Though Republicans are not explicitly trying to repeal the Affordable Care Act, a series of small, technical changes would substantially reduce enrollment and increase the cost of coverage.The New York Times reports that while Republicans are not explicitly trying to repeal the Affordable Care Act, a series of small, technical changes could have a significant impact on enrollment and the cost of coverage. These changes, which include reductions to enrollment periods, adjustments to formulas, and additional paperwork requirements, could result in about four million people losing health coverage over the next 10 years, according to the Congressional Budget Office. This has been described as a “repeal by paper cut” by Audrey Morse Gasteier, the director of the state marketplace in Massachusetts. In addition to these proposals, there is also the challenge of additional Obamacare funding set to expire at the end of the year, which Republicans do not plan to extend. If this funding is not extended, the C.B.O. estimates that an additional 4.2 million Americans could lose coverage. These changes, along with the potential expiration of subsidies, could threaten the viability of the Obamacare markets, which currently cover 24 million people and have grown significantly since 2014.
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