A significant component of the Affordable Care Act (passed in 2010) is its insurance mandates, designed to expand coverage, improve healthcare quality, and reduce costs. These mandates encompass a range of requirements for individuals, employers, and insurance companies, aimed at creating a more inclusive and efficient healthcare system.

Project 2025 proposes deregulating private insurance markets. They argue deregulation will lead to more competition and lower prices. Deregulating insurance markets therefore may not lead to better healthcare for less money. Deregulation may produce the opposite.

Without the ACA mandates, insurers may begin charging for these services or not covering them at all. This could lead to a decline in preventive care, resulting in higher long-term healthcare costs due to the increase in untreated conditions and late-stage diagnoses. Deregulation of the insurance market under Project 2025 and Agenda 47 will not guarantee the same level of insurance coverage or same quality of healthcare as under the Affordable Care Act. Deregulation will encourage insurance companies rather to maximize profits, at the expense of insurance coverage and health outcomes.

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