More harm is on the way. A provision not yet in effect will take Medicaid away from people who don’t meet a harsh work requirement. Millions will instead have to defer needed care, face medical debt, or squeeze other basic needs to see a doctor or fill a prescription. www.cbpp.org/research/fed...
President Trump supported the expiration of premium tax credit enhancements in December, which has raised costs for some 20M people in the marketplaces. "Dropping the enhancement now is going to put the hurt on a lot of people...,” said Carrie, a 49-year-old Iowan. www.cbpp.org/blog/marketp...
Even as President Trump talks up his health proposals, key decisions he has already made are making care unaffordable for millions. Federal policies he backed will leave some 15M uninsured. If they stood in a line, it would reach from Chicago to Buenos Aires. #CBPPSOTU
Tonight, during the State of the Union address, we’ll hear President Trump’s priorities for the year ahead. It’s worth comparing what he says to the extreme actions his Administration took last year.
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: 🧵
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 simplest solution is to keep people’s health care affordable is a clean extension. www.cbpp.org/blog/how-to-...
A fix for the expiring premium credit enhancements must avoid leaving more people uninsured, ensure people keep access to affordable, comprehensive coverage, and be implemented quickly.
Plus the Fitzpatrick bill includes a major expansion of health savings accounts, which provide big tax benefits for wealthier people and don’t help improve affordability for those most in need. www.cbpp.org/blog/expandi...
The Fitzpatrick bill makes big changes to the premium tax credit that can’t be immediately implemented. The $5/month minimum premium payment would also raise costs for people with low incomes and leave more people uninsured than a clean extension. www.cbpp.org/blog/people-...
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...
With more than 20M marketplace enrollees waiting for a solution, a clean extension of the premium tax credits is the fastest and best move right now.
Cash accounts are being floated but details are scarce. They are unlikely to be sufficient to help people afford premiums for comprehensive coverage or to cover high deductibles or for a hospital bill or other major care.
Will it reduce people’s out of pocket costs? If it prods more people into high deductible plans, then many will face higher costs & greater risk of forgoing needed care or going into debt.https://bsky.app/profile/jenniferlsullivan.bsky.social/post/3m6fr7o66i22r
Will the White House proposal stop people’s premiums from rising? The lowest income people could pay more, as noted. It’s counterintuitive, but funding costsharing reductions would shrink PTC amounts, increasing many people’s premiums.
And millions more people are already set to become uninsured in coming years as a result of #Medicaid and marketplace cuts in the harmful megabill.https://www.cbpp.org/research/health/by-the-numbers-harmful-republican-megabill-will-take-health-coverage-away-from
Will the proposal protect millions of people who would otherwise become uninsured? Requiring minimum premium amounts and eliminating $0 plans means that more people (the lowest income people) would lose coverage. Even small premium amounts are a barrier. www.cbpp.org/blog/people-...
Time is short for Congress and President Trump to stop marketplace price spikes. People who want coverage Jan 1 have to enroll by Dec 15. Any deal needs to prevent people from becoming uninsured, reduce people’s costs for affordable, comprehensive coverage, & happen quickly
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?
It's unclear how much support the Scott proposal has. But it’s still not a response to the imminent issue of premium tax credit enhancements expiring this year. And it wouldn’t make health care more affordable.
Despite inserting “freedom” into the text, the bill devotes pages to blocking people from making decisions about their own care with their doctors, barring the Trump accounts from being used for insurance plans that cover abortion or gender affirming care for transgender people.
A state could eliminate key provisions of the ACA for all residents. This could mean the end of essential health benefits that are core to protecting people with pre-existing conditions, limits on high out of pocket costs, or insurance marketplaces where people compare plans.
The latest: a new bill from Florida Sen. Scott’s would let states waive federal premium tax credits, affordability standards, and core protections for people with pre existing conditions —shifting funds into individual “Trump” accounts. www.rickscott.senate.gov/services/fil...
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.
Check out @centeronbudget.bsky.social's new graphics -- examples of the cost increases that marketplace enrollees in all 50 states and D.C. will face if Congress doesn't extend premium tax credit enhancements. h/t @gidlukens.bsky.social www.cbpp.org/research/res...
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.
With many people already seeing higher rates & open enrollment starting Nov 1, congressional R leaders & President Trump should work w/ Ds to reach an agreement now. Action has already been delayed too long.
The pressure continues to mount for Congress and the Trump admin to address rising health care premiums for marketplace plans. The harm is already hitting, as people look at what they'll pay for 2026 — much higher, often unaffordable, costs. bsky.app/profile/gidl...
