Citizens’ Council for Health Freedom: End Obamacare Cost-Sharing Reduction Subsidies Now


For Immediate Release
April 26, 2017

Beth Harrison, Hamilton Strategies, 610.584.1096, ext. 104,, or Deborah Hamilton, 215.815.7716, 610.584.1096, ext. 102

Citizens’ Council for Health Freedom: End Obamacare Cost-Sharing Reduction Subsidies Now

In a New Op-Ed in the Washington Times, CCHF’s Twila Brase Says the Time is Now to Right the Obamacare Wrong  

ST. PAUL, Minn.—In the ongoing debate about health care, the newest conversation revolves around cost-sharing reduction (CSR) subsidies, which cover the cost of deductibles and out-of-pocket expenses for certain individuals.

Now, some lawmakers—Republicans and Democrats alike—are calling on President Donald Trump to outlaw the subsidies, which would accelerate the demise of the Affordable Care Act.

Joining them is Citizens’ Council for Health Freedom (CCHF,, a national health freedom and patient advocacy organization that has long called for the full repeal of Obamacare.

“Republicans should take a lesson from Democrats,” wrote CCHF president and co-founder Twila Brase in a new op-ed for the Washington Times. “During President Obama’s battle to enact Obamacare, his chief of staff, Rahm Emanuel, famously said, ‘You never want a serious crisis to go to waste. What I mean by that is an opportunity to do things you could not do before.’ I agree. Eight years later, Americans are in a serious crisis because of Obamacare. And now there’s a huge opportunity to deep-six the law. Republicans should not let it go to waste.”

Brase added that it’s time to pivot after the failure of the American Health Care Act (AHCA), the Obamacare replacement bill that was opposed by conservatives and moderates alike.

“Why waste time trying to resurrect AHCA or pass another Obamacare replacement bill? Americans want Obamacare repealed,” Brase said. “Republicans should begin by following through with President Trump’s threat. End the unauthorized Obamacare cost-sharing reduction subsidy payments, estimated to be $7 billion in 2016. This one action could sink much of Obamacare.”

In fact, Brase added, Congress sued the Obama administration due to the illegal provision of CSRs to insurers. According to the suit, the CSR subsidies violate the constitutional divisions between the legislative branch and the executive branch. Congress won but the Obama administration appealed. Now, the lawsuit is stalled, and President Trump hasn’t yet dropped the appeal, but could—and should.

“The Trump administration could implode the exchanges by refusing to provide cost-sharing subsidies,” Brase said. “The ending of subsidies and impending collapse of Obamacare would give states a reason to rise up and tell Congress they are taking back health care and re-establishing their own insurance markets for affordable private coverage without the government exchanges.

“Obamacare is nothing more than high-priced Medicaid for the middle class,” she added. “President Trump and Congress now have a chance to end CSRs and with it the unaffordable disaster called Obamacare.”

Without these payments, the subsidy-ridden veil surrounding the true cost of Obamacare will be ripped to shreds. And health plan premiums, loaded with ACA mandates and regulatory requirements, will skyrocket to their actual cost.

“The fallout will be immediate,” Brase said. “Americans who could never afford Obamacare-priced premiums will refuse to buy coverage. Enrollment will plummet. The healthy will forgo coverage. The sick will pay whatever it takes to keep coverage. Health plans will lose their taxpayer-funded financial cushion and exit the Obamacare exchanges in droves. And the exchange, funded by a surcharge on monthly premiums, will implode. This is where crisis and opportunity come together.”

It’s up to President Trump, Congress and states to right the Obamacare wrong and restore affordability. According to Brase, a real marketplace exists outside of government-controlled exchanges, and affordable insurance exists outside of managed care corporations.

“True insurance exists outside of Obamacare coverage,” Brase concluded. “Mr. Trump should drop the administration’s appeal against the Republican lawsuit and stop CSR payments. Republicans in Congress should refuse to fund CSR subsidies. The impending Continuing Resolution, which appropriates money to keep the federal government funded, should not include CSR subsidies. And Republicans in every statehouse around America should reassert their right to direct health care within their borders and enact laws to make it so. The time, and opportunity, to end Obamacare is now.”

CCHF’s newest initiative, The Wedge of Health Freedom (, aims to use third-party-free direct payment to transform the entire health care system back to freedom and restore simplicity, affordability and confidentiality. Nearly 200 Wedge practices, where patients can find affordable, patient-centered care, are located in 44 states and listed online.

CCHF is a national patient-centered health freedom organization existing to protect health care choices, individualized patient care, and medical and genetic privacy rights. For more information about CCHF, visit, its Facebook page or its Twitter feed @CCHFreedom. Also view the media page for CCHF here. For more about The Wedge of Health Freedom, visit, The Wedge Facebook page or follow The Wedge on Twitter @wedgeoffreedom.


To interview CCHF’s Twila Brase, contact Beth Harrison at 610-584-1096 x104, or Deborah Hamilton at 215-815-7716 or 610-584-1096 x102.