White House officials have prepared an executive order that would weaken the Affordable Care Act’s requirement that taxpayers demonstrate proof of insurance, according to people briefed on the matter, suggesting they will issue it if congressional Republicans cannot achieve the same goal through the tax reform process.

Healthcare companies, executives and professionals could enjoy lower business and personal taxes while facing reduced revenue due to Medicare and Medicaid cuts that may be used to pay for the tax reductions, under the House Republican tax reform bill released Thursday.

Seven Democratic U.S. senators on Thursday introduced legislation designed to slow the “revolving door” between federal agencies such as the Drug Enforcement Administration and the pharmaceutical companies they regulate.

The House passed a bill on Friday that would provide five years of funds for the popular Children’s Health Insurance Program, over vehement objections from Democrats who opposed the way it would be financed.

Medicaid is rarely associated with getting rich. The patients are poor, the budgets tight and payments to doctors often paltry.

Operating revenue for the Oakland, Calif.-based hospital and health plan giant climbed 11.5% to $18.3 billion from the prior-year quarter. In the same period, operating income grew 20.9% to $850 million.