— MB (@baxterdc) March 25, 2016
So under budget and on projection for the target uninsured rate even with Chief Justice Roberts enabling sociopaths and assholes to stop Medicaid Expansion in 20 states.
Not bad at all….
UPDATE 1: The next time there is a massive social program passing Congress with uncertain costs, we need to put in mechanisms to take advantage of success instead of safeguards against massive cost overruns. The ACA has triggers where if the total federal cost of the advanced premium tax credit and the cost sharing reduction subsidies were more than .504% of GDP, future year individual shares would increase and the thresholds for federal subsidies would decline.
There were no mechanisms in place to say if subsidies were significant below budget that either subsidies for currently qualified individuals would get richer so their out of pocket premium expense would decline OR more people would become eligible for subsidies.
This is just a note to self to find again in 20 years.