Premiums for insurance sold through the Affordable Care Act are going down next year, for the first time in the law’s history. But they could be going down even more, if not for some of the Trump administration’s policy choices.

By the numbers: Across all insurance plans that comply with the ACA — whether they’re sold through the exchanges or not — premiums are about 6% higher than they otherwise could have been, according to a new Kaiser Family Foundation analysis.

  • The difference is even starker for middle-of-the-road silver plans — the most popular type of plan sold through the ACA’s exchanges that's also used to determine the size of people’s subsidies. Those could be 16% cheaper, Kaiser says.

How it works: Trump’s decision to cut off the law’s cost-sharing subsidies caused insurers to raise premiums significantly, mostly for those silver plans. Nullifying the individual mandate and opening up access to skimpier short-term plans are also expected to hurt the ACA’s overall mix of sick and healthy people.

  • Those factors all drove premiums higher this year, and will limit the size of premium decreases next year, Kaiser says.

Go deeper

Susan Collins says Senate should postpone Supreme Court vote

Sen. Susan Collins. Photo: Tom Williams/Getty Images

Sen. Susan Collins (R-Maine) said in a statement Saturday she believes whoever is elected in the 2020 presidential race should pick the nominee to fill Justice Ruth Bader Ginsburg's Supreme Court seat.

Why it matters: Collins will be key in how the nomination process plays out. As one of the most centrist Senate Republicans, whether or not the Senate confirms Trump's SCOTUS nominee could hinge on her vote.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 4:15 p.m. ET: 30,602,281 — Total deaths: 953,591— Total recoveries: 20,833,568Map.
  2. U.S.: Total confirmed cases as of 4:15 p.m. ET: 6,751,119 — Total deaths: 198,969 — Total recoveries: 2,556,465 — Total tests: 93,150,052Map.
  3. Politics: In reversal, CDC again recommends coronavirus testing for asymptomatic people.
  4. Health: The dwindling chances of eliminating COVID-19.
  5. World: Guatemalan president tests positive for COVID-19 — The countries painting their pandemic recoveries green.
Ben Geman, author of Generate
3 hours ago - Politics & Policy

The new politics of global warming

Photo illustration: Sarah Grillo/Axios. Getty Images photos: Ethan Miller and Chip Somodevilla

The 2020 election is both very different and very familiar when it comes to the politics of global warming and the stakes of the outcome.

What's new: Democratic voters are more concerned than in prior presidential cycles, polling shows.