new york president donald trump thursday prescribe quick fix undo obamacare executive order republicans u.s. congress fail repeal replace healthcare law promise industry experts say many step involve slow trump plan rest one main pillar creation associations multiple employers band together buy health plan law large employers law rest outside many mandate 2010 affordable care act dub obamacare question answer plan potentially small business employees maybe even people would able buy plan executive order envision associations form offer new health plan small businesses want join together clear order whether freelance workers individuals interest buy health insurance outside obamacare would able access association plan rout may decide federal rule-making process take months currently associations unite buy health insurance order imagine creation many new associations around country allow small businesses join force create large pool employees buy insurance associations decrease risk high proportion members costly illnesses drive coverage cost small employers clear would create group employer trade group like national restaurant association advocate year allow restaurants band together buy healthcare group first need create association register u.s. labor department design benefit plan sign medical providers hire third-party company establish network doctor advertise sell plan employees insurance experts say sign providers doctor hospitals could challenge especially across state line say dave dillon fellow actuary society actuaries doctor hospitals charge high price uncertain many patients might even deal know entities like large health insurers addition americans next month due start buy plan next year open enrollment whether employer mean 2018 would table executive order provision get ready 2019 would fairly run spring early summer would things place employers would want sell coverage 1/1 date dillon say refer jan. 2019. time april roll around health insurers like aetna inc unitedhealth group inc benefit design broke like aon plc mercer part marsh mclennan cos. shop around plan 2019 goal sign contract summer give time create advertisements document go employees time sign-up 2019 plan would go sale november 2018. legal challenge democratic state attorneys general fight trump initiatives could delay associations form employers decide move employees current small group plan offer plan employees currently serve individual market trump 's not-so-quick fix undo obamacare