A Republican megabill to enact President Donald Trump’s agenda proposes changes to the Affordable Care Act (ACA) Marketplace that experts say will yield billions in savings but could have the effect of reducing enrollment by up to one third.
The ACA Marketplace, often referred to as Obamacare, allows low-income Americans to buy discounted health insurance by providing a premium tax credit based on income.
The federal government pays the amount of the tax credit directly to the insurance company, so the consumer simply pays the discounted premium.
The marketplace allows more than 24 million people to obtain government subsidized health coverage. The program cost taxpayers about $91 billion in 2023....