Health Care: Repeal, Replace, and Sabotage

President Trump and congressional Republicans have tried (and thus far failed) to repeal and replace the Affordable Care Act – even as the president has repeatedly vowed to let the health care system "explode." The American people have a right to know what secret deals the Trump administration has made with Congress regarding health care and whether the president or other officials are planning to sabotage the health insurance marketplace.

What We’re Seeking

  • Records detailing any attempts or plans by the Trump administration to sabotage the Affordable Care Act.
  • Communications between Trump administration – specifically HHS, OMB, and the IRS – and Congress regarding the cost and impact of health care reform proposals.
  • Communications between the Trump administration and outside groups, such as health insurance or pharmaceutical companies, regarding health care reform legislation.
  • Records showing any Trump administration cost estimates for the various health care reform bills considered by Congress.

Background

Overhauling the health care system could affect up to 1/6th of the American economy – and yet the White House and Congressional leaders have repeatedly rushed ahead to try to pass legislation to repeal and replace Obamacare, often without waiting to determine the cost or impact of their proposals.

From the start of the Trump administration’s health care reform push in March, the process has been marked by secrecy, backroom dealmaking, and conflicting statements from the White House and Congress about what the bills would actually do.

At the same time, President Trump has threatened to allow the Affordable Care Act to fail. The administration has already canceled advertising that would have helped encourage people to sign up for insurance coverage, and each month the White House raises the possibility of withholding mandatory payments to health insurers.

Updates

Health Care Lawsuit: Fighting for Transparency

October 17, 2017
American Oversight filed a new motion opposing efforts by the Trump administration and Congress to block the release of emails detailing the secret health care reform negotiations.

Congress Enters Legal Fight to Block Release of Obamacare Repeal Emails

September 15, 2017
"From the very beginning, health care negotiations between the Trump administration and Congress have taken place in secret, and with talks reportedly starting again, Congress has made it clear that its first priority is to keep the public in the dark.”

“News to Me!” – Inside the Health Care Emails

September 13, 2017
Health care negotiation emails obtained American Oversight appear to show senior White House and Congressional aides joking about "patient centered care" in an Obamacare repeal proposal.
Show all updates

Related Documents

November 17, 2017

Minute Order: American Oversight v. HHS – Sabotage Memo

Department of Health and Human Services, Office of Management and Budget, White House
Litigation
November 10, 2017

Reply Brief: American Oversight v. HHS and OMB – Health Care Emails

Department of Health and Human Services, Office of Management and Budget
Litigation
November 6, 2017

US House of Representatives Reply and Opposition Health Care Emails

Department of Health and Human Services, Office of Management and Budget
Litigation
November 3, 2017

HHS/OMB: Reply and Opposition – Health Care Emails

Department of Health and Human Services, Office of Management and Budget
Litigation
November 2, 2017

American Oversight v. HHS – Sabotage Memo

Department of Health and Human Services, Office of Management and Budget, White House
Litigation
October 23, 2017

FOIA to HHS Regarding Iowa Waiver Communications

Department of Health and Human Services
FOIA Request
October 23, 2017

FOIA to OMB Regarding Iowa Waiver Communications

Office of Management and Budget
FOIA Request
October 17, 2017

American Oversight Cross Motion & Opposition: Health Care Records Lawsuit

Department of Health and Human Services, Office of Management and Budget
Litigation
September 27, 2017

HHS/OMB Motion for Summary Judgment – Health Care Emails 

Congress, Department of Health and Human Services
Litigation
September 26, 2017

American Oversight Response to U.S. House Motion to Intervene – Health Care Emails

Department of Health and Human Services, Office of Management and Budget
Litigation
September 26, 2017

American Oversight Withdrawal of Motion Regarding Schedule – Health Care Emails

Department of Health and Human Services, Office of Management and Budget
Litigation
September 21, 2017

American Oversight Motion Regarding Schedule – Health Care Emails

Congress, Department of Health and Human Services
Litigation
September 19, 2017

U.S. House of Representatives: Motion for Summary Judgment

Congress, Department of Health and Human Services
Litigation
September 15, 2017

U.S. House of Representatives: Motion to Intervene

Congress, Department of Health and Human Services
Litigation
September 7, 2017

FOIA to Health and Human Services Regarding ACA

Department of Health and Human Services
FOIA Request
September 7, 2017

FOIA to HHS Seeking Communications with CMS

Centers For Medicare and Medicaid Services
FOIA Request
September 7, 2017

FOIA to Office of Management and Budget About ACA

Office of Management and Budget
FOIA Request
September 7, 2017

FOIA to OMB Seeking Communications with Congress

Office of Management and Budget
FOIA Request
September 7, 2017

Third FOIA Request to HHS

Department of Health and Human Services
FOIA Request
September 7, 2017

Third FOIA to HHS and CMS About the ACA

Centers For Medicare and Medicaid Services, Department of Health and Human Services
FOIA Request
September 7, 2017

Third FOIA to OMB Regarding Health Care Reform

Office of Management and Budget
FOIA Request
September 7, 2017

Third FOIA to Treasury About Health Care Reform

Department of the Treasury
FOIA Request
September 7, 2017

FOIA to HHS Seeking Stakeholder Communications

Department of Health and Human Services
FOIA Request
September 7, 2017

FOIA to HHS and CMS Seeking Stakeholder Communications

Centers For Medicare and Medicaid Services, Department of Health and Human Services
FOIA Request
September 7, 2017

Third FOIA to OMB About Health Care

Office of Management and Budget
FOIA Request
September 7, 2017

FOIA to Treasury About Healthcare Reform

Department of the Treasury
FOIA Request
September 7, 2017

FOIA to HHS Regarding Budget

Department of Health and Human Services
FOIA Request
September 7, 2017

FOIA to OMB About Budget Communications

Office of Management and Budget
FOIA Request
September 5, 2017

HHS September 5, 2017 Health Care Correspondence Production

Department of Health and Human Services
Agency Record
September 5, 2017

OMB September 5, 2017 Health Care Correspondence Production

Office of Management and Budget
Agency Record
August 25, 2017

Minute Order: Defendants to Set Schedule

Department of Health and Human Services, Office of Management and Budget
Litigation
August 16, 2017

No Responsive Records from Treasury Department for Communications with NGOs Regarding Health Care Reform

Department of the Treasury
Agency Reply
August 4, 2017

Minute Order: Denying Motion for Hearing

Department of Health and Human Services, Office of Management and Budget
Litigation
May 25, 2017

Minute Order: Government to Produce Records

Department of Health and Human Services, Office of Management and Budget
Litigation
May 19, 2017

Minute Order: Joint Status Report

Department of Health and Human Services, Office of Management and Budget
Litigation
May 10, 2017

Minute Order: Joint Status Report

Department of Health and Human Services
Litigation
May 4, 2017

Complaint: American Oversight v. HHS and OMB

Department of Health and Human Services, Office of Management and Budget
Litigation
May 4, 2017

American Oversight Motion for Preliminary Injunction & Brief

Department of Health and Human Services, Office of Management and Budget
Litigation
March 27, 2017

FOIA Request to HHS Records Relating to Cancelling Affordable Care Act Advertising and Outreach

Department of Health and Human Services
FOIA Request
March 21, 2017

FOIA Request to OMB Cost Analysis for the American Health Care Act

Office of Management and Budget
FOIA Request
March 21, 2017

FOIA Request to OMB Communications with NGOs regarding Health Care Reform

Office of Management and Budget
FOIA Request
March 17, 2017

FOIA Request to HHS Cost Analysis for the American Health Care Act

Department of Health and Human Services
FOIA Request
March 15, 2017

FOIA Request to HHS Communications with Outside Entities Regarding Health Care Reform

Department of Health and Human Services
FOIA Request
March 15, 2017

FOIA Request to OMB Communications with Congress Relating to Health Care Reform

Office of Management and Budget
FOIA Request