On Jan. 20, 2017 as his first act as president, Donald Trump signed an executive order addressing the Affordable Care Act (ACA). The order states that it is intended “to minimize the unwarranted economic and regulatory burdens” of the ACA until the law can be repealed and eventually replaced. The executive order is very broad, and it does not include detailed guidance for how it should be carried out. Instead, it gives federal agencies authority to eliminate or fail to enforce any number of ACA requirements, as permitted by law. As a result, until the new heads of federal agencies are in place, it is difficult to know how the ACA will be specifically impacted.