The Trump administration plans to shut down the federal health insurance exchange for 12 hours during all but one Sunday in the upcoming open enrollment season. The shutdown will occur from 12 a.m. to 12 p.m. ET on every Sunday except Dec. 10.
The Department of Health and Human Services will also shut down the federal exchange — healthcare.gov — overnight on the first day of open enrollment, Nov. 1. More than three dozen states use that exchange for their marketplaces.
HHS officials disclosed this information Friday during a webinar with community groups that help people enroll.
The Trump administration has come under attack from critics who say that it is intentionally undermining the Affordable Care Act, through regulatory actions. It shortened the enrollment period, withdrew money for advertising and cut the budget for navigators to help people shop for plans.
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The fact that HHS is now closing the site for a substantial portion of each weekend, supposedly for maintenance, seemed the last straw. Many working patients — the prime target group for ACA insurance — might be shopping at just that time.
“The Department of Health & Human Services is actively trying to prevent people from signing up for healthcare coverage,” Rep. Don Beyer (D-Va.) tweeted. “This is outrageous.”
“Argh” was the reaction of Shelli Quenga, program director at the Palmetto Project in South Carolina, a nonprofit group that received about $1 million to help with outreach and enrollment in the past 12 months. This month, HHS cut her budget in half for this year’s open enrollment.
Open enrollment season this year runs from Nov. 1 to Dec. 15, less than half the time people have had to sign up during the first four years of the exchanges created under the Affordable Care Act.
More than 12 million people enrolled on the state and federal marketplaces for 2017 coverage, including more than 9 million on the federal exchange. Some customers give up coverage over the course of the year.
Advocates were already nervous that fewer people would sign up during the shortened period this time around.
“I could see this really impacting the ability of people to complete an application sign-up in a single sitting, which is so important,” said Jason Stevenson, spokesman for the Utah Health Policy Project, an Obamacare navigator group. He noted that 10 p.m. Mountain Time is often a relatively popular time for people to enroll online.
“Health insurance is complicated, and in the past couple of years we had an administration that made it easier to sign up, but that has really changed in the past six months, with more hurdles not only for consumers but for those whose job it is to help them,” he said.
A spokesman for the federal Centers for Medicare & Medicaid Services, which oversee the exchanges, said the shutdowns should not cause too many problems.
“Maintenance outages are regularly scheduled on healthcare.gov every year during open enrollment. This year is no different,” the official said. “The maintenance schedule was provided in advance this year in order to accommodate requests from certified application assisters. System downtime is planned for the lowest-traffic time periods on HealthCare.gov including Sunday evenings and overnight.”