The Trump administration issued its first major set of proposed changes to the Affordable Care Act on Monday that federal officials said are intended to crack down on fraud in the program. Policy experts said they will make it harder for consumers to sign up for coverage, potentially reducing enrollment.

The rule is like “making people crawl through broken glass” for health insurance, one health policy expert said.

The Trump administration is proposing shortening the period in which people can enroll in Affordable Care Act Marketplace plans and disallowing “Dreamers” from getting coverage through the