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Policy experts aren't so sure Alexander-Murray is a good deal any more. Photo: Carolyn Kaster/AP

Just a few weeks ago, the Affordable Care Act stabilization bill from Sens. Lamar Alexander and Patty Murray looked like a common-sense fix with a decent shot at finding its way into Congress' big end-of-the-year package. But that was before Republicans were on the cusp of repealing the individual mandate. Now the bill's constituency is eroding — on every front.

The bottom line: I asked several of the smartest experts around whether they'd rather enter this new reality with or without Alexander-Murray. They were unanimous — they'd rather take their chances without it, keeping higher premium subsidies instead.

  • Democrats liked Alexander-Murray on its own, but Sen. Susan Collins is now framing the bill as a trade-off to help her support repealing the law's individual mandate, and Democrats can't go for that deal.
  • Many Republicans never supported Alexander-Murray. The Wall Street Journal reports that it won't be attached to the two-week spending bill Congress takes up this week, and that House Speaker Paul Ryan was never part of any agreement to pass the bill to help get Collins on board with Republicans' tax overhaul.

Independent experts are also souring on the proposal. "I don't think it's good policy," said Duke researcher David Anderson. He's been beating this drum for a while, and more analysts are starting to agree with him. Here's the argument:

  • President Trump's decision to cut off the ACA's cost-sharing payments ended up artificially inflating the ACA's premium subsidies, to an extent many experts simply hadn't anticipated. For many people who get those subsidies, insurance is more affordable now than ever before.
  • Undoing Trump's actions through Alexander-Murray would also undo that subsidy bump. And experts increasingly think that's not worth it.
  • "The current setup is weird, and I think that kind of offends some people's sensibilities. But it's working, so I don't think there's a compelling need for Alexander-Murray right now," the Kaiser Family Foundation's Larry Levitt said.

The bottom line: Everyone agrees that repealing the individual mandate will lead to higher premiums and probably less competition among insurers. No one is quite sure how bad those effects will be, which makes it hard to say for sure how much Alexander-Murray would help or hurt. But given the choice, experts say they'd rather try to figure out a post-mandate world without Alexander-Murray than with it.

Go deeper

Felix Salmon, author of Capital
1 hour ago - Technology

Facebook's scandals have been great for shareholders

Expand chart
Data: YCharts; Chart: Axios

Facebook has been embroiled in scandal for the past five years, and while the specific allegations change over time, a central theme is constant. Given the choice between commercial and moral imperatives, Facebook always seems to choose the option that is best for the share price.

Why it matters: Facebook's stock chart supports that narrative. Since the 2016 scandals alleging that the social network was infiltrated by foreign actors trying to influence the outcome of democratic elections, Facebook's revenues — and its stock — have been soaring.

Biden to tap telecom trio for NTIA, FCC posts

Jessica Rosenworcel. Photo: Bill Clark/CQ Roll Call

President Joe Biden on Tuesday is expected to name Alan Davidson as head of the telecom arm of the Commerce Department, Jessica Rosenworcel as chairwoman of the Federal Communications Commission and Gigi Sohn as a commissioner at the FCC, according to a person familiar with the process.

Why it matters: Internet availability and affordability has been a key policy priority for the White House, but the administration lagged in tapping people for the agency posts that oversee the issues.

3 hours ago - Technology

Facebook seeks fountain of youth

Data: Piper Sandler Taking Stock With Teens Study; Chart: Axios Visuals

Facebook CEO Mark Zuckerberg on Monday said that the company is pivoting its strategy to focus on young adults, following reports that teens have fled its apps.

Why it matters: A series of stories based on leaked whistleblower documents suggest the company sees the aging of its user base as an existential threat to its business.

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