Commentary: How the Trump Administration Might Sabotage ACA Insurance Markets
End Notes
[1] “Congressional Budget Office Cost Estimate: American Health Care Act,” Congressional Budget Office, March 13, 2017, https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf.
[2] Deep Banerjee, “The ACA Individual Market: 2016 Will Be Better Than 2015, But Achieving Target Profitability Will Take Longer,” S&P Global Ratings, December 22, 2016, https://morningconsult.com/wp-content/uploads/2016/12/12-22-16-The-ACA-Individual-Market-2016-Will-Be-Better-Than-2015-But-Achieving-Target-Profitability-Will-Take-Longer.pdf.
[3] Aviva Aron-Dine and Edwin Park, “Trump Administration’s New Health Rule Would Reduce Tax Credits, Raise Costs, For Millions of Moderate-Income Families,” CBPP, February 15, 2017, https://www.cbpp.org/research/health/trump-administrations-new-health-rule-would-reduce-tax-credits-raise-costs-for.
[4] Sarah Lueck, “Interactive Map: Cost-Sharing Subsidies at Risk Under House GOP Health Bill,” CBPP, March 21, 2017, https://www.cbpp.org/blog/interactive-map-cost-sharing-subsidies-at-risk-under-house-gop-health-bill.
[5] If the Administration ceased making cost-sharing reduction payments, insurers could sue and likely would eventually recover the amounts owed. However, that process would be lengthy and would likely cause uncertainty in the marketplace while the lawsuit was pending. See comments from David Super in Jonathan Curry, “House Republicans Won’t Drop ACA Lawsuit, Ryan Says,” Tax Notes, March 31, 2017.
[6] Tara Straw, “IRS: ACA’s Coverage Requirement Still in Effect,” CBPP, February 16, 2017, https://www.cbpp.org/blog/irs-acas-coverage-requirement-still-in-effect.
[7] Tony Leys, “Wellmark to halt sales of individual health insurance policies,” Des Moines Register, April 3, 2017.
[8] Sarah Lueck, “Trump Health Rule Would Raise Consumer Costs, Discourage Enrollment, Weaken Marketplaces,” CBPP, February 15, 2017, https://www.cbpp.org/blog/trump-health-rule-would-raise-consumer-costs-discourage-enrollment-weaken-marketplaces.
[9] Aviva Aron-Dine, “To Help Stabilize the Individual Health Insurance Market, Take ACA Repeal off the Table,” Center on Budget and Policy Priorities, April 4, 2017, https://www.cbpp.org/research/health/to-help-stabilize-the-individual-health-insurance-market-take-aca-repeal-off-the.