President trump said he will immediately stop paying billions in subsidies that help millions of lower income americans pay for coverage. To help a few he is going to hurt lower income voters, many of whom voted for him. It comes hours after the president signed an executive order allowing alternative health plans that skirt the laws requirements. And another decision from the white house. In just hours, President Trump will announce a new strategy towards iran. The president will not certify that iran is implying with the nuclear deal. He will stop short of pulling out of that agreement leaving congress with the major decision. We have it all covered for you. Joe johns is live for us at the white house. Give us the latest, joe. Reporter good morning, alyson. A tweet from the president before 6 00 a. M. This morning. A very good example of the president of the United States trying to frame the National Conversation on an issue at the very start of the day. Heres the tweet. The democrats obamacare is imploding. Massive subsidy payments to their pet Insurance Companies has stopped. Dems should call me to fix but make no mistake, over the last 24 hours, it is the president who has gone a long way toward putting his imprint on governmentregulated health insurance, and he has done it without an act of congress. President trump upending the health care market, scrapping critical subsidy payments to insurers that help nearly 6 million lower income americans pay for health care. The payments, which will cost the federal government about 7 billion this year, set to end immediately. Without the subsidies, the Congressional Budget Office estimates exchange premiums will rise 20 next year and increase the National Deficit by 194 billion over 10 years. The move could force many insurers to flee the marketplace entirely. We pay hundreds of millions of dollars a month in subsidy that the courts dont even want us to pay. When the payments stop, it stops immediately. President trump threatened to end the subsidies for months. Lawmakers in both parties have urged the administration to tomorrow the payments in the shortterm to stabilize the markets. The white house declaring thursday that the government cannot lawfully make the costsharing reduction payments. Democratic leadership blasting the decision as a spiteful act of vast, pointless sabotage leveled at working families and the middleclass before insisting that President Trump will pay a price for this decision. House Speaker Paul Ryan applauding the move, while republican congresswoman ileana rossrehtinen tweeting. It comes after he allowed people to buy cheaper, more basic plans, something experts say will drive up the cost of premiums for sicker patients. This will cost the United States government virtually nothing and people great, Great Health Care. Reporter President Trump legislating through executive order despite repeatedly attacking his predecessor for doing the same. We have a president that signs executive orders because he cant get anything done. Obama cant even get along with the democrats. Reporter the decisions coming ahead of another consequential announcement this afternoon. That deal is an embarrassment to the United States. Reporter President Trump set to announce he will decertify irans compliance with the nuclear agreement, a move that kicks the issue to congress but stops short of withdrawing from the agreement entirely. Lawmakers would have 60 days to decide whether to reinstate economic sanctions lifted under the agreement. The Trump Administration is not expected to push essentially for sanctions to be reimposed because that would, in all likelihood, cause iran to walk away from the deal. Joe, we will cover all of this. We will start to health care. Oh, the hypocrisy, to hear paul ryan, the speaker of the house and these republicans applauding an executive order that subverts an act of congress. What a difference an election makes. Cnns chief Business CorrespondentChristine Romans is here to break it down for us. The suggestion is that this executive order will make it easier to get Cheaper Health Care and more people will benefit. Whats the reality . Well, the reality here iseneding kis enit will cost millions of Americans Health coverage. Who are we talking about . 6 million low income individuals, 30,000 a year earnings. It does not affect premiums but makes a huge difference for these enrollees right here. The subsidy lowers the average deductible to 255 a year. Without it, it is 3,600. Thats why these americans could see huge increases next year. Now, the president has threatened to stop payments for months. It caused many insurers already to hike their rates next year. Most insurers hiking their rates by more than 20 . Some Major Players have dropped out of the market entirely. But insurers that didnt price in the loss, they can sue or raise rates. That is a new problem for obamacare less than three weeks to go before open enrollment. The Enrollment Period that they are going to cut short with this executive order. Right. Why do that . To discourage people for signing up for health care, further likening the chance that the entire system goes down. Christine, thank you very much. All right. Lets discuss. We have the pam with us. Ron brownstein, reporter and editor at large, chris cillizza, and Kaiser Health news julie rovener. Do you want to start with the political hypocrisy or policy implications. It is a series of actions designed explicitly to destabilize the Exchange Portion of obamacare. Medicaid is still out of their reach and proved surprisingly difficult. As you point out, as christine pointed out, you add up everything that is being done in terms of reducing the amount of money spent on outreach, in terms of closing the website for maintenance during the open Enrollment Period, pulling back on the costsharing payments, the executive order, which is the beginning of a process that would allow insurers to essentially segment off more Healthy People at the cost of raising prices for older people with Greater Health needs. They all have the same effect. The perverse element of this has been that the biggest losers in this overall direction as in the Republican House and senate is Health Care Bills have been older, working age adults. Twothirds of everybody in the country, 35 to 64, is white. Most of them have voted republican. Most voted for donald trump. This is a dagger aimed directly at their own constituency. It showed up in the polls in the decline of working class white voters in his approval. It precipitated some of the harsh, sharp, cultural confrontations which the white house thinks is a way to reel them back on some of these issues. Explain how this works politically. We understand this was a Campaign Promise that President Trump made that he would dismantle obamacare. But to start with the poorest people who get the subsidies, how does that make sense . Ironically, its not really those people who will be affected. The law requires discounts be provided to lower income people. The president has said were not going to pay you back, Insurance Companies. So the Insurance Companies will, in turn, raise rates. The premium subsidies will protect the lower and middle income people. Who gets hit . The people who dont get premium subsidies, who earn 400 of poverty, who are in the individual market. They are weightier people, primarily republicans. So really this ends up redowneding to the voters. When the president said the government wont pay more, that is certainly not the view of the Congressional Budget Office that the premium subsidies will go up because premiums would go up. They would be likely to sue and likely to win because the federal government, whether or not it officially made this appropriation under the law, owes them the money back. What is the political play here . Is the president just hoping people wont figure on out they got hurt by the move and he gets to wave a price tag of money saved . Yes. And no. Honestly, chris, some of it is simple. Promise made, promise kept. You didnt like obama. It has his name on it. Were getting rid of it. To be honest, julie understands the Health Care System better than 99. 99 of america. Or that most people will understand it. What they will see is donald trump said he was going to get rid of obamacare. The senate, including republicans, couldnt do it. And donald trump is doing it. Obviously thats a massive oversimplification and misses the fact that it will hurt many of the people who voted for him. This will not be the first time people vote against their economic and other interests. It has happened many times before. He may well get the votes of these people anyway. Chris, im going to disagree a little bit. I think health care is a very personal issue. We saw during the aca debate voters paying an unusual amount of attention to the debate. And a significant decline in trumps approval during the course of debate among the two groups that would have been mostly affected, blue collar and older whites. Undermining a Health Care System that proved more popular and more sturdy, even with roots among republican governors, will be more problematic than youre suggesting, chris. This is something they get. It it is not as abstract. Taxes can seem theoretical to many americans. Health care is something they live with. They understand that it affects them, their family, often their parents for people in the older age group. Questions about medicaid and its availability to caregivers. I think playing with fire. We are giving ourselves more leverage to make a deal. Thats what they said on daca. We will see if they can put conditions on that allow for a deal to be made. Im with ron on the impact of health care. Bus it impacts you day in, day out, it touches most people in a real way, 2010 election, 2014 election, 100 not 100. 95 dictated by health care. No question thats why republicans won. The only thing i would say is i do think Donald Trumps ability to maintain his base no one knows the numbers better than ron. Im not going to dispute that. But these people have stuck with him through a lot of things i permanently didnt think they would. Whether the things he said about women, some of the policies he has laid out. I dont know if this is a breaking point even if it does hit them. Im not saying it suspect. It may well be. But im always skeptical that the trump base will leave trump because does things every once in a while, sometimes more than once in a while and you dont see it, not even his base, republican elected officials, running away from it. As julie points out, he is billing this, what he is doing, as stopping a bailout to Insurance Companies. They can get their arms around that. This is not hitting the lowest income. This is stopping the bailout that the Insurance Companies were getting. But, julie, look, the president hated executive orders, as you may remember when president obama was in office, he railed that. We have a montage of him saying how many times he hated it. Now, if you look at both these nine months in office, he has doubled president obamas executive orders. And is this because the gop and congress werent willing to do these that he had to use his own pen. They would like to put the subsidies back and they could potentially you do that. With the executive order yesterday, which doesnt actually change anything. It will take months for any of that to happen. And the announcement about the subsidies. Hes trying to blow up the individual market. He may well succeed in doing that. You pointed out three weeks away from open enrollment. It is only six weeks long. Theres roughly 17 Million People who buy their own insurance. Insurance companies could just leave. That could hurt everybody. He is trying to create as much chaos as he can in hopes of driving democrats and republicans to the table. Very unclear who that might hurt. If youre someone who is not low income, who said ill be able to get a cheaper plan for me, these Insurance Companies are going to make their money. If they cant make them on lowincome people because of what the law says right now regardless of the subsidies, theyre going the make it on you. Its going to happen. We will hear about it. Well report it. Gentlemen, julie, thank you very much. So does hypocrisy on on executive orders, what alyson was just talking about, does it really matter anymore . Were going to ask a member of the House Freedom caucus next. The president is up and apparently watching the show and tweeting. His tweet reads obamacare is a broken mess. Piece by piece we will now begin the process of giving america the Great Health Care it deserves. One thing is for sure, piece by piece this executive order is furthering the implosion of the individual and other markets. Lets discuss the move by the president , its implications and what happens next. We have republican congressman jim jordan of ohio. Always a pleasure to have you on the show. Thank you for being with us, congressman. You bet. Good to be here. Whats your take on what the president did and how he did it. He is right, it is a mess. We would be in a better position if we undid this thing. It uncertainly didnt get to the senate. Lets get that done and put in place a better Health Care System luke the American People deserve. Why arent you saying the president is acting like an emperor and his job is to execute laws that are passed not write his own and Congress Must hold him into account for doing so. Not with the csr payments. Just like with daca, the president said im not going to one court, the District Court. It is on appeal. The parties have held litigation. One court . One arbiter. They said it is unconstitutional because it was prone rated. Justify to be fair, he did the opposite. When he didnt like the ruling, he said im not going to follow it. You have been so outspoken, im not criticizing it, about executive orders. You said the American People have spoken loudly during the midterms. They want a legislative fix to problems. Right. Those were your words. Yeah. You said president obama cant be an emperor. He has to execute laws, not write his own. Thats exactly what this president is doing. Thats why we passed out of the house a bill that would have repealed most of obamacare. In underscores why we have to get back to doing it. These csr payments are illegal. The president said he will no longeren tkpaeupblg in making these payments. So lets move forward and do what we should have done a long time ago. Lets move forward on that. Litigation is not complete. You are right. A District Court did hold that. The appeal is on hold because the parties have held it it was never proappropriated. I get thats your opinion. It is the courts opinion. One courts opinion. But the appeal is on hold. Could wind up in a different or you could be right. Im asking you Something Else and youre on not giving me a full throated answer. It is a mess and we need to replace the whole thing, repeal the whole thing. I understand what you think should be done. Im getting for it. Im happy for you to say it as many times as you would like. When you look at the polls o. Just because a manufactured message about something being bad works doesnt mean it is the truth. The truth is is complicated. But what seems simple is you were against executive orders when they go against congressional authority. Thats what is happening now, jim jordan. He is taking action that he himself said in the past was wrong for president obama not with the csr. You could maybe make that argument on the on interstate shopping for insurance. I think there is flexibility enough in the law to allow health is and human services. Certainly with csr you cant. This is not appropriated dollars. The president said were going to stop it. All this underscores is what a mess obamacare is. Never forget, and i come back every time we do this. Never forget what they told us about this law. Everything the democrats told us about this law has turned out to be false. Thats not true. Yes, it is. Not everything is untrue. Nine different lies they told us. The architect of obamacare who the New York Times called the architect of this law was caught on videotape saying, yeah, we misled the American People. We pulled one over. The architect told us they lied to us. Keep your doctor. President obama told us premiums would decline 2500. You guys fall short a lot. I have a news flash for you. You promise the American People i didnt promise that on obamacare. That wasnt you. Your time is now. Were trying fix it. You said you would make it fixed, you would make it better. You cannot find a Reasonable Health Care analyst who will look at cutting the subsidies, shrinking the Enrollment Period and doing other things