Trump administration shortens ACA enrollment, threatening healthcare for millions of consumers

 Media Contact: Lisa McDonald, Vice President of Communications, 202-207-2829      

Washington, DC – Millions of Americans would be affected by the Trump administration’s attempts to shorten the Affordable Care Act (ACA) open enrollment period and eliminate the monthly enrollment option for low-income families.   

By shortening the open enrollment window from 12 weeks to just 30 days, the proposal issued by the Centers for Medicare and Medicaid Services (CMS) would inevitably result in eligible individuals failing to enroll in coverage. The drastic reduction in time creates unnecessary barriers to enrollment for consumers, particularly those who need time to research their options, gather necessary documentation, contact brokers, or navigate the enrollment process. This is a direct attack on consumers’ access to healthcare, disproportionately affecting vulnerable populations, including low-income families, the elderly, and those with limited internet access or health literacy.  

In Trump’s first term, the administration cut outreach and public education funding and allowed short-term plans that offer subpar coverage, leading to a significant drop in ACA enrollment. This latest attempt will create further confusion and chaos for consumers seeking affordable healthcare options.     

Additionally, the CMS proposal to deny ACA coverage to immigrant “Dreamers”—young people brought to the U.S. illegally as children—raises further concerns. These individuals are hardworking, tax-paying contributors to the U.S. economy and should not be excluded from accessing healthcare plans. CMS also proposed limiting coverage for gender-affirming care starting in 2026.    

“This is a cruel and calculated attempt to roll back the ACA, undermine consumers, and restrict access to healthcare for millions,” said NCL CEO Sally Greenberg. “By shortening the enrollment period, the administration is making it harder for hardworking Americans to find the coverage they need. Denying Dreamers access to health care is unjust, shortsighted, and could put in danger the broader community. We are disappointed by this proposal as Mr. Trump has pledged not to harm Dreamers.”   

In December of 2024 President Trump discussed Dreamers during a “Meet the Press” interview: “We have to do something about the Dreamers because these are people that have been brought here at a very young age,’ If Dreamers have the right to stay in this country, as Mr. Trump says they should, it is essential they have the same health care options available as all other Americans.

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About the National Consumers League (NCL)      

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.