President Donald Trump late last week made good on a threat to simply stop making insurer subsidies under the Affordable Care Act. He also directed the Labor, Treasury, and Health and Human Services Departments to allow small businesses and individuals to obtain non-ACA-compliant health care plans.

An executive order, signed by Trump on Thursday, seeks to expand small businesses’ and even individuals’ ability to buy health insurance through nationwide association health plans. Health insurance is regulated by the states. Those changes to the law will require notice and comments and could take effect by the 2019 benefit year.