Jalisa Clark
@jalisahealth.bsky.social
📤 592
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Research Fellow at Georgetown CHIR Here for all things health policy
reposted by
Jalisa Clark
Joan Alker
about 1 month ago
DHS's proposed changes to the 'public charge' rule could increase the number of uninsured children by 25%. CCF's Kelly Whitener spoke with @npr about the 'chilling effect' where families become afraid to sign their eligible children up for Medicaid.
https://n.pr/464RzLy
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Change to the 'public charge' rule could leave many kids without insurance
The Department of Homeland Security wants to eliminate guidelines around what public benefits can be considered in a "public charge" determination. Experts warn it could have a chilling effect.
https://n.pr/464RzLy
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We cannot let people who have always hated the ACA, proudly boast about hating the ACA, and campaign to repeal the ACA, act as neutral voices in "reforming" the ACA.
about 1 month ago
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"Republicans and anti-abortion activists, who have never supported the ACA or the enhanced subsidies," - I appreciate the inclusion of this point
thehill.com/homenews/sen...
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https://thehill.com/homenews/senate/5687461-senate-obamacare-compromise-deadline/
about 1 month ago
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Smart policy over the past 15 years lowered the percentage of uninsured Americans under age 65 by almost half, from roughly 1 in 5 to fewer than 1 in 10. Yet the Trump administration seems determined to reverse those hard-won gains.
www.usatoday.com/story/opinio...
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Trump’s lies and policies make health care less affordable | Opinion
Millions will lose insurance as a result of the congressional rollback, leaving people stranded between financial ruin.
https://www.usatoday.com/story/opinion/2026/01/03/trump-republicans-hurt-americans-healthcare/87948603007/
about 2 months ago
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A NEW report from the National Association of Insurance Commissioners Consumer Representatives, authored by CHIR’s Sabrina Corlette and Karen Davenport, outlines state-level strategies to help protect consumers’ access to affordable, quality coverage and care.
chir.georgetown.edu/recommendati...
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Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions | Center on Health Insurance Reforms
https://chir.georgetown.edu/recommendations-for-states-efforts-to-mitigate-harms-caused-by-federal-policy-actions/
2 months ago
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All reporting about the Republicans' HSA plan should be followed with the line, “a proposal which will not improve premium affordability.”
www.politico.com/live-updates...
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Cassidy pitches new health care plan in line with Trump's
The Senate HELP chair’s proposal comes after the president has said he wants to send federal dollars to consumers instead of funding enhanced ACA subsidies.
https://www.politico.com/live-updates/2025/11/17/congress/cassidy-fund-hsas-trump-aca-subsidies-00655213
3 months ago
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I sense Presidential pardons on the way
www.beckerspayer.com/legal/2-conv...
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2 convicted in $233M ACA subsidy fraud scheme - Becker's Payer Issues | Payer News
A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to ob...
https://www.beckerspayer.com/legal/2-convicted-in-233m-aca-subsidy-fraud-scheme/
3 months ago
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reposted by
Jalisa Clark
Gideon Lukens
4 months ago
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.
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reposted by
Jalisa Clark
Timothy McBride
4 months ago
USDA Quietly Deletes Its Contingency Plan for Funding SNAP - NOTUS
www.notus.org/trump-white-...
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USDA Quietly Deletes Its Contingency Plan for Funding SNAP
The 55-page “lapse of funding” document for USDA is no longer available online.
https://www.notus.org/trump-white-house/usda-contingency-plan-snap-nutrition-funding-document-website
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Not only will we see that carriers are dropping catastrophic plans, but they'll also be raising rates.
add a skeleton here at some point
4 months ago
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There is misleading, and in some cases, flat-out false, information being spread about immigrant health care coverage. This blog explains how immigration status affects access to ACA Marketplace coverage and the federal changes that will skyrocket premiums.
chir.georgetown.edu/recent-feder...
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Recent Federal ACA Marketplace Changes Strip Access to Health Care for Many Lawfully Present Immigrants | Center on Health Insurance Reforms
https://chir.georgetown.edu/recent-federal-aca-marketplace-changes-strip-access-to-health-care-for-many-lawfully-present-immigrants/
4 months ago
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reposted by
Jalisa Clark
Marisa Kabas
4 months ago
NEW — I dug into the story of ICE abducting a 13-year-old boy in Massachusetts and moving him 500 miles across state lines without notifying his mother, local cop's complicity, and how the federal government's justification for such cruelty is already falling apart:
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ICE took a 13-year-old they said had a gun. Local cops say he didn’t.
Now he's detained 500 miles away from his Massachusetts home.
https://www.thehandbasket.co/p/ice-13-year-old-everett-massachusetts-brazil
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High health care costs strain families. If Congress can ensure that a family of three earning $27K–$40K a year can access $0-premium silver-tier plans with lower out-of-pocket costs, why wouldn’t we support making life easier?
chir.georgetown.edu/the-crucial-...
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The Crucial Role of $0 Premium Plans in the Affordable Care Act Marketplaces | Center on Health Insurance Reforms
https://chir.georgetown.edu/the-crucial-role-of-0-premium-plans-in-the-affordable-care-act-marketplaces/
5 months ago
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Just what the health care system needs, more hurdles to access affordable coverage
www.commonwealthfund.org/blog/2025/co...
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Using Paperwork to Discourage Insurance Enrollment
Millions will lose health insurance because of new regulations, with losses driven by intentional inefficiencies, additional steps, and administrative burdens.
https://www.commonwealthfund.org/blog/2025/congress-and-administration-are-using-paperwork-discourage-enrollment-marketplace
5 months ago
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"During an often chaotic and tense two days of meetings, where members often did not seem to understand what they were voting on or the parameters of the authority that ACIP has,"
chir.georgetown.edu/preventive-s...
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Preventive Services at Risk: Federal Instability and State Responses | Center on Health Insurance Reforms
https://chir.georgetown.edu/preventive-services-at-risk-federal-instability-and-state-responses/
5 months ago
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reposted by
Jalisa Clark
Joan Alker
6 months ago
1st Census survey CPS is out -- uninsured rate did not change overall or for kids in 2024. ACS coming Thurs will have lots more info. Top line is that Medicaid for kids declined; offset by ⬆️ in kids in the Marketplace with enhanced APTCs.
www.census.gov/library/publ...
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Health Insurance Coverage in the United States: 2024
This report presents data on health insurance coverage in the United States in 2024 based on information collected in the 2025 CPS ASEC.
https://www.census.gov/library/publications/2025/demo/p60-288.html
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The president’s domestic policy law and new regulations will impose a host of administrative barriers to marketplace enrollment, causing millions of people to lose their health coverage
@commonwealthfund.org
www.commonwealthfund.org/blog/2025/co...
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Congress and the Administration Are Using Paperwork to Discourage Enrollment in Marketplace Insurance
Millions will lose health insurance because of new regulations, with losses driven by intentional inefficiencies, additional steps, and administrative burdens.
https://www.commonwealthfund.org/blog/2025/congress-and-administration-are-using-paperwork-discourage-enrollment-marketplace?utm_campaign=Achieving%20Universal%20Coverage&utm_medium=email&_hsenc=p2ANqtz-_w4JFJf6lIXll_BmIrbhPN0HlrojeZ5RcBKFFWZUxVOfT0Kuu5gUGfzwGcfmTslyGgqj4Xn6OWvPraMsQia6de6pDz3g&_hsmi=379079584&utm_source=alert
6 months ago
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"While the proposed rate increases indicate gross premiums will be much higher in 2026...the expiration of enhancements to the premium tax credit will impose proportionally larger net premium increases on nearly all Marketplace enrollees."
georgetown.app.box.com/v/2026Market...
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CHIR memo to Senators on proposed 2026 rate increases_FIN.pdf | Powered by Box
https://georgetown.app.box.com/v/2026MarketplaceRatesMemo
6 months ago
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A federal District Court judge stayed, on a nationwide basis, the implementation of several provisions the “Marketplace Integrity” final rule. A review of the ruling and what it means for states:
chirblog.org/ruling-in-ch...
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Ruling in Challenge to Marketplace Rule: Initial Analysis and Implications for States
On August 22, a federal court blocked major provisions of a regulation affecting the Affordable Care Act's health insurance Marketplaces. In a new post for the State Health & Value Strategies program,...
https://chirblog.org/ruling-in-challenge-to-marketplace-rule-initial-analysis-and-implications-for-states/
6 months ago
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reposted by
Jalisa Clark
Adrianna McIntyre
9 months ago
This piece captures something I've been mulling: The marketplace integrity rule was purportedly about "bad broker" behavior (though it primarily intervened on enrollees, not brokers). But in codifying parts of the rule, the House abandoned that pretense; zero broker-focused policies are included.
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Federal Efforts Ostensibly Aimed at Marketplace "Fraud" Ignore Obvious Strategies to Counter Broker Misconduct
The proposed Marketplace Integrity rule and House-passed budget bill purportedly aim to curb ACA fraud but overlook basic steps to address broker misconduct. CHIR experts explain how these policies in...
https://chirblog.org/federal-efforts-ostensibly-aimed-at-marketplace-fraud-ignore-obvious-strategies-to-counter-broker-misconduct/
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CMS claims new proposed policies will reduce fraudulent and improper enrollments. Instead, these policies will create a thicket of red tape that will make it hard or impossible for millions of people to access Marketplace coverage.
chirblog.org/federal-effo...
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Federal Efforts Ostensibly Aimed at Marketplace "Fraud" Ignore Obvious Strategies to Counter Broker Misconduct
The proposed Marketplace Integrity rule and House-passed budget bill purportedly aim to curb ACA fraud but overlook basic steps to address broker misconduct. CHIR experts explain how these policies in...
https://chirblog.org/federal-efforts-ostensibly-aimed-at-marketplace-fraud-ignore-obvious-strategies-to-counter-broker-misconduct/
9 months ago
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reposted by
Jalisa Clark
Sabrina Corlette
9 months ago
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors
@jasonlevitis.bsky.social
and
@clinkeyoung.bsky.social
chirblog.org/the-sleeper-...
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The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
https://chirblog.org/the-sleeper-provision-in-the-reconciliation-bill-that-could-hobble-the-aca-marketplaces/
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reposted by
Jalisa Clark
Cornell Lab of Ornithology
9 months ago
After a mass bird collision in Oct 2023, Chicago’s McCormick Place Lakeside took action, installing bird-friendly dots on nearly 2 football fields of glass. Collisions have dropped dramatically. Real change is possible. Learn more:
bit.ly/stopbirdcoll...
#StopBirdCollisions
#BirdSafeStructures
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*NEW* Provider organizations' comments on the proposed Marketplace Integrity rule highlighted opposition to the exclusion of gender-affirming care in EHB, proposals limiting access (shortening of OE/ removal of 150% FPL SEP), and the changes in methodology increasing OOP costs.
shorturl.at/prNST
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Stakeholder Perspectives on CMS’ Proposed “Marketplace Integrity” Rule: Health Care Providers
The Trump administration’s proposed “Marketplace Integrity” rule has generated almost 26,000 public comments. In this second in a 4-part blog series summarizing comments from a range of key stakeholde...
https://shorturl.at/prNST
9 months ago
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The Trump Administration intends to strip DACA recipients of marketplace coverage, premium subsidies, and cost-sharing assistance. If enacted, this policy will increase their vulnerability to medical debt, leading to higher amounts of uncompensated care for healthcare providers.
shorturl.at/WBKmm
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In Latest Policy Change for DACA Recipients, Trump Administration Proposes Elimination of Marketplace Insurance Eligibility
In recently proposed regulatory changes to marketplace coverage, the Trump Administration intends to strip Deferred Action for Childhood Arrivals (DACA) recipients of eligibility for marketplace cover...
https://chirblog.org/in-latest-policy-change-for-daca-recipients-trump-administration-proposes-elimination-of-marketplace-insurance-eligibility/
10 months ago
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reposted by
Jalisa Clark
Chaney Swiney
10 months ago
Great work here. And a great reminder that the ocean is astonishingly (and terrifyingly) deep.
add a skeleton here at some point
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reposted by
Jalisa Clark
Dr Ellie Murray, ScD
11 months ago
How to “determine the cause of autism by September”: Step 1: decide you already know the cause. Step 2: skip all the typical study design, ethics review, and data collection steps. Step 3: cherry-pick, p-hack, and fudge your way to data that declare “success”.
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reposted by
Jalisa Clark
Marisa Kabas
11 months ago
Updated just now. Six pages so far. The breadth of destruction is staggering.
add a skeleton here at some point
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To quote Senator Raphael Warnock this morning, "Thank you for praying not just with your lips but with your legs."
add a skeleton here at some point
11 months ago
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reposted by
Jalisa Clark
Troy Matthews
11 months ago
Booker: 17 hours now
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Cory Booker is STILL going!
11 months ago
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Happy Trans Day of Visibility 🏳️‍⚧️ Gender-affirming care is health care! Over 5,000 comments have been submitted opposing the ban on gender-affirming care as an essential health benefit. As @them notes, you can submit a comment too! The comment period ends on April 11.
www.them.us/story/alarmi...
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Trump Admin Moves to Prevent ACA Plans From Being Required to Cover Gender-Affirming Care
Here’s how to leave a public comment on the proposed rule.
https://www.them.us/story/alarming-proposal-trump-administration-prohibit-affordable-care-act-gender-affirming-care
11 months ago
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From CHIR, Stacey Pogue provides an excellent overview of Section 1333 waivers, the political push behind this bygone topic, and the associated risks.
chirblog.org/a-blast-from...
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A blast from the past: Dusting off ACA Section 1333 compacts
Peter Nelson, the new director of the Center for Consumer Information and Insurance Oversight (CCIIO) has brought a long forgotten ACA provision back into the spotlight. CHIR’s Stacey Pogue breaks dow...
https://chirblog.org/a-blast-from-the-past-dusting-off-aca-section-1333-compacts/
11 months ago
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*NEW* The Trump administration claims that cuts in the Navigator funding will lower premiums, but the Navigator program uses less than 5% of total user fees, making it unlikely that cuts will lead to significant (or any) premium savings.
@commonwealthfund.org
www.commonwealthfund.org/blog/2025/ne...
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New Administration Plans to Reinstate Cuts to Funding for ACA Outreach and Enrollment Assistance
Cuts to the ACA’s Navigator program may cause these organizations to face budgetary shortfalls, making consumer help harder to come by when it’s needed most.
https://www.commonwealthfund.org/blog/2025/new-administration-plans-reinstate-cuts-funding-aca-outreach-and-enrollment-assistance
11 months ago
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www.healthaffairs.org/content/fore...
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New Executive Order Outlines Next Steps For Health Care Price Transparency | Health Affairs Forefront
A new Executive Order refocuses federal agency attention on making already-required price data easier to get and use – a needed precursor to making meaningful and actionable price information readily available to consumers, employers, and policymakers.
https://www.healthaffairs.org/content/forefront/new-executive-order-outlines-next-steps-health-care-price-transparency
11 months ago
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reposted by
Jalisa Clark
Laura Bassett
11 months ago
Roses are red Violets are blue
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"If consumer choice and market power cannot achieve meaningful price controls, then comprehensive rate regulation may be in order."
add a skeleton here at some point
11 months ago
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apnews.com/live/latest-...
updates: More than 400 Palestinians killed in surprise Israeli airstrikes across Gaza
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Live updates: More than 400 Palestinians killed in surprise Israeli airstrikes across Gaza
Israel launched airstrikes across the Gaza Strip early Tuesday, killing at least 404 Palestinians. The surprise bombardment shattered a ceasefire in place since January and threatened to fully reignit...
https://apnews.com/live/latest-updates-israel-launches-new-wave-of-airstrikes-across-gaza-after-ceasefire-talks-stall?utm_source=bluesky&utm_medium=share <br>Live
11 months ago
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*NEW* Broker misconduct is an issue, but cutting premium tax credits harms more than helps consumers.
#GtownCHIR
@commonwealthfund.org
doi.org/10.26099/nq5...
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Policymakers Can Protect Against Fraud in the ACA Marketplaces Without Hiking Premiums
Policymakers can strengthen oversight of entities involved in selling coverage to address fraud and ensure integrity in the ACA marketplaces.
https://doi.org/10.26099/nq57-4z21
12 months ago
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reposted by
Jalisa Clark
Cooper Lund
12 months ago
An underrated part of this video is you can watch the Dow go down in real time in the bottom right
add a skeleton here at some point
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reposted by
Jalisa Clark
Justin Wolfers
12 months ago
Worth tracking these data closely.
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This is the BEST daily game Minute Cryptic - 28 February 2025 "Hacker is transparent about wiping contents of videotape" (7) 🟣🟣🟣🟣🟣🟣🟣🟣 I scored: 3 under par
www.minutecryptic.com?utm_source=s...
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Minute Cryptic
Solve a clue with a hidden meaning
https://www.minutecryptic.com/?utm_source=share
12 months ago
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reposted by
Jalisa Clark
Mark Joseph Stern
12 months ago
More of this, please! We need law professors with integrity and backbone to call out colleagues who attempt to launder Trump’s unconstitutional cruelty through bullshit originalism. And to do so in blunt terms without the cloak of polite formalisms that obscure the depths of hackery on display.
add a skeleton here at some point
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Does Bezos know the Washington Times exists?
add a skeleton here at some point
12 months ago
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It was an absolute honor speaking with Dr. Nicole Rochester about the history of health insurance, the impact of the ACA, and equity-based designs for the Immune Deficiency Foundation: Bold Conversations podcast. You can listen to our full conversation here:
primaryimmune.org/resources/po...
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Bold Conversations: Health insurance | Immune Deficiency Foundation
Jalisa Clark is a Research Fellow at the Center on Health Insurance Reforms (CHIR) at Georgetown University’s McCourt School of Public Policy. Today, she joins Dr. Nicole for a deep dive into inequita...
https://primaryimmune.org/resources/podcast/bold-conversations-health-insurance
12 months ago
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reposted by
Jalisa Clark
Lindsey Dawson (she/her)
12 months ago
Our new guide examines Trump Admin executive actions that could have a direct impact on
#LGBTQ+
people’s health. It includes an overview of key provisions, their known/potential impact, and related litigation and will be updated as needed. w
@jenkatesdc.bsky.social
www.kff.org/other/fact-s...
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Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health | KFF
This tracker examines Executive Actions taken by the Trump administration that have the potential to impact LGBTQ+ people’s health. It lists the action taken by date, provisions relevant to LGBTQ+ hea...
https://www.kff.org/other/fact-sheet/overview-of-president-trumps-executive-actions-impacting-lgbtq-health/
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"President Donald Trump moved at a blistering pace in his first month back in the White House. He lied fast and furious, too."
www.cnn.com/2025/02/20/p...
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Analysis: Trump’s 13 biggest lies of his first month back in office | CNN Politics
In speeches, interviews, exchanges with reporters and posts on social media, the president filled his public statements not only with exaggerations but outright fabrications. As he did during his firs...
https://www.cnn.com/2025/02/20/politics/analysis-trumps-13-biggest-lies-first-month-2025/index.html
about 1 year ago
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reposted by
Jalisa Clark
Joan Alker
about 1 year ago
As Congress considers very large cuts to Medicaid did you know that ten percent of children in active duty military families who are covered by TriCare are also covered by Medicaid?
#LearnAboutMedicaid
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reposted by
Jalisa Clark
Matt Pearce
about 1 year ago
It’s not a “savings” if you’re getting fewer services in exchange. I’m still paying the same taxes!
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Say when
open.substack.com/pub/contrari...
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Say when
An editorial cartoon by Pia Guerra.
https://open.substack.com/pub/contrarian/p/say-when?utm_campaign=post&utm_medium=web
about 1 year ago
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