Derrick will work to make sure individuals with preexisting conditions are protected when Obamacare is fully repealed and a new system is implemented allowing for true competition in healthcare, driving costs down.
Derrick Van Orden will work to make sure individuals with preexisting conditions are protected when Obamacare is fully repealed and a new system is implemented allowing for true competition in healthcare.
Occurrences
While that work continues in Washington, Derrick is working to ensure that every Wisconsinite has access to high quality, readily available, and actually affordable healthcare.
Evidence
legacy_unverified · Source version not recorded · locator unknown
L30-L33: "Improving Healthcare and Reducing Costs" ... "Derrick will work to make sure individuals with preexisting conditions are protected when Obamacare is fully repealed and a new system is implemented allowing for true competition in healthcare, driving costs down."
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L73-L86: The ACA compilation is "Amended Through Public Law 119-75, Enacted February 3, 2026" and lists the title and public law citation as "Patient Protection and Affordable Care Act" / "Public Law 111-148."
legacy_unverified · Source version not recorded · locator unknown
L73-L83: "Amended Through Public Law 119-75, Enacted February 3, 2026" ... "Title Patient Protection and Affordable Care Act" ... "Public Law Citation Public Law 111-148".
legacy_unverified · Source version not recorded · locator unknown
L70-L72 and L27459-L27469: the law includes "DIVISION J—HEALTH CARE EXTENDERS" and amends Section 10503(b)(1) and (2) of the Patient Protection and Affordable Care Act, extending community health center and National Health Service Corps funding.
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Text contains those laws in effect on September 7, 2026. 42 U.S.C. 300gg-3 states that a group health plan and health insurance issuer offering group or individual health insurance coverage may not impose any preexisting condition exclusion.
legacy_unverified · Source version not recorded · locator unknown
Roll Call 11, Jan. 8, 2026: Bill Number H.R. 1834; Vote Question: On Passage; Status: Passed; totals 230 yea and 196 nay. The vote table lists Van Orden, Republican, WI, as Yea.
Assessments
Van Orden’s promise was federal and conditional: full Obamacare repeal plus a replacement system preserving preexisting-condition protections and increasing competition. As of September 2026, the Affordable Care Act remained in force, 42 U.S.C. 300gg-3 still barred preexisting-condition exclusions, and Congress was still amending ACA-related programs rather than replacing the law. Van Orden did take a concrete health-care vote on H.R. 1834 to extend ACA-related premium support, but that was a temporary ACA subsidy extension, not the promised repeal-and-replace framework.
The promise was explicitly conditioned on fully repealing the Affordable Care Act and replacing it with a new competitive system that would protect people with preexisting conditions. That outcome did not occur. The ACA remained in force and was still being amended through February 3, 2026, including in Public Law 119-75, which cuts against any claim of full repeal and replacement. Because the promised repeal-and-replace framework never happened, the specific promised protection outcome was not delivered. The provided evidence also does not show Derrick Van Orden materially advanced a successful alternative that would justify partial or later-term credit.
The promise was conditional on full repeal of Obamacare and implementation of a replacement competitive healthcare system that protects people with preexisting conditions. The evidence indicates the Affordable Care Act remained in force and was still being amended as of February 3, 2026. There is no evidence that Van Orden delivered the promised repeal-and-replace outcome or that the preexisting-condition protection was enacted as part of such a replacement system. The record provided also does not show a serious legislative or executive attempt by Van Orden that failed, so no effort badge is warranted.
The promise was conditional on full repeal of Obamacare and implementation of a replacement system with competition while protecting people with preexisting conditions. The evidence shows the Affordable Care Act remained in force and was still being amended as of February 3, 2026, so the promised policy outcome did not occur during the relevant term. The provided evidence does not establish a serious legislative or executive attempt by Van Orden that failed, so the effort badge is not warranted.