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Photo: Alex Wong / Getty Images

President Trump’s budget proposal embraced two measures to help stabilize the Affordable Care Act. And Americans for Prosperity, the conservative advocacy network funded by the Koch brothers, is not happy about it.

The intrigue: Trump’s budget called for repealing the ACA, but also for funding two stabilization programs — cost-sharing reductions and risk corridors — that aren't popular with conservatives.

  • Cost-sharing reduction payments, known as CSRs. Trump cut off that funding last fall, but Congress could reauthorize it.
  • Risk corridors, which help cushion the blow for insurers who ended up with more expensive customers than they expected within the ACA’s insurance markets.

The response:

“It is disappointing to see this administration proposing to restart the misguided practice of using taxpayer dollars to subsidize big insurers. ... Including CSRs and risk corridors in the White House budget would only prop up the failing health care law.”— AFP president Tim Phillips said in a statement

Why you’ll hear about this again: Congress — including congressional Republicans — is looking seriously at proposals to help stabilize insurance companies in the absence of the ACA’s individual mandate.

  • Those ideas include funding CSRs as well as the creation of a new reinsurance program — a measure that wasn’t in Trump’s budget, but which would also involve direct payments to insurance companies.
  • Although some Republicans in both the House and Senate are on board with all that, Phillips’ statement is a reminder that stabilizing the ACA will never be an easy vote for the broader GOP caucus.

Go deeper

Updated 1 hour ago - World

Brazil senators vote to recommend criminal charges for Bolsonaro

Brazilian senators vote on probe into President Bolsonaro's handling of pandemic. Photo: Gustavo Minas/Bloomberg via Getty Images

A Brazilian Senate committee Tuesday voted to approve a report recommending President Jair Bolsonaro be charged with a raft of criminal indictments, including crimes against humanity over his response to the COVID-19 pandemic, per AP.

Why it matters: Bolsonaro has become the face of a right-wing approach to the pandemic that includes repudiating vaccines and masks and resisting lockdowns and other mitigation measures. The Senate report holds him personally responsible for half of the country's 600,000 deaths.

Former Georgetown tennis coach pleads guilty to accepting admissions bribes

Gordon Ernst (left) former head tennis coach at Georgetown, outside a courthouse in Boston in 2019. Photo: Jessica Rinaldi/The Boston Globe via Getty Images

A former Georgetown University head tennis coach has pleaded guilty Tuesday to bribery charges related to facilitating the admission of prospective applicants.

Why it matters: Gordon Ernst solicited and accepted bribes from William Singer, ringleader of the cheating scheme uncovered by Operation Varsity Blues, and families in exchange for helping prospective applicants get into Georgetown as student athletes, according to the Justice Department.

7 hours ago - Health

CDC says some immunocompromised people can get fourth COVID shot

Photo: Noriko Hayashi/Bloomberg via Getty Images

The Centers for Disease Control and Prevention said in updated guidelines Tuesday that some immunocompromised people who have received either Pfizer or Moderna's COVID-19 vaccines will be able to get a fourth shot.

Details: People over 18 who are "moderately to severely immunocompromised" and have received three doses of an mRNA vaccine may get a fourth shot (of either the Pfizer, Moderna, or Johnson & Johnson vaccines) at least six months after getting their third Pfizer or Moderna dose, per the CDC.