Even in the absence of a bill repealing the ACA, which will likely take months to craft, a move by the next president to stop the payments would likely devastate the private insurance exchange and force even more participating insurers to pull out of the system. Insurers have protested, alleging in a brief filed in response to the lawsuit that the suspension of payments would cause premiums for ACA customers to skyrocket.
The consequences of a collapse of the ACA exchange have been brought into sharp relief in the days since the election, as hundreds of thousands of consumers have rushed to purchase health plans through healthcare.gov.
While Republicans have said that they want to do whatever necessary to ensure that those who currently depend on marketplace plans will have a period of time to transition into different coverage, what that coverage will look like remains a mystery.
Some conservatives would be content replacing the subsidized coverage with a tax credit that people can use to buy health care, while others fear that that won’t be good enough for those who have grown accustomed to the coverage they have enjoyed for more than three years now.
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