NPR

Even Talking About Weakening Obamacare Provisions Weakens The Exchanges

The future of the Affordable Care Act pillars like subsidies and the individual mandate is uncertain, and that is causing higher premiums and fewer insurers in the marketplaces, experts say.
Dozens of people stand in the offices of Sen. Marco Rubio, R-Fla., protesting against the Republican health care plan on Capitol Hill on Thursday. Uncertainty about the future of the health care system has shaken insurers. / Chip Somodevilla / Getty Images

The Affordable Care Act is not "exploding" or "imploding," as President Trump likes to claim. But Trump does hold several keys to sabotaging the insurance marketplaces, should he so choose — one of which his administration is reportedly weighing using.

Every month, the Trump administration faces a deadline to pay what are called "cost-sharing reduction" (or CSR) subsidies to insurers. Those are subsidies that reimburse insurers to help low-income marketplace customers afford health care, on top of the tax credits that help those people pay their premiums. A lawsuit filed by House Republicans during the Obama era

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