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The Biden Administration faces unprecedented health care challenges in the coming weeks and months. From our perspective, the most important keys to the future are making health insurance coverage more affordable and accessible. President Biden campaigned on a health care plan that will build up the existing infrastructure created via the Affordable Care Act of 2010 (ACA). Attitudes toward the ACA are more favorable than unfavorable, with favorability reaching near peak levels in December 2020. The majority of Republican voters would like to overturn it, but keep some of the central provisions. President Biden is moving forward on several fronts, including strategies from the former President’s playbook like issuing executive orders, encouraging Congressional action, and invoking the Congressional Review Act. Biden is using executive actions to eliminate what he terms “bad policy” of the prior administration. Executive orders have opened up the ACA health care marketplace exchange enrollment period to expand coverage availability for the millions who have lost employment and thereby their health insurance in the COVID-19 pandemic. He has enhanced this with fully funding navigators to help enrollees find the best plan, and should actively fund the marketing and awareness of the open enrollment period. Administrative burdens should be alleviated, including the requirement to attest to income every twelve months. These barriers cause families to lose needed insurance coverage due to administrative obstacles, and could be increased to attestations every three years.