During the negotiations in 2009, ObamaCare was viewed as a sort of permanent compromise between the left-wing dream of universal health care, and the fact that private insurers and medical providers have sunk deep roots in the country (including into many Democratic members of Congress).
Republicans are seeking another 90-day extension in a federal court case centered on insurer payments under ObamaCare, as congressional lawmakers and the Trump administration consider a broader legislative package to replace the existing law.
"It is wholly inappropriate for you to use federally appropriated money meant to lower the cost of quality, affordable healthcare as a bargaining chip to garner political support for unpopular legislation being negotiated behind closed doors by the Trump administration and congressional Republicans".
In the lawsuit House v. Price (previously known as House v. Burwell), Republicans argue that the Obama administration was not authorized to make the payments, which total $175 billion over 10 years.
So when Trump says, as he did today, "Obamacare is a fallacy".
Insurers also want more guarantees about the subsidies' future before they commit to participating in the exchanges in 2018. Without the payments, Republicans could be blamed for a mass exodus of insurers from the Obamacare marketplace next year, potentially leaving many of their constituents without any options. In April, the president said, "Obamacare is dead next month if it doesn't get that money".
Trump and Republicans are likely to suffer political fallout from higher Obamacare rates next year, Slavitt said. It might include money to help stabilize shaky insurance markets with subsidies to reduce out-of-pocket costs for low-earning people and letting states offer skimpier, and therefore less expensive, policies. Ron Johnson, a Republican from Wisconsin.
If that doesn't happen - and it now looks like it won't - insurance executives have told me they plan to try to raise premiums, reflecting an assumption that the CSR subsidies don't get paid. On Monday, the administration sought to delay the lawsuit again, effectively prolonging uncertainty over the fate of the payments.
The filings also prolong the indecision over the $7 billion subsidy program that President Donald Trump has displayed since taking office four months ago, even as he has vowed to tear apart most of the sprawling health-care law.
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Collins added "It's my understanding that the House has not be interested in appropriating the funds".
He may have created enough uncertainty about the continuation of cost-sharing reduction subsidies to help cause the "implosion" of Obamacare anyway.
These subsidies are crucial to Obamacare's survival, at least in the near term. That scared off many Republicans and complicated House leaders' job of passing their legislation.
The $2 billion question: Here's where the biggest obstacle to Republicans' planned health-care overhaul could come in.
"I'm still looking at it", Sen.
Health care experts say that although the decision is a positive outcome in the short term, it perpetuates uncertainty for insurers as they make decisions about 2018 rates.
Hours before the administration and House Republicans' filing, a major insurer group released a framework for market stability that relies in part on a continuation of such subsidies.
"There's room for both, and I don't think they should be mutually exclusive, but I think we saw in the election that people want to see, 'What are you going to do for them?'" said Terry McAuliffe, the popular governor of Virginia and a close Clinton ally.