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AP Photo/Pablo Martinez Monsivais

Iowa — Exhibit A in Republicans' argument that the Affordable Care Act isn't working — is asking the Trump administration for help as it tries to "avoid a total collapse" of its individual insurance market. And its plan has a few things in common with congressional Republicans' health care proposals — namely, a new system of financial help, which would shift away from older consumers, toward younger ones.

Iowa's insurance regulators released a proposal today that they believe would stop insurers from fleeing the state altogether. But they'd need both money and permission from the federal government to implement it.

Here's what Iowa wants to do:

  • Come up with one plan — and one plan only — for insurers to sell next year in the state's ACA exchange.
  • Rework federal funding to coax younger, healthier people into buying that new policy. Instead of receiving the ACA's premium subsidies, Iowans would get a fixed amount of financial help, based on their age and income. And people would be eligible for that assistance even if they'd be too wealthy to qualify for the ACA's existing subsidies.
  • Beef up an existing program, known as reinsurance, that helps compensate insurers for exceptionally expensive patients.

Why it matters: So far, the Department of Health and Human Services under President Trump has shown little interest in helping to make the ACA work, and that's exactly what Iowa is asking it to do here. But the similarities to the GOP's health care proposals, which would similarly restructure the ACA's subsidies, could make this pitch more attractive in Washington.

Go deeper

Kenosha shooting lawsuit accuses police of coordinating with militia

Police and protesters confront in front of the Kenosha County Courthouse on Aug. 25, 2020. Photo: Tayfun Coskun/Anadolu Agency via Getty Images

The only survivor of a fatal shooting in Kenosha, Wisconsin, during protests last year has accused law enforcement in a lawsuit of conspiring with a "band of white nationalist vigilantes," the Washington Post reported Saturday.

Of note: Kyle Rittenhouse, 18, is due to stand trial on Nov. 1, accused of wounding Gaige Grosskreutz, who filed the suit, and killing two other people protesting the police shooting of Jacob Blake on Aug. 25, 2020. He's pleaded not guilty to charges including homicide and attempted homicide and maintains he fired in self-defense.

Venezuela suspends talks with opposition after Maduro ally extradited to U.S.

Venezuelan President Nicolás Maduro in Caracas, Venezuela, in June. Photo: Gaby Oraa/Bloomberg via Getty Images

A key ally of Venezuela's President Nicolás Maduro was extradited from Cape Verde to the U.S. Saturday to face money laundering charges in Florida, Bloomberg first reported.

Why it matters: Venezuela's government called off negotiations with opposition officials that were scheduled for Sunday in Mexico in response to the extradition of Alex Saab, a Colombian businessman and financial fixer for Maduro.

6 hours ago - Health

5 times as many police officers have died from COVID as from guns since pandemic began

Photo: Genaro Molina / Los Angeles Times via Getty Images

COVID-19 is the leading cause of death for police officers even though members of law enforcement were among the first to be eligible to receive the vaccine, CNN reports, citing data from the Officer Down Memorial Page.

Why it matters: Nearly 476 police officers have died of COVID-19 since the pandemic started, compared to the 93 deaths as a result of gunfire in the same time period, according to ODMP and CNN.

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