Today, 196 House Democrats sent a letter to President Trump reminding him that millions of working families around the nation are relying on him to continue paying the Affordable Care Act’s (ACA) cost-sharing reduction (CSR) payments. Since taking office, President Trump has raised doubts about the future of these payments, which help seven million hardworking Americans and their families afford their out-of-pocket health care costs, such as deductibles and copays, through the ACA Marketplace.