OMB Director Mick Mulvaney. (Photo: Win McNamee / Getty Images)

Funding the Affordable Care Act's cost-sharing subsidies would lower premiums by 15-20%, according to an analysis being circulated around congressional offices from the Office of Management and Budget. OMB says those subsidies would be more cost-effective than a new reinsurance program.

Why it matters: Reinsurance has been gaining steam on Capitol Hill, and Sen. Susan Collins is still owed a vote on a reinsurance bill. But the White House budget office is saying Congress could get a better deal by restoring a funding stream that President Trump cut off last year.

The numbers:

  • President Trump's decision to quit making the cost-sharing payments this year caused premiums to rise by 15-20%, the analysis says, and funding them next year would undo that increase.
  • It also says that for every $1 billion spent on a reinsurance program — which would compensate insurers for their most expensive claims — individual market premiums would decrease by only 1%.

Key quote: "We project funding CSRs would have a greater impact on reducing premiums than any of the reinsurance funding levels that have been proposed, and would have more bang for the buck in terms of Federal spending."

Go deeper

Updated 4 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: McConnell urges White House not to strike stimulus deal before election — Republican senators defend Fauci as Trump escalates attacks.
  2. Economy: Why the stimulus delay isn't a crisis (yet).
  3. Health: Studies show drop in COVID death rate — The next wave is gaining steam — The overwhelming aftershocks of the pandemic.
  4. Education: Schools haven't become hotspots — San Francisco public schools likely won't reopen before the end of the year.

The hazy line between politics and influence campaigns

Illustration: Aïda Amer/Axios

The recent firestorm over the New York Post’s publication of stories relying on data from a hard drive allegedly belonging to Hunter Biden shows the increasingly hazy line between domestic political “dirty tricks” and a foreign-sponsored disinformation operation.

Why it matters: This haziness could give determined actors cover to conduct influence operations aimed at undermining U.S. democracy through channels that just look like old-fashioned hard-nosed politics.

59 mins ago - World

"I stood up for that": Pope Francis voices support for same-sex civil unions

Pope Francis at St. Peter's Basilica in Vatican City. Photo: Vatican Pool - Corbis/Corbis via Getty Images

Pope Francis voiced his support for same-sex civil unions for the first time as pope in the documentary “Francesco,” which premiered Wednesday at the Rome Film Festival, per the Catholic News Agency.

Why it matters: The pope’s remarks represent a break from the position of the Roman Catholic Church, which has long taught that homosexual acts are “intrinsically disordered" and contrary to natural law.