AXIOS March 10, 2025
The Trump administration wants to roll back Biden-era changes to make signing up for Affordable Care Act marketplace plans easier for certain individuals and limit coverage of gender-affirming care.
Why it matters: The Centers for Medicare and Medicaid Services said in a notice Monday that the changes would reduce improper federal spending on premium tax credits for marketplace plans by $11 billion.
- Between 750,000 and 2 million people will lose their health insurance if all the changes are implemented as proposed, CMS wrote in the rule.
State of play: The first proposed CMS rule of President Trump’s second term lays out a plan to end a monthly opportunity for low-income individuals to enroll in marketplace coverage, and shorten...
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