This document orders a “regulatory freeze.” A new or pending regulation will not be published in the Federal Register until it is reviewed and approved by a Department or Agency Head appointed by Trump. The Effective Dates of recently published regulations may be pushed back 60 days to allow for review and approval. Guidance on the implementation of this memo was also issued on January 24.
Before “prompt repeal of the Patient Protection and Affordable Care Act,” this order provides “greater flexibility to States” in deciding how to implement and enforce the Act. (The OMB later released a statement reiterating that this Order should have minimal impact on Agency resources.)