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Include the opt out clause within the next ten days . Has any insurer participating in the 2015 Affordable Care act exchanges expressed any concern at any time to anyone to your knowledge in the executive branch regarding the lack of an appropriation of funds to make cost sharing reduction payment you made this comment about tortured scoring. Lets go through it very quickly. Isnt it true that the Affordable Careuw act received revenue in years in which it was paying nothing out which allowed in the 10year window for it to have hef ewe that on a long term basis would not fail to have a deficit . In other words, by collecting a n began paying out, that shifting in the ten year window causes it to show a balance that disappeared later. It lowered the deficit overall. Thats the tortured stuff that you were talking about. Because you were able to not score certain things as ex ....