In a two-part series for Health Affairs Forefront, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-author discuss the legal and practical limits of efforts to allow ACA Marketplace plans to sell health insurance across state lines. www.healthaffairs.org/content/fore...

Reupping this readers' guide in case details emerge over the weekend.

A key litmus test: “operationalizing changes in Marketplace policy requires months to build…Establishing and transferring funds to health savings accounts (HSAs) would take even longer. Fortunately, Marketplaces have already built IT systems for a “clean” extension [to switch] “on” in…days”

As we 👀 for the White House plan to extend ACA tax credits, here's a readers' guide with 6️⃣ key questions to ask. The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing? www.urban.org/urban-wire/s...

Today, Urban Institute senior fellow Jason Levitis testified at a Senate Finance Committee hearing on addressing the affordability cliff and the costs of #healthcare. See what the #research shows on how losing #ACA enhanced PTCs will impact coverage for millions.

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

With the mini-burst of proposals to replace enhanced PTCs with spending accounts like FSAs, keep in mind that this would *absolutely wallop* older people with middle incomes—say a 63-year-old earning $65K—who are among the most dependent on enhanced PTCs. 🧵1/

In a new @urbaninstitute.bsky.social issue brief, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors explain that if Congress lets enhanced ACA tax credits expire, it will reimpose a steep eligibility cliff for middle-income earners. www.urban.org/research/pub...

🏥 Writing for Health Affairs Forefront, @solomonctryls.bsky.social and @urbaninstitute.bsky.social senior fellow @jasonlevitis.bsky.social and his co-authors explain that Congress’s delay in extending ACA subsidies has already increased costs for consumers. www.healthaffairs.org/content/fore...

📈 In a new @urbaninstitute.bsky.social report, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors project that millions more people will be uninsured if Congress lets enhanced premium tax credits for ACA Marketplace plans expire. www.urban.org/research/pub...

"[T]he US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect." Always read @mattafiedler.bsky.social. www.healthaffairs.org/content/fore...

Health care providers would lose $1 trillion in revenues and uncompensated care would increase $278 billion between 2025-34 due to House Republican reconciliation bill and expiration of premium tax credits. (1/3) www.urban.org/research/pub...

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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CMS's proposed #ACA marketplace rule would mean fewer people with health coverage, more red tape, higher costs, less time to enroll, plus decreased access for certain groups. People currently struggling to afford the basics would once again lose out. Some highlights (lowlights?) - a 🧵:

Letter to Speaker Johnson opposing #Medicaid and SNAP cuts in budget resolution led by Rep. Gonzales (TX) and signed by other GOP members including Valadao (CA) Malliotakis (NY) De La Cruz (TX) Ciscomani (AZ) and Bresnahan (PA) who are part of the Republican Congressional Hispanic Conference.

In their next session, TX lawmakers may again consider leaving the federal Marketplace and transitioning to a state-based Marketplace. Our new report finds that stakeholders who would be most directly affected uniformly worried that risks outweighed potential benefits. www.urban.org/research/pub...

New from @jasonlevitis.bsky.social and colleagues at @urbaninstitute.bsky.social Shifting to a state based Marketplace comes with opportunities and risks, but those who would be most directly affected believe that the risks outweigh the likely benefits. #healthpolicy www.urban.org/research/pub...

@urbaninstitute.bsky.social has a great interactive out this week on what losses might look like by state: www.urban.org/data-tools/h...

Great 🧵here, but 1332 fans want a word with Leg Counsel about how they narrowly denied us our own day.

Is there a link to these remarks?

Many working older adults with modest incomes will get slammed in 2025 if Congress doesn't renew enhanced premium tax credits. @urbaninstitute.bsky.social www.urban.org/research/pub...

Hey you, progressive lawyer who thinks you could never be a federal judge bc you’re not a douchey ambition monster or a MAGA zealot, please apply! buff.ly/4bd4egB