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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

Exclusive: GOP Leader McCarthy asks to meet with Biden about the border

House Minority Leader Kevin McCarthy at CPAC. Photo: Joe Raedle/Getty Images

House Minority Leader Kevin McCarthy (R-Calif.) has requested a meeting with President Biden to discuss the rising numbers of unaccompanied migrant children at the U.S.-Mexico border, in a letter sent on Friday.

Why it matters: Biden is facing criticism from the right and the left as agency actions and media reports reveal spiking numbers of migrant children overwhelming parts of the U.S. immigration system. Recent data shows an average of 321 kids being referred to migrant shelters each day, as Axios reported.

Vaccine hesitancy drops, but with partisan divide

Illustration: Sarah Grillo/Axios

69% of the public intends to get a COVID vaccine or already has, up significantly from 60% in November, according to a report out Friday from the Pew Research Center.

Yes, but: The issue has become even more partisan, with 56% of Republicans who say they want or have already received a coronavirus vaccine compared to 83% of Democrats.

Ben Geman, author of Generate
3 hours ago - Energy & Environment

China's 5-year plan is hazy on climate

Illustration: Sarah Grillo/Axios

China's highly anticipated 5-year plan revealed on Friday provides little new information about its climate initiatives, leaving plenty to discuss in multinational meetings this year and lots of blanks for China to fill in later.

Driving the news: The top-line targets for 2025, per state media, aim to lower energy intensity by 13.5% and carbon emissions intensity by 18% — that is, measures of energy use and emissions relative to economic output.