Under rules changes approved in 2013 — when Democrats were in charge of the Senate — Cabinet picks can be confirmed with a simple majority, preventing Democrats from demanding 60 votes to move forward. The law requires individuals to carry health insurance or face fines, and provides subsidies to help people who can't otherwise afford insurance. Trump has said he wants to keep some of the measure's more popular provisions, including allowing young people to stay on their parents' insurance until age 26 and preventing insurance companies from denying coverage to people with pre-exiting conditions. Article 1, Section 9 of the U.S.