Photo: Joe Raedle/Getty Images

Turns out the Trump administration's big Affordable Care Act regulation packs a bit more punch than we realized at first.

How it works: Some of the rule's technical changes will end up requiring people to pay more for their coverage, while rolling back the cost of federal premium subsidies. People who get a subsidy under the ACA have to pay a certain percentage of their income for insurance premiums; the government picks up the rest. 

  • The administration wants to change part of the calculation for determining how much of their own money ACA enrollees should have to pay toward their premiums. And the upshot is that most of them would need to pay more.
  • The federal government would end up spending about $900 million less on premium subsidies, according to the proposed regulation.

The same change would also slightly loosen limits on out-of-pocket costs. 

  • The ACA capped total out-of-pocket spending at $8,000 per year for an individual and $16,000 per year for a family plan. 
  • The Trump proposal would raise those caps by $200 and $400, respectively, according to Brookings' Matt Fiedler.
  • That change would apply to people who get coverage through their jobs, not just the ACA's insurance markets.

Go deeper: Trump's new waiver rules take a big swing at the ACA

Go deeper

Updated 2 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 4:30 p.m. ET: 31,735,542 — Total deaths: 973,443 Total recoveries: 21,798,488Map.
  2. U.S.: Total confirmed cases as of 4:30 p.m. ET: 6,925,840 — Total deaths: 201,617 — Total recoveries: 2,646,959 — Total tests: 96,612,436Map.
  3. Health: CDC director says over 90% of Americans have not yet been exposed to coronavirus — Supply shortages continue to plague testing.
  4. Politics: Poll: 51% of Republicans trust Trump on coronavirus more than the CDC.
  5. Vaccines: Johnson & Johnson begins large phase 3 trial — The FDA plans to toughen standards.
  6. Sports: Less travel is causing the NBA to see better basketball.

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