Make no mistake: CBO continues to estimate huge cuts to #Medicaid from OBBBA, last year’s reconciliation bill, despite Trump Admin officials’ false claims otherwise. In fact, CBO projects that 7 million ppl will lose #ACA Medicaid expansion coverage from 2025 to 2032.

Following the expiration of PTC enhancements, #ACA marketplace plan selections dropped by 1.2 million during the 2026 open enrollment period. A new analysis suggests that millions more will drop coverage over the year as enrollees confront higher monthly premiums. www.wakely.com/blog/who-pai...

Last July, the Republican megabill (H.R. 1) enacted the deepest SNAP cuts in history. Today, we're releasing a tracker of how many people in each state are losing the SNAP benefits they need to afford groceries. www.cbpp.org/research/foo...

@nicolerapfogel.bsky.social digs into the 2026 #ACA marketplace open enrollment data: enrollees shifted into higher deductible plans, yet out-of-pocket premiums still way up.

HHS wasted taxpayer dollars to find that people enrolled were eligible, a new KFF article shows: kffhealthnews.org/news/article...

The data are pretty striking...people are paying much more and getting much less

This week’s 16th anniversary of the #ACA marks an unfortunate turning point for ACA marketplaces: More people are likely to go uninsured because of affordability concerns and many will face higher health costs, as federal policy decisions that increase premiums and red tape take hold.

New from @urbaninstitute.bsky.social: Medicaid work requirements & 6-mo. redeterminations under OBBBA will cause ~5-10 million people to lose their Medicaid coverage in 2028. That’s 27-55% of people subject to work requirements. tinyurl.com/4wnysptw

Today marks the 16th anniversary of the #ACA. The law covers record numbers of people in #Medicaid and the marketplaces, bans insurer discrimination against people with health conditions, and helps millions afford their health costs. Unfortunately this is all now at risk.

How does recent growth compare to recent years? Economy added just 0.16 million jobs over 12 months to Feb 2026. Job growth stopped.

#Medicaid is a critical source of coverage for many populations, incl. kids, adults, & ppl w/ disabilities. @CenterOnBudget’s new fact sheet details the important role the program plays in keeping ppl healthy: www.cbpp.org/research/hea...

Marketplace enrollees’ premiums have skyrocketed following the recent expiration of PTC enhancements. Some have suggested health savings accounts and less generous plans as a more affordable alternative to comprehensive coverage. Here’s why that line of reasoning is flawed: 🧵

As we mark one year since President Trump’s inauguration, it’s important to take stock of the harm the Administration – and congressional Republicans – have inflicted in such a short time. www.cbpp.org/research/fed...

President Trump’s one-page health care plan not only fails to extend enhanced premium tax credits (PTCs), more than doubling out-of-pocket premiums on the ACA marketplace. It also cuts PTCs even further by changing how existing cost-sharing reductions are funded. (1/3) tinyurl.com/37x7wbcz

The House passed a measure today to extend the Premium Tax Credit enhancements for three years. The bipartisan vote shows there’s strong support for immediate action to make millions of people’s health care more affordable. All eyes are now on the Senate. x.com/JakeSherman/...

This week, the House is expected to vote on a bill to extend the Premium Tax Credit enhancements. This would reduce 2026 premiums for the average #ACA marketplace enrollee by more than half, improving affordability for millions of people struggling with health costs. www.cbpp.org/research/hea...

The House Republicans’ response to expiring premium tax credit enhancements simply doesn’t respond to expiring PTC enhancements. Instead, they recycle old Republican policy priorities and do nothing to address the impending marketplace affordability crisis.

With marketplace premium spikes on the verge of hitting 20M+ people Jan. 1, House Speaker Johnson is reportedly considering a bill from Rep.Fitzpatrick with a 2-year extension of PTC enhancements. But the bill raises big concerns. www.politico.com/live-updates...

This week is critical for health coverage affordability. CBPP’s @jenniferlsullivan.bsky.social breaks down what’s at stake as Congress votes on extending premium tax credit enhancements & the 3 key dates marketplace enrollees need to know when choosing 2026 coverage: www.youtube.com/watch?v=6QY5...

A recent WSJ op-ed reaches the wrong conclusion about a GAO report on #ACA marketplaces. The report details vulnerabilities that call for targeted action – it doesn’t show widespread fraud, and it shouldn’t be used as an excuse to raise ppl’s premiums. tinyurl.com/4rnrpkt2

The Cassidy-Crapo proposal allows PTC enhancements to expire while pushing ppl into skimpier plans with higher deductibles...hard to see how this is a solution to the problem at hand.

HHS just released data covering the first month of ACA marketplace enrollment for 2026. My colleague @jenniferlsullivan.bsky.social puts the numbers in context:

Proposals to address expiring PTC enhancements should be evaluated based on the extent to which they: 1. avoid making more people uninsured; 2. ensure people keep access to affordable, comprehensive coverage; and 3. can take effect quickly. More here: www.cbpp.org/blog/how-to-...

Instead of a clean extension of PTC enhancements (which makes silver plans more affordable), some Republicans have proposed encouraging people to buy down to less generous bronze plans. Don’t be fooled: While bronze plans often have lower premiums, people face much higher costs when they get care.

ACA marketplace plans w/ $0 premiums help ppl get & stay covered. Recent Republican proposals would require minimum premiums or fail to extend premium tax credit enhancements based on the false claim that ppl who don’t use medical care are “phantom enrollees.” 🧵https://tinyurl.com/4uc68zbf

Reports that the White House is working on a proposal to extend premium tax credit enhancements shows the Administration is acknowledging the urgent need to address premium spikes for millions of marketplace enrollees. But big questions remain.🧵

The GAO released a report last week on health savings accounts (HSAs) reaffirming that HSAs do little to help people with low and moderate incomes – who would be hurt the most if Congress lets premium tax credit enhancements expire.

Some recent Republican responses to the marketplace premium tax credit issue would shift more people to bronze plans with Health Savings Accounts as an alternative to silver plans with PTC enhancements and cost sharing reductions. So how do these plans stack up in real terms?

Here they go again: Republicans in Congress are reviving the ACA repeal debate. After enacting unprecedented cuts to Medicaid, they are looking for ways to eliminate federal premium tax credits that some help about 20M people afford marketplace plans.

We now have congressional district level estimates showing rising out-of-pocket premiums due to expiring premium tax credit enhancements. A 60-yr-old couple making $85k would pay $6.7k to $50k more annually. Explore our interactive map w/ downloadable data: tinyurl.com/5e826bvp

HSAs are tax shelters masquerading as health policy. They don't help people who are struggling to afford health coverage. Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx

#OpenEnrollment for 2026 marketplace plans started Nov 1 in most states. B/c Congressional Rs haven’t extended PTC enhancements, ppl are seeing higher costs as they review their options. If you’re in need of marketplace coverage, here are some key dates to keep in mind during this uncertain time:

Open enrollment for #ACA marketplace plans has begun, and without congressional action to extend premium tax credit enhancements, millions are facing steep premium increases for 2026.

We now have downloadable graphics like this one for all 50 states plus DC, showing how expiring premium tax credit enhancements are leading to dramatic out-of-pocket premium increases. Find your state here: tinyurl.com/5x89ds7x

How concerned are people about rising health insurance premiums? With premium tax credit enhancements about to expire and ACA marketplace open enrollment underway, search volumes for terms like “health premium increase” are (almost) off the charts.

Wyoming, West Virginia, and Alaska are the states with the largest $$ increases in out-of-pocket premiums for people with moderate incomes who will lose premium tax credits entirely if the enhancements expire.

Window shopping for 2026 ACA marketplace plans is open for almost all states, and open enrollment is only days away. Millions of marketplace enrollees are seeing 2026 premiums spike due to expiring premium tax credits. See our paper with state-level estimates: tinyurl.com/zndd97k7

Huge premium spikes in Connecticut, which opened window shopping for 2026 ACA marketplace plans. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 is facing an additional $37,100 annually for benchmark coverage. (1/4)

In Illinois, window shopping for 2026 ACA marketplace plans is now open. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $23,700 annually for benchmark coverage. (1/4)

New Jersey’s window shopping for 2026 ACA marketplace plans is open, with large premium spikes because of expiring premium tax credit enhancements. A typical 60-year-old couple making $85,000 will have to pay an additional $20,600 annually for benchmark coverage. (1/4)

Punchbowl reports “White House officials determined they do not have the authority” to use contingency reserves —billions of $ that Congress provided for use when SNAP funding is inadequate— to fund Nov. SNAP benefits. But, that’s not what USDA’s now-deleted shutdown plan says:

Rhode Island opened window shopping today for 2026 ACA marketplace plans. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $18,600 annually for benchmark coverage. (1/4)

Nearly 1 million people with low incomes would become uninsured if marketplace enrollees lose access to $0 premium plans, as some in Congress have proposed. Coverage loss would mostly occur due to additional red tape. From @[email protected]: tinyurl.com/2wkzmexn

Yesterday, Washington state opened 2026 window shopping for its ACA marketplace. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 and purchasing benchmark coverage is facing a $23,900 annual cost increase. (1/4)

Washington, DC opened its 2026 ACA marketplace window shopping. As in other locations, enrollees are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $24,100 annual increase. (1/4)

Oregon and Vermont are also seeing premium spikes due to expiring tax credit enhancements, as their window shopping is underway for 2026 ACA marketplace plans. A typical 60-year-old Oregonian couple making $85,000 will face a $20,700 increase in annual premiums. (1/4)

Kentucky opened its 2026 ACA marketplace window shopping this week – and again, residents are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $23,700 increase in annual premiums. (1/4)

Huge premium spikes in Maine, where 2026 ACA marketplace window shopping is now underway. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 in Maine is looking at a $28,900 increase in annual premiums. (1/4)

3 in 4 people with individual market coverage and low incomes work, and most who don’t are caregivers, in school, or have disabilities. If premium tax credit enhancements expire, many will become uninsured as they lose access to $0-premium plans and face additional red tape. (1/2)

California’s opened their 2026 ACA marketplace window shopping today, meaning people are seeing their premiums spike because of expiring tax credit enhancements. Premium costs in CA are roughly doubling on average, with larger increases for people in rural areas. tinyurl.com/2uewkpr6