Trump administration releases 2020 ACA rules

Photo: Drew Angerer/Getty Images

Insurers will still be allowed to "silver load" on the individual market next year, the Trump administration announced yesterday.

Why it matters: Silver loading was insurers' solution to the administration's decision to cancel the Affordable Care Act's cost-sharing subsidies for low-income enrollees. It essentially keeps insurers from losing money without raising the financial contribution from subsidized enrollees.

The backdrop: There'd been concern that the administration would ban the practice, and it asked for comments on the change, but "it's good news for consumers that the Administration is not implementing" it, Avalere's Chris Sloan said.

  • The administration also declined to end automatic re-enrollment, which was estimated to lead to lower enrollment and higher premiums.

What else: The administration's rule does allow insurers to use "copay accumulators," which exclude drug manufacturer cost-sharing assistance from counting toward patients' out-of-pocket maximums.

Yes, but: This cost-sharing assistance wouldn't be counted when a patient is taking a branded drug for which its generic is available, which is "likely to drive higher generic utilization," Sloan said.

Go deeper ... Trump: No GOP healthcare replacement of ACA until after 2020 elections

What's next

New York Times endorses Elizabeth Warren and Amy Klobuchar for president

Democratic presidential candidates Sens. Elizabeth Warrenand Sen. Amy Klobuchar at the December 2020 debatein Los Angeles. Photo: Justin Sullivan/Getty Images

The New York Times editorial board has endorsed Sens. Elizabeth Warren and Amy Klobuchar for president, in a decision announced on national television Sunday night.

Why it matters: The board writes in its editorial that its decision to endorse two candidates is a major break with convention that's intended to address the "realist" and "radical" models being presented to voters by the 2020 Democratic field.

Go deeperArrow57 mins ago - Media

What's next in the impeachment witness battle

Sens. Susan Collins (R-Maine) and Lisa Murkowski (R-Alaska). Photo: Tom Williams/CQ-Roll Call, Inc via Getty Images

Senators will almost certainly get to vote on whether or not to call impeachment witnesses. The resolution laying out the rules of the trial, which will be presented Tuesday, is expected to mandate that senators can take up-or-down votes on calling for witnesses and documents.

Yes, but: Those votes won't come until the House impeachment managers and President Trump's defense team deliver their opening arguments and field Senators' questions.

Inside Trump's impeachment strategy: The national security card

White House counsel Pat Cipollone and acting Chief of Staff Mick Mulvaney. Photo: Jabin Botsford/The Washington Post via Getty Images

Trump officials say they feel especially bullish about one key argument against calling additional impeachment witnesses: It could compromise America's national security.

The big picture: People close to the president say their most compelling argument to persuade nervous Republican senators to vote against calling new witnesses is the claim that they're protecting national security.