Important work from my @urbaninstitute.bsky.social colleagues on the impact of HR1's Medicaid six month redetermination and work requirements on Medicaid enrollment. States have options to mitigate the potential loss of coverage which could range from 4.9 to 10.1 million people losing Medicaid.

"researchers have estimated that the end of enhanced tax credits will lead to 7.3 mill people losing their ACA coverage in 2026, of whom 4.8 mill would become uninsured. The loss of the additional subsidies are projected to increase how much...enrollees must pay...from an avg of $888 to $1,904/year"

New estimates from my @urbaninstitute.bsky.social ky.social colleagues showing that 4.8 million people will become uninsured if the enhanced premium tax credits are not extended. www.urban.org/research/pub...

Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)

New CBO estimates of reconciliation bill reported by Budget Committee Sunday: gross #Medicaid cuts of $792B before interactions with ACA changes. Total of $803B in net health care cuts. Estimates don't account for Rules Committee changes with even harsher Medicaid cuts. www.cbo.gov/publication/...?

My new @kff.org quick take discusses the House's proposed penalty to reduce Medicaid financing for states covering undocumented immigrants with their own funds and identifies which states would be affected: www.kff.org/quick-take/w...

Excellent piece by @urbaninstitute.bsky.social on the distributional effects of tax cut extensions paid for by cuts to #Medicaid and #SNAP. Lowest income families would face losses in income after taxes and benefits and highest income familes would see large gains. www.urban.org/research/pub...

Thread on my new blog on how taking a step back and looking at the combined effect of several #Medicaid cuts under consideration by House GOP yields a clear conclusion: they would together end the #Medicaid expansion and terminate coverage for 21 million people: ccf.georgetown.edu/2025/05/01/c...

Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...

Latest estimates on economic impact on states of proposed cuts to Medicaid and SNAP

What are the effects of dismantling the Department of #Education on students with #disabilities? An Urban Wire post examines the potential impacts of disrupting the Department of Education’s key functions of enforcing critical civil rights laws and distributing IDEA #funding to the states.

Interested in promoting upward mobility? Come hear about how to shape policy making and create change in your community with my @urbaninstitute.bsky.social colleagues.

Important new research on the impact of federal work requirements for Medicaid beneficiares on coverage from my @urbaninstitute.bsky.social colleagues @jh4.bsky.social, Genevieve Kenney, and Michael Karpman.

Dont' miss this timely virtual event ! Featuring @edwincpark.bsky.social, Genevieve Kenney, Sara Rosenbaum @milkeninstitute.org , and @greggbloche.bsky.social

Reupping my blog from yesterday. The major #Medicaid cuts under consideration to meet the budget resolution target of at least $880b in cuts are the same Medicaid cuts from failed 2017 repeal bills. House GOP leaders are just trying to disguise them as anti-fraud. ccf.georgetown.edu/2025/02/24/s...

E&C committee was asked to cut $880 billion to make way for tax cuts. Latest paper from my @urbaninstitute.bsky.social colleagues on what would happen to insurance coverage if the 90 percent FMAP for the Medicaid expansion was eliminated. www.urban.org/research/pub...

The US DOT says it's planning to prioritize areas with high marriage & high birth rates for funding. Our new analysis @urbaninstitute.bsky.social shows this would disproportionately fund: —Communities with a higher white resident share —Low-density areas —High-income areas —Car-dependent areas

Very excited about this new collaboration between @urbaninstitute.bsky.social and Georgetown Law! Keep your eyes on this space!

Congress is considering extending the enhanced premium tax credits. According to my @urbaninstitute.bsky.social colleagues, households' spending on insurance premiums would surge if the EPTCs are not extended. www.urban.org/research/pub...

Thanks @ddiamond.bsky.social ! If you want to see how many people would lose coverage in your state check out this map from my @urbaninstitute.bsky.social colleagues: www.urban.org/data-tools/h...

The big three public health programs, Medicaid, Medicare and the Marketplace ACA subsidies are lifting about 39 million people out of poverty.

What the new administration could mean for health related lawsuits including preventive services, MTALA, medication abortion, family planning and more...https://www.kff.org/medicare/issue-brief/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration/

Enhanced premium tax credits are set to expire at the end of 2025. See my @urbaninstitute.bsky.social @urbaninstitute.bsky.social colleagues' great interative map of who would lose coverage. www.urban.org/data-tools/h...

In case you are interested in what the public thinks about the importance of the Medicaid program, look here:

Advocates and experts are working to rally support for Medicaid, citing its coverage for kids, rural Americans and the disabled. “Medicaid is the backbone of many aspects of our health system,” @joanalker1.bsky.social told me, noting that about 1 in 4 Americans are covered through the program.

With Medicaid facing severe threats next year, I will be periodically posting facts about the program which demonstrate the many critical roles that Medicaid plays. Medicaid covers 62% of all nursing home residents. #healthpolicy www.kff.org/medicaid/iss...

Most Medicaid enrollees who are not elderly or disabled are already working. The vast majority of those who aren't are not working due to illness, caregiving responsibilities, or school. www.kff.org/medicaid/iss...

SSI provides cash payments to over a million families who have children w disabilities. Do these substantial payments—which make up ~half of total income for recipients—improve kids’ outcomes? We use a cutoff in SSI eligibility for infants based on birthweight to investigate.

With the COVID-19 pandemic “patients speaking less-represented languages or experiencing intersecting literacy barriers were underserved with telemedicine.” #healthpolicy

Whistleblowers within Texas' Medicaid agency send third letter raising serious concerns about the state's handling of #Medicaid unwinding. #healthpolicy

Join @SenatorHassan, @sarahkliff of the New York Times @GtownCHIR and more for a policy briefing on the future of employer-sponsored insurance, Tuesday, Oct. 3. #healthpolicy Register here to save your spot: bit.ly/3Et7NQB

CMS announces today that 30 states were incorrectly conducting ex parte renewals as part of #Medicaid unwinding. 500K children are to have their Medicaid coverage reinstated. But this isn’t the only serious problem leading to high rates of procedural disenrollments. #healthpolicy