White House agrees to pay ACA subsidies
The Trump administration has told leaders in Congress that it will continue funding Affordable Care Act (ACA) cost-sharing reductions (CSRs), though it is not known for how long. This latest development could potentially defuse talk of a government shutdown.
Lawmakers are expected to pass a one-week extension of current funding levels while continuing to work on a more comprehensive deal. President Donald Trump had threatened to end CSR payments unless Democrats agreed to include funding for a wall along the U.S.-Mexico border in any agreement.
“Our major concerns in these negotiations have been about funding for the wall and uncertainty about the CSR payments crucial to the stability of the marketplaces under the Affordable Care Act,” Pelosi said in a statement after two phone calls with White House chief of staff Reince Priebus. “We’ve now made progress on both of these fronts.”
The healthcare industry has largely opposed ending the CSRs. A letter signed by the American Medical Association and America’s Health Insurance Plans warned ending the subsidies could leave customers without any available insurers on the exchanges and increase uncompensated care costs.
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