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We’ve written about the collapse of many Obamacare markets as well as the removal of several insurers from the Obamacare system across multiple states and exchanges.  Earlier this year Aetna Inc. and Wellmark Inc. announced that they would not participate in Iowa for 2018 due to unsustainable costs; only the insurer Medica would be available in the state.

In response, Bloomberg reports that “Iowa is asking the Trump administration to let it reallocate millions of dollars and create a stopgap program that would provide health insurance options for 72,000 Iowans covered by the Affordable Care Act.

Under the proposal made public on Monday, the state would use $352 million in federal money to provide backup funding for insurers and overhaul Obamacare’s subsidies for consumers next year. The state would also create a single standardized plan that insurers would offer.”

Iowa’s proposal has three main pieces:

  • It would create a standard plan, pegged to Obamacare’s mid-level silver offering. Insurers and consumers who want the extra help would need to buy that plan.
  • The state would use about $220 million of funding to provide the new subsidies.
  • And the state would create a reinsurance program, funded with an estimated $80 million, to help insurers deal with high-cost claims.

The program needs to be approved by the Trump administration and would be known as a “Stopgap” measure while the future of Obamacare gets played out in Congress. Nonetheless, the current form of Obamacare is financially unstable; expect to see more of these types of proposals in the coming months.