Congress has left D.C. for the summer without passing legislation to repeal the Affordable Care Act (ACA) or cut Medicaid. Leadership and rank-and-file representatives and senators on both sides of the aisle appear to be looking past the repeal fight that has embattled Congress for the past year and looking ahead toward efforts to stabilize the insurance market. Are these overtures of bipartisanship to be believed? Are the ACA and Medicaid finally safe? As always, it’s complicated.
Coming off the Senate failure to repeal the Affordable Care Act (ACA) last week, President Trump has threatened an immediate cutoff of payments to insurance companies that support the reductions in the amount lower-income people must pay out of their own pockets for their marketplace plans. The president threatened to stop these cost-sharing reduction (“CSR”) payments both personally via Twitter and through multiple administration representatives.