Skip to Main Content

WASHINGTON — President Trump on Saturday indicated he will make good on a months-old threat to destabilize the health insurance market if Senate Republicans cannot repeal and replace major elements of the Affordable Care Act.

The first part of the ultimatum likely refers to cost-sharing reduction payments made by the federal government to insurers, which in turn offer plans with discounted deductibles and copays for many low- or middle-income Americans buying plans through ACA marketplaces.

advertisement

The second portion, while far narrower in scope, is significant in that it highlights an additional tool at the president’s disposal for acting unilaterally on health policy. Though ACA repeal has been in the spotlight throughout 2017, other rumblings regarding subsidies specific to Congress have been rare.

Unlock this article by subscribing to STAT+ and enjoy your first 30 days free!

GET STARTED

Comments are closed.