The Trump administration’s recent changes to the Affordable Care Act, commonly known as Obamacare, are now facing legal opposition from Democratic mayors across the nation.

The Department of Health and Human Services has introduced new rules that will shorten the enrollment period for health insurance coverage under the ACA. This reverses a previous expansion implemented during the Biden administration, which had led to record enrollment numbers.

These new regulations could result in approximately 2 million individuals losing their health coverage. This represents nearly 10% of current enrollees. The changes include a reduced enrollment window, stricter income verification processes, and the introduction of a $5 fee for certain automatic re-enrollments.

The legal challenges are mounting from the mayors of Baltimore, Chicago, and Columbus, Ohio. Their lawsuit contends that these new rules will increase the number of uninsured residents and place additional burdens on city services. Two advocacy groups, Doctors for America and Main Street Alliance, have joined this legal action.

The Trump administration maintains that these changes will “safeguard the future of the marketplace” and potentially lower premiums for those who remain enrolled. However, critics argue that the policies were introduced without adequate public comment and may contradict the ACA’s core purpose of expanding affordable health coverage.

The administration cites the need for efficiency and fraud prevention, while opponents emphasize the potential for increased numbers of uninsured Americans and the strain on local resources.

This development follows earlier reports that the Biden administration had celebrated increased ACA enrollment as a major success, with a record 24 million people signing up for coverage. The current changes represent a significant shift in policy direction.

This raises important questions about the future of healthcare access in America and the role of government in providing health insurance options. The outcome of this legal challenge may have far-reaching consequences for millions of Americans and the healthcare system as a whole.