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As a growing number of Republican-led states look for end runs around the Affordable Care Act, Iowa is embracing a strategy that contends that not all health plans are actually health insurance. Gov. Kim Reynolds (R) on Monday signed into law a bill allowing the century-old Iowa Farm Bureau to collaborate with the state’s dominant insurer to sell “health benefit plans,” which are expected to cost health customers less than ACA coverage because they will not have to comply with federal requirements. (Goldstein, 4/2)

A new law in Iowa could provide the path forward for Republican-led states that are looking for ways around ObamaCare’s rules and regulations. Iowa Gov. Kim Reynolds (R) on Monday signed a law that will allow the Iowa Farm Bureau to collaborate with Wellmark Blue Cross and Blue Shield on self-funded “health benefit plans.” (Weixel, 4/3)

Iowans who are struggling to afford health insurance through the Affordable Care Act’s individual marketplace gathered around Gov. Kim Reynolds today as she signed legislation allowing a lower-cost, unregulated product to take the place of traditional insurance. Under the bill, the plans will not be required to cover pre-existing conditions or other mandates of Obamacare. (Russell, 4/2)

Kaiser Health News: Americans Have Mixed Feelings About The ACA’s Future — But Like Their Plans

Most Americans are happy with the insurance they buy on the individual market, yet those same people think the markets are collapsing before their eyes. A poll by the Kaiser Family Foundation, released Tuesday, found that 61 percent of people enrolled in marketplace plans are satisfied with their insurance choices and that a majority say they are not paying more this year compared with last year’s premium costs. (Bluth, 4/3)

Some can’t afford to insure their children. Others are seeking cheaper care abroad. Some older adults are counting down the years until they qualify for Medicare. While these people are among the 27 million Americans who remain uncovered despite the large expansion of health insurance under the Affordable Care Act, their stories transcend politics, reflecting tough kitchen-table decisions about health care faced by many families. (Tozzi and Ockerman, 4/3)

Obamacare backers predicted President Donald Trump’s decision to halt subsidy payments last fall would destroy the law. But six months later, the troubled insurance markets appear more stable than ever, and many Obamacare customers benefited from Trump’s decision in ways the law’s supporters didn’t expect. (Demko, 4/2)