Close the ACA Marketplaces

End of Year 3 · CMS CCIIO; state exchangesDiscuss this step

ACA cost-sharing reductions & silver loading

endsEnd of Year 3Federal programs

Today

Lower deductibles for low-income Marketplace enrollees; insurers load the cost into silver premiums.

Under the plan

End with the Marketplaces; no cost sharing exists to reduce.

Trade-off

Ends a convoluted subsidy mechanism.