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Although Republican efforts to repeal the Affordable Care Act (ACA) failed last month, President Trump continues to threaten the future of the ACA including the elimination of subsides for consumers in the private market. Today’s analysis by the Congressional Budget Office (CBO). estimates an increase in health insurance premiums by 20 percent next year if the subsides are not funded. Insurers rely on the subsidies to reduce out-of-pocket costs for low-income consumers.