate and consistent with applicable law, consider whether to suspend, revise, or rescind—and, as applicable, publish for notice and comment proposed rules suspending, revising, or rescinding—those agency actions identified as inconsistent with the policy set forth in section 1 of this order.
(c) Heads of agencies shall, as soon as practicable and as appropriate and consistent with applicable law, consider whether to take any additional agency actions to more fully enforce the policy set forth in section 1 of this order.
Sec. 4 Revocation of Certain Presidential Actions and Review of Associated Agency Actions
(b) As part of the review required under section 3 of this order, heads of agencies shall identify existing agency actions related to or arising from Executive Orders 13765 and 13813. Heads of agencies shall, as soon as practicable, consider whether to suspend, revise, or rescind—and, as applicable, publish for notice and comment proposed rules suspending, revising, or rescinding—any such agency actions, as appropriate and consistent with applicable law and the policy set forth in section 1 of this order.
Sec. 5 General Provisions
(i) the authority granted by law to an executive department or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.
(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.
(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
Disposition & Related Orders
- Revokes: EO 13765, January 20, 2017
- EO 13813, October 12, 2017 Amends: EO 14031, May 28, 2021
- EO 14084, September 30, 2022 Supersedes: EO 14048, September 30, 2021 Revoked by: EO 14148, January 20, 2025 See: EO 14177, January 23, 2025