Congressional leaders in both parties are secretly trying to exempt themselves from certain provisions of the Patient Protection and Affordable Care Act and are currently in hi-level talks on how to do so. With even Democratic members of Congress looking for an escape, this really says a lot about how they feel about the legislation they supported. The main point of contention is over the provision requiring staffers — namely junior aides who are low-paid – to use exchanges which may result in having to pay thousands of dollars extra a year if the federal government does not subsidize them. This has the potential for being politically disastrous for The White House.
In one territory, American Samoa, about 79% of the residents depend on Medicaid.