On August 16, the U.S. Department of Health and Human Services announced that it would make September’s cost-sharing reduction payments to health insurance carriers that offer eligible plans on the public insurance exchanges.

The monthly CSR payments are a key component of the Patient Protection and Affordable Care Act, which seeks to make individual health insurance coverage not only available but also affordable. The monthly payments are made to insurance companies to help cover out-of-pocket medical expenses for low-income Americans enrolled in the ACA. It's comlicated: the September CSR payment is for the month of August, but the payment is made in September. While this is supposed to be a monthly payment, the catch is that CSR payments may not occur every month. Insurance carriers are not informed about the payments until midway through the month, hence the payment taking place at the beginning of the following month.

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