Trump slashes ‘Obamacare’ funding

Money for advertising, customer assistance cut

Washington — Affirming its disdain for “Obamacare,” the Trump administration on Thursday announced sharp cuts in programs promoting health care enrollment under the Affordable Care Act for next year.

Advertising will be cut from $100 million spent on 2017 sign-ups to $10 million, Health and Human Services officials said.

Funding for consumer helpers called “navigators” also will be cut about 40 percent, from $62.5 million for 2017, to $36.8 million for next year. That change reflects a new performance-based ethic that penalizes navigator programs failing to meet their sign-up targets, administration officials said.

About 12.2 million people signed up for subsidized private health insurance under Barack Obama’s signature law this year, many in states that President Donald Trump carried in November. Current enrollment is estimated to be around 10 million, due to attrition also seen in prior years.

Top Democrats accused the administration of malice.

House Minority Leader Nancy Pelosi of California said the administration is waging a “cynical effort to lower enrollment” that would “create chaos” and increase premiums.

Her Senate counterpart, Chuck Schumer of New York, said the administration “is deliberately attempting to sabotage our health care system,” adding that “the American people will know who’s to blame.”

It was unclear how Trump’s latest move might affect a planned effort in the Senate to craft bipartisan legislation that would stabilize insurance markets.

Trump and congressional Republicans have been unable to deliver on their vow to “repeal and replace” the 2010 health care law, but the president has repeatedly pronounced the program on the verge of collapse.

On Twitter and in interviews, Trump has threatened to give “Obamacare” a nudge by cutting off payments to insurers that help reduce consumers’ co-pays and deductibles. Still, his administration has continued making payments month to month.

Independent observers say the ACA’s insurance markets have problems, but are not about to implode. For next year all U.S. counties will have at least one participating insurer, although consumers in close to half of the counties will have only a single carrier serving them. Some major insurers have left the program after taking deep financial losses.

HHS officials announced the promotional cutbacks in a conference call with reporters. The three officials who described the details of the cuts refused to be identified by name.

The administration says the government hasn’t gotten much bang for its buck as far as ACA advertising and the navigator program, with some enrollment centers signing up very few customers.

By comparison, HHS said the combined advertising budget for Medicare Advantage and Medicare prescription drug plans is $9.7 million.

HHS officials said the 98 navigator programs funded by the ACA enrolled fewer than 82,000 people, or less than 1 percent of the total. Navigator staffers are supposed to guide consumers through the sometimes complicated enrollment process, which involves estimating income for the coming year, proving citizenship or legal residence, and sorting through various health plan options.

For next year, officials said navigator funding will reflect each sign-up center’s prior performance.