NEW from @centeronbudget.bsky.social: Without Congressional action, premium tax credit enhancements will expire, raising costs for nearly all marketplace enrollees and putting millions of those with the lowest incomes at risk of becoming uninsured when they lose $0 premium plans.

NEW from @jenniferlsullivan.bsky.social and me for @centeronbudget.bsky.social: With Congress poised to take away premium tax credit enhancements soon, ~4M people will lose coverage and costs will rise for nearly all ACA marketplace enrollees unless Congress acts.🧵

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)

The latest CBO estimates make clear that the so-called “Big Beautiful Bill” is anything but--it would cause widespread harm with more than $1T in cuts to Medicaid & ACA marketplaces and higher costs for families trying to afford health care and groceries.

Senate Republicans made a horrible bill even worse. Let's count the ways:

TSen. Scott amendment effectively repeals Medicaid expansion in only a few years. New analysis here: www.cbpp.org/research/med...

New Congressional Budget Office (CBO) numbers confirm what we already knew – the reconciliation bill is getting worse, not better. The Senate bill will cut health care more deeply than the House bill and leave more people uninsured. www.cbo.gov/publication/...

The latest Senate Republican plan retains a deeply harmful provision that tramples over state rights’ to make decisions about how to use their own funds to ensure their state residents can access comprehensive health coverage.

Senate Republican leaders appear to be barreling ahead with their harmful reconciliation bill. Reminder that the Republican health agenda would take us backward on covering the uninsured, largely reversing #ACA gains. 👎 (h/t @pkrugman.bsky.social for the graphic idea)

Senate Republicans are rushing to pass a bill that would take #SNAP food assistance away entirely from millions of low-income people & cut food benefits for millions more. Some states could even end SNAP entirely. But Senators still have time to reject these harmful policies.

Every major bill language release is happening under the cover of night. Tracks since the bill is so unpopular. Are Senators really going to set millions of families backwards by taking health coverage & food asst away from them? Is that why they got into politics? Really?

The reconciliation bill puts health benefits for tipped workers at risk. ⬇️

As Senate Republican leaders rush their bill to a vote, they are focused on band-aid fixes to clear process hurdles. Instead, they should stop moving forward with harmful legislation that takes health care away from millions of people.

$1 trillion > $15 billion And a capped fund that Congress could shrink or cannibalize in the future isn’t a substitute for the foundation of rural hospital stability: Medicaid. www.cbpp.org/blog/trackin...

Now that I'm verified on BlueSky (‼️), I want to highlight how rural communities will be harmed by the GOP's budget bill and why people shouldn't just "get over it" or that "we're all going to die." See my piece on the impact on rural economies: www.cbpp.org/research/fed...

The "one big beautiful bill," which would leave some 16m uninsured, is making people say some ugly things. Sen. McConnell: "They'll get over it." Sen. Ernst: "Well, we all are going to die." CMS Administrator Oz: "Prove that you matter."

Reports from last night are that Republicans dropped this plan to cut Medicaid matching rates. But make no mistake: the draft Senate bill - and it's House equivalent - still cut more than $800B from #Medicaid and will leave millions of people without health coverage.

Rather than course correct, Senate Republican leaders are rushing to advance a bill that is in some ways even more destructive and harmful than the unpopular House Republican bill. The Senate must reject it.

@clinkeyoung.bsky.social writes: "Ultimately, the 2017 ACA repeal effort failed over some Republican Senators’ unwillingness to inflict major cuts on the American health care system. The weeks ahead will determine whether that remains true in 2025." www.brookings.edu/articles/new...

The numbers are in. The House reconciliation bill is reaching coverage losses close to repeal of the #ACA ⬇️

Must-read report: The huge cuts to health care and food assistance in the House Republican reconciliation bill-which partly pay for tax breaks for the wealthy-would force states to pick up billions in new costs & make a series of painful tradeoffs. www.cbpp.org/research/sta...

Huge hit to health care providers and an increase in uncompensated care as a result of the House-passed reconciliation bill and failure to address the expiring premium tax credits.

Five ways the House reconciliation bill takes away health coverage and raises costs.

Totally agree. Lots of us cisgender people also get gender affirming care.

House Republicans’ latest changes to the already harmful health provisions of their budget reconciliation bill layer on last minute cuts, swifter coverage losses, more cost increases, and restrictions on care.🧵 www.cbpp.org/research/hea...

Official CBO analysis confirms the obvious: House Republican tax and budget bill isn't shared sacrifice. It makes poor people poorer and rich people richer. It does this by cutting health care & nutrition to help finance tax cuts skewed to the wealthy. www.cbo.gov/publication/...

A harsh add to the House budget bill: penalizing states that cover lawfully residing children, but only if they have expanded #Medicaid. VA, ME, CA, NY, PA, NC and many more would be penalized. Pregnant adults and children, and our communities as a whole would suffer.

The Medicaid and marketplace changes in the House bill are extremely concerning because they will block or take coverage away from millions of eligible people. Don't sleep on the marketplace provisions, especially this one ⬇️

Right now, House Ag is marking up a bill that would cut #SNAP by hundreds of billions of dollars. One talking point is that it would address fraud. However, there is nothing in the bill to support SNAP clients who are victims of fraud via skimming www.13wmaz.com/article/news...

How many people in your congressional district are at risk under the House R proposal to take health coverage away from people not meeting a work requirement? Check out the new @centeronbudget.bsky.social analysis by @gidlukens.bsky.social and Elizabeth Zhang

High stakes in the legislative debate about to unfold in the House. We will be watching. #ACA #Medicaid

House Ag bill would take away or cut #SNAP food benefits for millions of low-income people struggling to afford groceries—families w/ children, seniors, ppl w/ disabilities, veterans & workers in low-wage jobs.⬇️

14 states would lose $75B in federal #Medicaid funding under this piece of House Republicans' sweeping budget legislation. Just for doing their own, wholly state-funded coverage programs for people w/o documented immigration status.

The House W&M bill includes a slew of tax cuts for wealthy ppl. One glaring omission: an extension of enhanced premium tax credits. And that's a major reason 13.7M would be uninsured per CBO's early look at proposals in the House E&C bill. democrats-energycommerce.house.gov/sites/evo-su...

At least 13.7m people uninsured as a result of #Medicaid cuts and decision not to extend expiring premium tax credits for people in the #ACA marketplace. democrats-energycommerce.house.gov/sites/evo-su...

Medicaid cuts in the House E & C Cmte bill would take health coverage away from millions by slashing hundreds of billions of dollars in federal funds. Loss of coverage means diseases go untreated & families face exorbitant medical debt.🧵 energycommerce.house.gov/posts/chairm...

You can’t cut hundreds of billions from #Medicaid without harming people. New CBO analysis confirms proposals House Republican have floated would leave millions uninsured, each slashing billions from Medicaid w/ $170b-$472B in cuts coming from lower enrollment . www.cbo.gov/system/files...

Must-read thread from @drjrriley.bsky.social on President Trump's cuts to "woke programs" ... "If we are serious about broadening opportunity and creating a country where everyone can thrive, we have to attack inequities," Dr. Riley writes.

As @shelbytgonzales.bsky.social writes, "Reducing federal Medicaid expansion funding goes beyond a political vendetta against states that enact policies that benefit their residents regardless of immigration status– it also punishes U.S. citizens in these states." #ProtectMedicaid

Budget reality check: There's no way to cut #SNAP by $230 billion—more than 20%—without taking food away from millions of low-income families. Claims that cuts of this magnitude can be made through “program integrity” changes that won’t hurt eligible people just don't add up.

Some House Republican proposals to cut #Medicaid would roll back modernization efforts and make it harder for people to enroll. Read more in this thread:

Sens. Moreno and Hawley have it right: Cuts to Medicaid expansion funding are indeed cuts. House Republicans are heading down a path that would terminate coverage for millions of people, and it's a path that key R senators don't want to take.

Next week, the House committee with jurisdiction will consider legislation to cut hundreds of billions from #Medicaid. This week, @CenteronBudget highlighting how the policies will take coverage away from people and weaken our health care system. #ProtectMedicaid

Medicaid expansion covers individuals who make < ~$20K a year and many parents, people with disabilities, and low-paid workers who would be uninsured without it. Taking away people's health care makes them vulnerable, even if you don't think they are now.

More than 19K people so far commented on a proposed federal marketplace rule that would raise people's costs, reduce eligibility, make it harder to enroll in and keep coverage, impose fees on some enrollees at renewal time, among other changes. Comment deadline is tonight.🧵

Happy birthday to the ACA! Still helping millions of people get health care after 15 years.

We are coming up on 15 years since enactment of the #ACA. The law has helped millions gain coverage, reduced millions of people’s costs, and improved access to care. The law also narrowed coverage gaps across racial and ethnic groups, geography, and for LGBTQ+ communities.

By CMS's estimates, up to 2m people would leave the marketplaces under this rule.Just like last time many of the same changes were made (during President Trump's 1st term) this is part of a larger effort to undermine the #ACA and cut Medicaid, raising people's costs and leaving them uninsured.

For federal workers who are losing jobs, don't forget to look into #ACA health coverage and financial help. Healthcare.gov or your state's health insurance marketplace are great resources, as are navigators.