iowa monday withdraw request waive obamacare rule help shore struggle healthcare insurance market mark setback efforts republican-governed state sidestep requirements obama-era law open enrollment affordable care act good know obamacare set start week state announce would long wait hear federal officials would approve request aim cut individual healthcare insurance premiums widen coverage withdrawal prompt lead u.s. senate republican urge congress approve bipartisan fix obamacare president donald trump vow scrap iowa view test case state submit similar far less-reaching waivers trump administration would respond request iowa governor kim reynolds say law flexible enough accommodate state request ultimately obamacare inflexible law congress must repeal replace governor say statement add premiums obamacare increase 110 percent iowans since 2013. iowa seek waiver individual healthcare marketplace shrink one insurer next year minnesota-based medica state request similar provision include republican repeal replace bill year instance waiver seek replace obamacare income-based tax credit flat age-based credit eliminate insurer payments trump cut early month senator lamar alexander republican tennessee say move iowa demonstrate need repair obamacare democratic senator patty murray propose aim stabilize insurance market would also provide state flexibility reshape part obamacare trump send mix signal whether would support bipartisan fix senate majority leader mitch mcconnell say sunday will bring proposal vote need know trump stand alexander say bipartisan repair proposal would allow federal government approve iowa waiver alexander tell reporters congressional budget office nonpartisan scorekeeper would soon announce analysis bipartisan repair legislation possibly tuesday iowa pull request opt obamacare requirements