- On October 12, the Trump administration announced it would stop making cost-sharing reduction payments to insurers, because it lacked a constitutionally valid appropriation to do so—an action that restores Congress’ “power of the purse.”
- While some have proposed that Congress should appropriate funds for the payments, such action would effectively reward insurers’ prior risky behavior—assuming cost-sharing reductions would continue to be paid, even after a federal judge struck them down as unconstitutional—thereby perpetuating moral hazard.
- A better course of action is repealing the undermining regulations surrounding Obamacare, which necessitated the unconstitutional cost-sharing reduction payments to insurers in the first place.
Health Care
Texas Has the Tools to Protect Health Data. Now We Just Need the Political Will.
Filled with anticipation, a woman in her early 30s downloads a fertility-tracking app. She and her husband are finally ready to start their young family and have a baby. Every morning she logs her cycle, her basal temperature, her symptoms. She grants the app access to her Apple Health data because the onboarding screen says...
July 24, 2026