But Trump's previous term and longstanding conservative goals offer insights into what he may do should he defeat Harris on Election Day.
The Trump campaign did not respond to request for comment.
Affordable Care Act
Benedic Ippolito, a senior fellow at the conservative American Enterprise Institute, said regulations related to the Affordable Care Act of 2010 would likely be priorities for a Trump administration rollback.
During his first term, Trump worked to weaken ACA programs after repeal failed in 2017. "We’ll just let Obamacare fail," he said July 19, 2017.
Biden unwound most of those efforts, including cuts to funding for enrollment counselors and the reintroduction of less-regulated health insurance policies off the exchanges.
Sen. JD Vance (Ohio), the Republican vice presidential nominee, has hinted that similar actions would be forthcoming under a new Trump administration, including creating separate health insurance risk pools for people with preexisting conditions and those without.
As such, Trump may look to restore his rules allowing insurers to sell short-term, limited-duration health insurance plans with fewer restrictions and for more time than Biden permitted. These plans do not have to follow ACA benefits and coverage rules and thus tend to carry lower premiums.
Under Biden, the Health and Human Services, Labor, and Treasury departments reduced the length of coverage under those plans from three years to four months, and set additional time restrictions on consumers’ ability to purchase multiple short-term plans from the same company within a year.
Ippolito said the Biden administration’s move to shorten limited-duration plans made them less competitive with health insurance exchange plans. An incoming Trump administration would likely re-up longer durations for this kind of insurance, he said.
Also of note is the final payment notice for exchange plans the Centers for Medicare and Medicaid Services published in in April, said Peter Nelson, senior policy fellow at the conservative Center of the American Experiment and a former senior CMS advisor under Trump.
The ACA categorizes exchange plans into four "metal" tiers — bronze, silver, gold and platinum — based on how much a plan covers. The Biden administration imposed limitations on variation between plans in the same metal level, which Trump may look to undo, Nelson said.
Nursing homes
In April, CMS finalized a regulation setting minimum staffing rules for skilled nursing facilities, to the chagrin of the nursing home industry and many lawmakers, most of them Republican. That's liable to wind up on the chopping block under Trump, said Jackson Hammond, senior policy analyst at the conservative Paragon Health Institute.
“I think most conservatives would be opposed,” Hammond said. “Staffing mandates of any kind don't end up increasing the workforce magically. They just increase a lot of the costs, and you still deal with issues around workforce shortages.”
Medicaid
As president, Trump invited states to introduce work requirements for some Medicaid enrollees, which federal courts and Biden tossed out. This remains a popular policy for conservatives that could come back. Trump also sought to convert Medicaid financing to block grants.
There are a handful of major Biden administration rules on Medicaid eligibility, access and managed care that could all be subject to review or revocation, Hammond said.
In March, CMS published a final rule designed to simplify Medicaid, Children's Health Insurance Program and Basic Health Program enrollments and renewals. In April, the agency issued a regulation requiring that home health agencies must pay workers 80% of the Medicaid reimbursements they received. The same month, CMS published a rule increasing transparency requirements for Medicaid managed care plans.
“Ideologically and philosophically, people disagree with them,” Hammond said. “They're not particularly helpful in actually getting good care to people.”
