WASHINGTON — About 6.4 million people have signed up for health insurance next year under the Affordable Care Act, the Obama administration said Wednesday, as people rushed to purchase plans regardless of Republican promises that the law will be repealed within months
The new sign-ups — an increase of 400,000 over a similar point last year — mean the health care coverage of millions of consumers could be imperiled by one of the first legislative actions of Donald J. Trump’s presidency. Hundreds of thousands of other people who took no action will be automatically re-enrolled by the federal government in the same or similar plans, officials said, and their coverage could be threatened as well. Consumers still have until the end of January to enroll.
Sylvia Mathews Burwell, the secretary of health and human services, said the number of signups was remarkable in view of “headwinds” created by premium increases for 2017 and by the uncertainty of the entire health law after Mr. Trump takes office on Jan. 20.
Americans remain divided over President Obama’s most significant legislative achievement, even as 20 million people have gained coverage under the law and the percentage of those without insurance has dropped to record lows. Mr. Trump and Republican leaders of the House and the Senate have vowed to repeal the 2010 law as one of the first legislative actions of the Trump era.
To lay the political groundwork, Republicans have portrayed the law as collapsing under its own weight, unable to hold down health costs or provide the insur