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Andy Slavitt @ASlavitt
, 10 tweets, 4 min read Read on Twitter
BREAKING: Trump Administration releases new rule to allow states to add plans which don’t cover pre-existing conditions.

2 week’s before an election in which GOP is claiming this isn’t really their strategy.
Effective today, “insurance” that doesn’t include coverage for the following events👇 will be eligible to count towards insurance— *and get subsidies that currently go to the ACA.

States need to apply for a waiver that the Trump Admin is allowing as of today. 2/
He waiver being used is a 1332 waiver which was put into the ACA to allow state flexibility (yes, Obama and Democrats believe in it too) to create innovative offerings so long as the number of ppl covered, affordability and comprehensiveness of coverage aren’t reduced. 3/
Eight waivers have been granted— all of which have reduced premiums and everyone has benefitted.

But Trump wants to give states more flexibility by reinterpreting the guidelines states have to follow. 4/
So Trump is changing the rules in a major way—

-Insurance coverage will now be defined as having ACCESS to it. Not actually having it.
-Junk plans can count as coverage
-Everyone doesn’t need to be better off. Some can be better, some worse
-Two risk pools for sick/healthy OK 5/
A larger list can be found in this very good thread from @sangerkatz 6/

Headed to DC. Need to go through security. Give me a moment...
This has an obvious political context. But it has a really important actual human context as @AndrewGillum points out (co @ElenaHung202). 7/

42% of people with cancer lose their life savings within 2 years.

The Trump Administration will make that worse with policies that don’t cover things and those that do too expensive too afford. Even finding away to take the income subsidies. 9/

Since everybody has either had cancer or knows they can be touched by it, it’s not a surprise that Republicans who voted to repeal pre-ex protections are now pretending to support them.

It’s the worst kind of lie for people with everything at stake./end

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