1/ A court ruling this week allowed the federal Medicaid work requirement to proceed for now. That doesn’t change the fact that the Administration can take steps to prevent some people, including those with serious illnesses, from losing coverage under this harmful policy.

New CMS data confirms large enrollment drops after Congressional Republicans and President Trump let PTC enhancements expire last year. ~3 million people dropped coverage between 2025 and 2026. More will likely follow suit as premiums stack up throughout the year. www.cbpp.org/blog/nearly-...

Nearly 3 Million Fewer People Secured Marketplace Coverage After Republican Health Care Cuts, New Data Show

This is the largest drop in effectuated enrollment since the ACA marketplaces were established.

cbpp.org

Sadly, this is only the start. Republican health care cuts will take away coverage from millions. Nearly Three Million Fewer People Enrolled in Marketplace Coverage After Affordability Cuts www.cbpp.org/media/76680

Nearly Three Million Fewer People Enrolled in Marketplace Coverage After Affordability Cuts

cbpp.org

Another unfortunate data point: fewer people enrolled in marketplace plans.

Gideon Lukens@gidlukens.bsky.social · last mo.

New data show that #ACA marketplace enrollment fell by ~3 million people as premiums spiked following the failure of Congressional Republicans to extend PTC enhancements. This is Feb 2026 data - expect further coverage loss as the year goes on and monthly premiums pile up.

With millions struggling to afford health care and coverage, Trump and Republicans in Congress have once again pointed to expanding health savings accounts (HSAs) as a solution. But HSAs don’t solve affordability problem. Here are 5 reasons why: 🧵

Five Reasons HSAs Aren’t the Answer to the Health Care Affordability Crisis

In the wake of their actions that have worsened health care affordability, President Trump and some in Congress have pushed expanding health savings accounts (HSAs). The problem is HSAs are not the an...

cbpp.org

As some House Rs call for reconciliation 3.0, many want to expand health savings accounts. But HSAs mainly benefit higher-income people, and they do little to improve affordability for those struggling the most with health costs. read more by @nicolerapfogel.bsky.social www.cbpp.org/blog/five-re...

Five Reasons HSAs Aren’t the Answer to the Health Care Affordability Crisis

In the wake of their actions that have worsened health care affordability, President Trump and some in Congress have pushed expanding health savings accounts (HSAs). The problem is HSAs are not the an...

cbpp.org

The fed govt isn't supposed to issue a rule unless its benefits outweigh its costs.So what to do about the terrible policy that takes away health coverage from people not meeting a work requirement?Ignore key research, make unrealistic assumptions.@gidlukens.bsky.social www.cbpp.org/research/hea...

Analysis Justifying Trump Administration’s Medicaid Work Requirement Rule Is Deeply Flawed

The 2025 reconciliation law instituted a harmful policy taking Medicaid coverage away from people not meeting a harsh work requirement, and the Trump Administration recently finalized a rule that...

cbpp.org

Directly funding cost-sharing reductions (CSRs), as Republicans are apparently considering, would INCREASE out-of-pocket premiums for millions of #ACA marketplace enrollees, cut funding by tens of billions of $, and leave hundreds of thousands of ppl uninsured.

We just moved a step closer to a Medicaid work requirement, a major cut made by last year’s Republican reconciliation law that will take away health coverage from millions of people. The Trump administration issued a rule that makes bad policy even worse. www.cms.gov/newsroom/fac...

@centeronbudget.bsky.social is a proud partner of @onenationovercharged.com. People across the country are standing up and fighting to get healthcare right. Join the movement and sign up today ➡️ONENATIONOVERCHARGED.COM

One Nation, Overcharged@onenationovercharged.com · 2mo ago

Healthcare should be a right. Our system is wrong. One Nation, Overcharged is here! Together, we’re demanding a healthcare system that works for everyone. Are you with us? Join the fight to get healthcare right. 💪 onenationovercharged.com?utm_source=S...

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...

Who Paid, and Who Stayed? Early 2026 Enrollment Trends in the Individual Market - Wakely

A new report from Wakely Consulting Group, an HMA Company, models changes to the 2026 ACA market enrollment due to the loss of federal subsidies. Findings

wakely.com

#ACA marketplace signups are down, and many people are paying higher costs and getting skimpier coverage, according to new federal data. A major reason: Republicans in Congress and the Trump Administration let premium tax credit enhancements expire. www.cms.gov/files/docume...

Don't forget that the harmful megabill has set big health coverage losses in motion. The new Medicaid work requirement and other red tape will take away coverage from millions. ⬇️

Gideon Lukens@gidlukens.bsky.social · 5mo ago

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.

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: 🧵

Health Savings Accounts Can Be a Bad Deal for Low-Income Marketplace Enrollees

In the wake of their actions that have worsened health care affordability, President Trump and Republicans in Congress have pushed to expand health savings accounts (HSAs). But this doubles down on an...

cbpp.org

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...

Marketplace Enrollees In Every Congressional District Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended

Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...

cbpp.org

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...

House Republicans weigh vote on Obamacare extension

GOP moderates are exploring a last ditch attempt to get a vote to extend expiring subsidies.

politico.com

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.

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.

Republican leaders in Congress say they will address marketplace health care premium increases once the government is re-opened. But it’s hard to square that commitment with some of their recent comments.

If premium tax credit enhancements expire, millions of people with the lowest incomes would lose $0 premium plans and be at risk of becoming uninsured. Gains in coverage, especially in states that haven’t expanded #Medicaid, would be at risk. www.cbpp.org/blog/people-...

People With Low Incomes May Lose $0 Premium Plans — a Lifeline — Unless Congress Acts | Center on Budget and Policy Priorities

Without congressional action, PTC enhancements will expire at the end of 2025. This will cause millions —many of these lowest-income enrollees especially — to become uninsured, or to face impossible c...

cbpp.org

Attn: Idaho Marketplace enrollees in the Gem State are facing big premium increases if Congress does not act.

Gideon Lukens@gidlukens.bsky.social · 10mo ago

Idaho’s 2026 ACA marketplace open enrollment begins Oct 15. People are already window shopping, seeing next year’s premiums spike due to expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Idaho will face a $17,900 increase in annual premiums. (1/4)

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.

People With Low Incomes May Lose $0 Premium Plans — a Lifeline — Unless Congress Acts | Center on Budget and Policy Priorities

Everyone should be able to get the health care they need to thrive, and for that to happen, it must be affordable, high quality, and easily accessible for all. Premium tax credit (PTC) enhancements...

cbpp.org