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AP file photo

The final version of the Trump administration's "market stabilization" rule is out, and it keeps most of the Obamacare changes the Department of Health and Human Services proposed in February — including more flexibility in the way insurers are allowed to calculate the value of their coverage. That's one of the most controversial changes, because liberal groups say it could expose people to more out-of-pocket costs — but HHS says it's necessary "to improve the health and competitiveness of the markets."

The highlights of the 139-page rule:

  • Gives insurers more flexibility in determining the "actuarial value" of their coverage.
  • Open enrollment for next year has been shortened to six weeks, instead of three months as in previous years. It will start on Nov. 1 and end on Dec. 15.
  • People who try to sign up outside of the regular enrollment season will have to prove they're eligible to do it.
  • People who owe premiums from previous years will have to pay them before they can sign up for new coverage. HHS hopes that will discourage people from dropping in and out of coverage.
  • States will be able to determine whether insurers have enough health care providers in their networks.

Key deadline: June 21. That's when insurers have to tell the government whether they'll participate in the federal Obamacare marketplaces.

Go deeper

Kellyanne Conway's parting power pointers

Kellyanne Conway addresses the 2020 Republican National Convention. Photo: Nicholas Kamm/AFP via Getty Images

Kellyanne Conway has seen power exercised as a pollster, campaign manager and senior counselor to President Trump. Now that his term in office has concluded, she shared her thoughts with Axios.

Why it matters: If there's a currency in this town, it's power, so we've asked several former Washington power brokers to share their best advice as a new administration and new Congress settle in.

2 hours ago - Politics & Policy

GOP holdouts press on with plans to crush Cheney

Screenshot of emails to a member of Congress from individuals who signed an Americans for Limited Government petition against Rep. Liz Cheney. Photo obtained by Axios

Pro-Trump holdouts in the House are forging ahead with an uphill campaign to oust Rep. Liz Cheney as head of the chamber's Republican caucus even though Minority Leader Kevin McCarthy told them to back down.

Why it matters: What happens next will be a test of McCarthy's party control and the sincerity of his opposition to the movement. Cheney (R-Wyo.) is seen as a potential leadership rival to the California Republican.

Democrats aim to punish House GOP for Capitol riot

Speaker Nancy Pelosi passes through a newly installed metal detector at the House floor entrance Thursday. Photo: Drew Angerer/Getty Images

House Democrats plan to take advantage of corporate efforts to cut funding for Republicans who opposed certifying the 2020 election results, with a plan to target vulnerable members in the pivotal 2022 midterms for their role in the Jan. 6 violence.

Why it matters: It's unclear whether the Democrats' strategy will manifest itself in ads or earned media in the targeted races or just be a stunt to raise money for themselves. But the Capitol violence will be central to the party's messaging as it seeks to maintain its narrow majorities in Congress.

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