A lot can change in just one year. Last summer, benefits professionals anticipated the likely election of Hillary Clinton and the continuation and possible expansion of the Affordable Care Act. Now they are adjusting to the brave new world of a Donald Trump administration and an uncertain future for national health policy.

An appropriations bill approved last week by the Subcommittee on Financial Services and General Government includes language that no funding should be used by the IRS to "implement or enforce" ObamaCare's individual mandate.

Many consumers collected unexpected rebates after the Affordable Care Act became law, possibly with a note explaining why: Their insurer spent more of their revenue from premiums on administration and profits than the law allowed, so it was payback time.

One of the key aims of the House and Senate bills is reversing the Affordable Care Act’s expansion of Medicaid. But the legislation also would institute changes to the federal-state health program for low-income residents that could devastate states such as Georgia that didn’t expand Medicaid. Georgia already ranks 45th in the nation in per capita Medicaid spending, according to the Georgia Budget and Policy Institute.

Insurers in the Affordable Care Act marketplaces earned an average of nearly $300 per member in the first quarter of 2017, more than double what they earned in a similar period in the marketplaces’ previous three years, according to new analysis by the Kaiser Family Foundation.

The decision comes just one day after the Congressional Budget Office revealed its analysis of the Senate bill, saying the plan would cause 22 million to lose their health coverage by 2026. The House's American Health Care Act had a similar impact with 23 million projected to lose their coverage.