The individual insurance market will still need help. It’s not as if it’s healthy right now. The Centers for Medicare and Medicaid Services reported yesterday that there was a 38 percent drop in the number of health insurers who filed to offer Affordable Care Act health insurance next year.
The fate of insurer subsidies still has to be resolved. The Trump administration won’t want to keep paying for the cost-sharing subsidies for low-income customers without funding from Congress. So Congress would have to decide whether to fund the subsidies on its own.
The ACA will be run by an administration that hates it. By now, HHS Secretary Tom Price and CMS administrator Seema Verma have spent so much time promoting the law’s failures that they’d have trouble switching gears and trying to make the law work.