The nonpartisan Government Accountability Office (GAO) released a report today lambasting the Trump administration for its ACA sabotage. The Trump administration slashed funding for enrollment assistance navigators, cut outreach to the uninsured, and halted payments for financial assistance last fall for the 2018 enrollment period. Some findings in the nonpartisan watchdog’s report:

  • Marketplace enrollment decreased 5% during the last open enrollment period.
  • Stakeholders interviewed by the GAO said that “consumer confusion” and “HHS’s reduced role in promoting exchange enrollment” played a significant role in reduced enrollment.
  • GAO criticized HHS’s allocation of reduced navigator funding as “problematic for multiple reasons.”
  • GAO said HHS’s refusal to set goals for enrollment “hampers the agency’s ability to make informed decisions.”

Meanwhile, GOP congressional candidates are squirming and trying to have it both ways with the ACA. While they claim to support popular parts of the law that protect people with pre-existing conditions, they have sought to undermine them by voting to repeal the ACA, by backing policies to undermine comprehensive coverage in favor of junk plans, and by supporting lawsuits designed to overturn the ACA, including pre-existing condition protections.They’re also touting the tax bill as the biggest Republican achievement of the Trump era to date—conveniently failing to explain that, thanks to the tax scam’s repeal of the individual mandate, in combination with other Trump administration ACA sabotage, Americans will face exchange premiums that are an extra $1,000 higher than they should be in 2019.