About 7 million people, 58 percent of all marketplace enrollees, got cost-sharing reduction (CSR) subsidies in 2017, which cost the government about $7 billion. Nearly 70 percent of these enrollees live in pro-Trump states and many have no other current insurance options. Insurers are still required by law to offer these plans in the markets they serve, but without CSRs, insurers will likely either hike rates or withdraw from some markets entirely, Hannah Recht reports for Bloomberg. Most of the counties that have only one Obamacare insurer are rural.
|In some places, nearly all policyholders get subsidies. (Bloomberg map; click to enlarge)|
The attorneys general for 17 states and the District of Columbia filed suit against Trump's administration in an effort to block the subsidy cut-off.
Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) have been working for months on a bill to give states more flexibility in implementing Obamacare and fund the subsidies, which are authorized by the law but have not received appropriations form Congress. President Obama used other means to pay them, but a court has ruled against that, and the case is on appeal.