Well the main thing now that people worried about relying on the ACA for ER has to think about is that the administration may yet again try to pass a repeal and replace law.
But some of the ideas floated would lead to more uninsured people than the first incarnation of the AHCA and there's talk about giving states the right to revoke community rating, which could lead to higher premiums for older people and those with preexisting conditions.
Meanwhile, it seems the main thrust for health care is to recover a lot of money used for Medicaid expansion, so that that money could be used for tax cuts. The reason they have to pay for tax cuts this way is the budget reconciliation rules, which allow them to pass laws without having to get 60 votes in the Senate.
The president has threatened not to fund some of the cost sharing provisions in the ACA. Specifically, there's something like $7 billion which were allocated to help insurers defray any losses in the exchanges. That deadline is looming soon because by May, insurers will have to commit to staying in the exchanges for 2018.
Refusal to fund these cost-sharing reductions could cause more insurers to leave the exchanges:
Trump, Democrats negotiate on Obamacare cost-sharing payments - Business Insider
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