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The expected executive order will likely amplify the impact of repealing the individual mandate. Photo: Manuel Balce Ceneta/AP

The Trump administration is expected to release regulations as soon as today that will expand access to inexpensive, relatively skimpy short-term health plans — a move that could further destabilize the Affordable Care Act's insurance markets, even on top of the pending repeal of the individual mandate.

Yes, but: Short-term health plans don't offer protections to people with pre-existing conditions, and therefore could pull healthy people out of the risk pool for ACA coverage. But short-term plans would likely be a bigger deal if the individual mandate was stronger — short-term plans can only pull healthy people out of the market if they're in the market to begin with.

The upcoming regulations will implement Trump's executive order on health care. They'll likely help small businesses form association health plans and relax rules surrounding employer health reimbursement arrangements. But expanding access to short-term plans is seen as the main event.

The details: Right now, consumers can only keep a short-term plan for three months. The new rule is expected to extend that to a year.

  • These plans don't have to abide by the ACA's protections for people with pre-existing conditions, and they often don't cover a comprehensive set of benefits. That means they're really only attractive to healthy people.
  • But the stability of the ACA's exchanges depends on healthy people being enrolled there.
  • "The expansion of loosely regulated short-term insurance policies really magnifies the effect of repealing the individual mandate penalty," said Larry Levitt of the Kaiser Family Foundation.

What they're saying:

  • Topher Spiro of the Center for American Progress: "The markets will become segmented and premiums will spike for people with pre-existing conditions who need ACA-compliant plans."
  • Tim Jost, professor emeritus of Washington and Lee law school: "The exchanges will essentially become a home for consumers for qualify for premium tax credits and a high-risk pool for everyone else, and a very uncomfortable place for insurers to be. The number of uninsured will shoot up, as will the uncompensated care burden for hospitals."
  • America's Health Insurance Plans, along with other industry groups: "We are concerned that this could create or expand alternative, parallel markets for health coverage, which would lead to higher premiums for consumers, particularly those with pre-existing conditions. Further, these actions destabilize the health insurance markets. "

The other side: "Providing more flexibility to short-term health plans could segment the market, but again, I think the behavior is already playing itself out such that people are already gravitating towards these plans, or no coverage at all," says Chris Condeluci, a former GOP Finance Committee aide.

The bottom line: This is consistent with everything else that's happened under Republican control: The GOP is steadily nudging ACA marketplaces toward becoming a government-funded program for low-income people — and unaffordable for everyone else.

Go deeper

1 hour ago - Technology

Scoop: Facebook exec warns of "more bad headlines"

Illustration: Annelise Capossela/Axios

In a post to staffers Saturday obtained by Axios, Facebook VP of global affairs Nick Clegg warned the company that worse coverage could be on the way: “We need to steel ourselves for more bad headlines in the coming days, I’m afraid.”

Catch up quick: Roughly two dozen news outlets had agreed to hold stories based on leaked materials from Facebook whistleblower Frances Haugen for Monday publication — but the embargo fell apart Friday night as participating newsrooms posted a batch of articles ahead of the weekend.

"Atmospheric river" to whiplash Northern California from drought to flood

A map depicting 24-hour preciptation forecast (inches) ending Monday at 5a.m. local time. Photo: NOAA

A series of powerful "atmospheric river" storms are set dump historic amounts of rainfall across parts of drought-stricken California and the Pacific Northwest from this weekend, forecasters warn.

Why it matters: A strong atmospheric river, packing large amounts of moisture, is predicted to whiplash Northern California from drought to flood.

Inside Biden's Taiwan flubs

Illustration: Aïda Amer/Axios

Twice this year, President Biden has blurted out commitments that the U.S. is prepared to defend Taiwan against a Chinese invasion — forcing the White House to walk back his statements and leading to confusion over a high-stakes national security policy.

Why it matters: U.S. defense officials have publicly aired their concerns that China will take Taiwan by force in the next four to six years, perhaps sooner. The president's position on this question may soon have real-world, life and death consequences.