Currently, an aspect of the ACA called community rating requires insurers to price their plans the same within a specific territory, regardless of a person’s health. Under the American Health Care Act (AHCA), or Trumpcare, states will be able to waive community rating requirements, causing premiums for people with pre-existing conditions to climb if they have a lapse in their coverage. If that happens, it could force older Americans to scale back their insurance coverage or cancel their plans because they can’t afford them.