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Fifteen states, two cities and several environmental organizations have challenged EPA’s suspension in several lawsuits. On September 12, 2019, the Trump administration repealed the Clean Water Rule. Some healthcare companies, insurers, doctor groups, and hospitals feel encouraged by the appointments. Some insurance companies that sell in both the state and federal markets feel that changes from the GOP will allow them to sell more flexible and cheaper plans. On Monday, the Annals of Internal Medicine published research, which found that insurance coverage “increased by about 5 percentage points — around 4 million people — in 2014” among Americans with chronic illnesses. But the study also suggests that the ACA fell short in being able to guarantee that people with chronic conditions have access to see doctors, get medical treatment, and buy affordable medications. “The study is the first to examine how the health law affected people with these long-term diseases,