"We still would have seen premium increases in many of these states even without the political uncertainty", Cynthia Cox, a co-author of the analysis and associate director for Kaiser's Program for the Study of Health Reform and Private Insurance, told The Hill. Health plans must sign an annual contract with states by September 27 if they want to compete on the Healthcare.gov website. Other insurers have filed rates assuming that the CSRs would be made, but stated that they would increase their rates an additional 6 to 28 percent if payment ceased.
President Trump has threatened to cancel the payments, known as cost-sharing reductions, which reimburse insurers for giving discounted deductibles and copays to low-income people. These payments, which go directly to insurers, are the subject of a court battle between the House of Representatives and the Trump administration, which inherited the case from the Obama administration.
Additionally, there are ways Trump can avoid enforcing the individual mandate, and many attempts to repeal and replace Obamacare have included repealing the mandate.
That includes the law's marketplaces, where premiums are rising and in some areas few insurers are willing to sell policies, according to the poll released Friday.
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In one of the more concrete examples of the impact the Trump administration is having on the Affordable Care Act marketplaces, a new analysis reveals that the vast majority of exchange insurers mentioned regulatory uncertainty in their 2018 rate filings. With a 52-48 GOP majority and Vice President Mike Pence available to cast a tie-breaking vote, McConnell has said he's moving onto other matters unless "people can show me 50 votes for anything that would make progress". Trump and his administration have suggested taking steps to repeal and replace the ACA.
It's worth noting that a relatively small number of people who receive care through the Obamacare exchanges will be affected by the proposed rate increases, as more than 80 percent of enrollees receive a tax credit that lowers their premiums. Since insurers are legally required to reduce those costs, they say blocking the subsidies would force them to increase premiums for millions who buy private insurance, including those whose expenses aren't being reduced.
For context, as Drew Altman of the Kaiser Family Foundation noted in Axios on Thursday, there are about 17.5 million people who purchase coverage through the non-group insurance market, 10.3 million of which are enrolled in ACA exchanges.