financing. With a narrowly Republican-controlled Congress, Trump may have a path to making significant changes to the program. Prescription drug pricing — President-elect Trump has not yet specified his strategy with regard to drug pricing, but his past policies, along with the continued bipartisan efforts on making drugs more affordable, indicate that drug pricing will likely remain in the spotlight. The president-elect has expressed support for reforming the practices of PBMs. Trump previously targeted PBMs with a plan to eliminate the rebate business structure but ultimately chose not to pursue the policy during his first term. Reproductive rights — The Trump platform opposes late-term abortion while supporting policies that advance prenatal care and access to birth control and in vitro fertilization. Furthermore, Trump views abortion as an issue for states to decide. Trump has stated that he is against a national abortion ban. While federal legislation related to abortion would require a bill passed by Congress, President-elect Trump may choose to effect change through executive order, possibly impacting the delivery and distribution of abortion medications. Trump could decide to undo presidential actions from Biden intended to expand access to abortion services. To date, Trump’s campaign hasn’t offered a clear indication that it will pursue such action. Family policies — Trump’s campaign showed support for the three main family policies: paid leave, child care and the child tax credit. Specifically, he favors offering paid family leave, reducing the cost of child care and increasing the child tax credit. The child tax credit has the most bipartisan support of the three major family policies. The Trump campaign provided detailed plans to grow the child tax credit, expressing that only parents who meet income tax requirements should receive a credit. The latest election results may bring significant changes to employee benefits for the next four years and possibly beyond. While only potential implications from a second Trump administration are highlighted here, the recent state and local elections can also significantly impact benefits providers across the country and the employers with which they work. Any suggested developments are purely speculative, as all changes to employee benefits and health care will require legislation, presidential action or agency activity. Employers should continue to monitor the impact of the Trump administration, as well as state and local activity, to stay apprised of potential changes. 27