At the moment it is unclear what the document means but it is believed to give health and individual institutions a bigger leeway to avoid Obama Care.
In essence, it's hard to remove Obama Care right away even if President Trump has a replacement plan. This is because over 20 million people use the insurance cover.
But by signing the repeal document so early in his tenure, Trump sent a clear message that he is set to do what he said he would do during the campaign.
He signed this document as well as signing in into office his minister of defense and health in a highly anticipated meeting.
"He has been told that he needs to comply with the law," said Timothy Jost, an emeritus professor at Washington and Lee University School of Law, "but is directing the agencies to begin taking steps towards reducing regulatory requirements and giving more discretion to the states. It's going to take time."
What this means institutions can intemperate Obama Care more loosely, they can choose what works for them and discard what does not.
But experts and pundits alike insist that even though Trump has started the repeal so early it will be difficult to remove Obama Care. Some even insisted that Trump does not have a replacement plan because if he had one, he would not need to repeal the Obama Care in the first place.