Key Points of President Trump's Health Care Executive Order

MIKE SAVES THE DAY Vice President Mike Pence stopped Trump telling him that he hadn't signed the order yet

MIKE SAVES THE DAY Vice President Mike Pence stopped Trump telling him that he hadn't signed the order yet

For the second time this year, President Donald Trump tried to leave an executive order signing ceremony before he actually signed the order.

At that point, Vice President Mike Pence had to walk over to him, tap him on the arm, and remind him that he still needed to sign the executive order. The President has been promising action similar to that taken today since the Senate failed to vote on repeal and replace legislation in July.

The order allows for a broader interpretation of the Employee Retirement Income Security Act (ERISA), which could, according to a White House statement, "potentially allow employers in the same line of business anywhere in the country to join together to offer health care coverage to their employees", in addition to expanding coverage through short-term and low-priced limited duration insurance (STLDI). Congress had earlier acted to exempt certain small employers from this prohibition by creating Qualified Small Employer Health Reimbursement Accounts ("QSEHRAs") as part of the 21 Century Cures Act.

The order directs the Secretary of Labor to consider expanding access to Association Health Plans (AHPs), which could potentially allow American employers to form groups across State lines.

The White House has indicated that changes to HRAs will "expand employers' ability to utilize HRAs to allow their employees to exercise greater choice and control over how to finance their healthcare needs, including through portable, more secure insurance coverage that they choose themselves".

Rasmussen says the Executive Order will lead to even worse health care coverage options for farmers and ranchers.

Stone is general counsel at ConnectYourCare.