Trump could quickly doom ACA cost-sharing subsidies for millions of Americans – The Washington Post

The Affordable Care Act’s cost-sharing subsidies could be eliminated as soon as President-elect Donald Trump takes office. (Lucas Jackson/Reuters)

Even without Congress repealing the Affordable Care Act, the Trump administration could undermine the law by unilaterally ending billions of dollars the government pays insurers to subsidize the health coverage of nearly 6 million Americans.

Given that insurers would still be required to provide consumers that financial help, such a move could create upheaval in the ACA’s marketplaces — prompting health plans to raise their prices or drop out, according to health-policy experts in both major political parties.

Intervention by the new president to stop the payments “would precipitate a pretty serious crisis almost immediately” unless Congress stepped in, said James Capretta, a resident fellow at the American Enterprise Institute……


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