HHS Proposal Floats Significant Changes for Obamacare Market

The Trump administration’s proposed rule governing the Affordable Care Act exchanges attempts to introduce uncommon insurance plans into the market, including plans without a traditional doctor network or with multiyear terms.

The proposal tests the legal limits of the administration’s authority, and doubles down on some provisions blocked by a federal judge. The rule also signals interest in revisiting some of the law’s key features—such as essential health benefits and spending thresholds—in future years.

It comes as the administration battles Democratic cities and states over a previous rule to tighten enrollment guardrails, and as insurers face a probe from Republicans ...