Jul 26, 2019

GOP governors have no post-ACA plans

Arizona Gov. Doug Ducey says his state will deal with the ACA rollback if it comes. Photo: Ralph Freso/Getty Images

Much like their counterparts in Congress, Republican governors are not prepared to deal with the fallout if they finally succeed in persuading the courts to throw out the entire Affordable Care Act.

The big picture: Blue states are somewhat more prepared, because they're more willing to pass their own versions of some of the ACA's coverage requirements, but it would still impossible for even the most motivated state to reconstitute the entire law.

What they're saying, via the AP:

  • Utah Gov. Gary Herbert: "It's been talked about for so long, people are saying 'Why worry about it until it happens?' I think there's a little bit more of a lackadaisical thought process going on."
  • Arizona Gov. Doug Ducey: "They're going to rule how they're going to rule and we'll deal with the outcome. The best plans are to have dollars available."
  • Arkansas Gov. Asa Hutchinson told the AP that Congress would need to quickly restore funding for the ACA's Medicaid expansion. "Congress can't just leave that out there hanging," Hutchinson said.

Worth noting: Medicaid expansion would go away if Republicans' lawsuit succeeds.

Go deeper: Trump privately thinks ACA lawsuit will fail in court

Go deeper

Trump won't approve full federal funding for partial Medicaid expansion

President Trump and CMS administrator Seema Verma. Photo: Mark Wilson/Getty Images

The Trump administration made a very big decision over the weekend: It won't approve full federal funding for a partial Medicaid expansion.

Why it matters: The partial expansion had looked like a key weapon in red states' continued resistance to the ACA. Without it, Medicaid enrollment likely will keep growing.

Go deeperArrowJul 29, 2019

What Democrats are doing on health care

Illustration: Rebecca Zisser/Axios

As Democratic presidential candidates debate their ideal health care system, blue states are making incremental — yet significant — changes to the existing one.

Why it matters: In the states where they have power, Democrats are creating a blueprint for how the ACA could evolve under Democratic control in Washington.

Go deeperArrowJul 31, 2019

Rates for Affordable Care Act plans aren't going up much

Illustration: Sarah Grillo/Axios

Premiums for Affordable Care Act coverage are going down in some places, and barely rising in others.

The big picture: Health insurers raised ACA rates dramatically over the past few years, largely due to political chaos. But their plans have still proven to be extremely profitable. Now many companies are lowering premiums as they expect to send money back to their customers.

Go deeperArrowAug 22, 2019