obamacare

A day after President Trump said the Affordable Care Act "has been repealed," officials reported that 8.8 million Americans have signed up for coverage on the federal insurance exchange for 2018 — nearly reaching the 2017 number in half the sign-up time.

That total is far from complete. Enrollment is still open in parts of seven states, including Florida and Texas, that use the federal HealthCare.gov exchange but were affected by hurricanes earlier this year.

This post was updated Dec. 14 at 9:30 a.m. to note that Maryland extended enrollment until Dec. 22.

Gene Kern, 63, retired early from Fujifilm, where he sold professional videotape. "When the product became obsolete, so did I," he says, "and that's why I retired."

Open enrollment on the federal health law's marketplace — HealthCare.gov — ends Friday, and most people who want a plan for next year need to meet the deadline.

But some consumers who miss the cutoff could be surprised to learn they have the opportunity to enroll later.

"While a lot of people will be eligible ... I am still worried that a lot of consumers won't know it," says Shelby Gonzales, a senior policy analyst at the Center on Budget and Policy Priorities.

Russ Bynum / AP Photo

On this edition of "Political Rewind," another mass shooting rocks the country. Is easy access to guns to blame? In Georgia, new efforts are underway to move away from the past in a city that was a key part of the Civil War. We discuss. Also, a Republican legislator says it’s time to move past “repeal and replace” and look to using Obamacare to expand Medicaid in Georgia, but with a narrow purpose in mind. Plus, candidates for mayor of Atlanta gear up to get out the vote for Tuesday’s election.

ALEX SANZ / AP PHOTO

On this edition of "Political Rewind," how did voter data end up being erased from state computers even as a lawsuit challenging the integrity of Georgia elections was underway? It’s a story that could haunt top candidates in next year’s statewide elections. Also, President Trump speaks out about the opioid crisis. Did he make it clear he’s ready to commit the resources necessary to make an impact? It matters in Georgia, where the crisis looms large. Plus, Obamacare rates are out for 2018, and Georgians will pay more than people in many other states.

Panelists:

Evan Vucci / AP Photo

Today on “Political Rewind,” Delta Airlines CEO Edward Bastain is bristling at a few Trump administration policies that he says will hurt the company. It’s the first time the company has expressed deep concern with the president. Our panel talks about the friction.

Then: negotiations on a new NAFTA agreement break down, Georgia farmers could pay a steep price for failure to strike a deal. How much will tariffs hurt agriculture exports, especially in the North Georgia poultry industry?

Updated at 11:40 p.m. ET

The Trump administration said Thursday that it would end the Affordable Care Act's cost-sharing reduction payments designed to help low-income Americans get health care. Not paying the subsidies, health care experts have warned, could send the health insurance exchanges into turmoil.

President Trump signed an executive order Thursday that is intended to provide more options for people shopping for health insurance. The president invoked his power of the pen after repeated Republican efforts to repeal the Affordable Care Act, also known as Obamacare, have failed.

"The competition will be staggering," Trump said. "Insurance companies will be fighting to get every single person signed up. And you will be, hopefully, negotiating, negotiating, negotiating. And you will get such low prices for such great care."

Updated at 3:36 p.m. ET

Sen. John McCain may, once again, be the savior of President Barack Obama's signature domestic achievement.

The Arizona Republican announced in a statement on Friday that he opposes the latest GOP legislation to dismantle the Affordable Care Act.

Open enrollment for Affordable Care Act insurance doesn't start for another six weeks. But the quirky insurance startup Oscar Health is launching an ad campaign Monday aimed at getting young people to enroll.

The company is boosting its ad spending after the Trump administration announced it would slash its ACA advertising budget by 90 percent.

With Republican efforts to "repeal and replace" the Affordable Care Act stalled, tentative bipartisan initiatives are in the works to stabilize the fragile individual insurance market that serves roughly 17 million Americans.

Updated 4:31 pm August 16: On Wednesday, the White House said it would continue what's known as cost-sharing reduction payments to insurers for another month, buying President Trump some time to decide whether he'll continue the payments long-term or cut them off altogether.

The announcement came a day after the Congressional Budget Office released an analysis that found that ending the payments would increase the deficit by $194 billion over 10 years.

Senate Republicans don't appear to be too worried about President Trump's latest round of threats.

The Senate Health Care Vote, Simplified

Jul 24, 2017

The Senate is expected to vote Tuesday on whether to advance health care legislation to the Senate floor. That would open up debate on an Obamacare repeal and/or replacement plan.

The importance of the vote was highlighted by Sen. John McCain's decision to return to Washington to take part. He announced last week that he had been diagnosed with brain cancer.

President Trump says he wants to let the Affordable Care Act, or Obamacare, fail. He’s repeated the threat over and over in news conferences and on Twitter.

But NPR’s Alison Kodjak (@alikodjakNPR) reports that the health care law isn’t collapsing on its own: The president and his team are actively undermining the Affordable Care Act markets.

Updated at 2:54 p.m. ET

After the Senate's attempt to replace the Affordable Care Act collapsed Monday, Republican leaders immediately began talking about repealing the health care law in hopes of coming up with a replacement later.

But by midafternoon Tuesday, Senate Majority Leader Mitch McConnell's plan to hold a vote on a repeal-only bill had faltered, too.

The Affordable Care Act isn't perfect. Even proponents of the law would agree with that.

In many parts of the country, there is only one insurer in the individual markets — and in a few, there are zero. Premiums have spiked, sending some people on the insurance exchanges hunting for new plans.

When Senate Republican leaders delayed the vote on their bill to repeal and replace the Affordable Care Act, also known as Obamacare, Minority Leader Chuck Schumer, D-N.Y., was quick to not declare victory.

"We're not resting on any laurels, nor do we feel any sense yet of accomplishment," Schumer said at his weekly press conference, shortly after the surprise GOP decision to punt on a vote. "Other than we are making progress, because the American people are listening to our arguments."

One provision of the Senate's health care bill stands to be quite popular: the Better Care Reconciliation Act would eliminate the Affordable Care Act's individual mandate. That would be repealed immediately.

Another would likely please the Republican base: defunding Planned Parenthood for a year. Those funds would disappear right away, too.

Another would threaten health care coverage for millions of Americans: a rollback to the Medicaid expansion. That change wouldn't start until 2021.

In late May, several senators went to the floor of the Senate to talk about people in their states who are affected by the opioid crisis. Sen. Shelley Moore Capito, R-W.Va., talked about Chelsea Carter.

"She told me her drug habit began when she was 12 years old," said Capito.

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