Last week, the Trump administration dealt a one-two punch to the Affordable Care Act’s health insurance marketplaces and the Americans who buy their health plans through them. In a new To the Point post, The Commonwealth Fund’s Sara Collins explains that the first blow was an executive order to federal agencies to write new regulations allowing the sale of insurance that doesn’t meet the ACA’s consumer protection standards. The second was the administration’s decision to end payments to insurers for the ACA’s cost-sharing reductions, which lower deductibles and copays for millions of lower- and moderate-income families.