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With Trump’s ACA Agenda Taking Shape, Experts Debate Fate of Enhanced Subsidies

  • Feb 21
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    Feb 21, 2025

    If enhanced subsidies for Affordable Care Act exchange plans expire at the end of the year and aren’t renewed by Congress, it could upend a market that has seen massive growth in the past four years, according to two health policy experts who spoke during a KFF webinar on Feb. 10. However, Brian Blase, a former adviser to President Donald Trump, argued that the subsidies are too high and oversight of the exchanges in many states is lax, contributing to inflated costs for insurance and fraud among brokers and enrollees. 

    Blase’s comments come amid speculation about a rule currently pending at the Office of Management and Budget that concerns ACA “program integrity.” While it’s not clear yet what that rule will entail, it could be focused on rolling back ACA-related regulations that increase federal spending.  

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    • Tim Casey

    Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.

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