Jason Levitis

Health Affairs Journal

🏥 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...

4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…

📈 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...

Reconciliation Bill and End of Enhanced Subsidies Would Cut Health Care Provider Revenue and Spike Uncompensated Care The House of Representatives passed, and the Senate is now negotiating, a budget reconciliation bill that would impose federal funding cuts on Medicaid and the ACA Marketplaces.

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...

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...

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-...

Another technical note is that this score includes only 1/2 the effects of the E&C piece codifying the Marketplace proposed rule, per normal CBO practice and this email they sent to staff. So relative to current law, it's another .95M.

democrats-waysandmeans.house.gov/sites/evo-su...

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In other words, the proposal would reduce APTC and increase out-of-pocket premiums.

Beyond MOOPs, under IRS regs, the PAP is used to update individual contributions for consumers getting APTC. So assuming the IRS adopts the new PAP as usual, APTC recipients will pay about 4.5% more for a benchmark plan.

Also explained here:

www.shvs.org/recent-feder...

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 🧵:

Key GOP votes withhold support from House plan despite Trump’s backing Three key House moderates told The Hill on Wednesday that they are still not on board with the chamber’s budget resolution, even after President Trump endorsed it earlier in the day. Reps. David Va…

Plus Bacon makes nine.

thehill.com/homenews/hou...

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.

Considerations for a Potential State-Based Marketplace in Texas This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...

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...

Considerations for a Potential State-Based Marketplace in Texas This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...

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...

Marking my calendar

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?

Thanks, Cynthia. Count me in.

Enhanced PTCs Help Older Adults and Those in High-Premium States Afford Coverage In this summary, we examine the expected distribution of enhanced PTCs among nonelderly people with incomes over 400 percent of FPL by age, income, and state. We use projected 2025 subsidized Marketpl...

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...

Make the Judiciary Less Awful By Applying to Be a Judge Yourself Be the change you wish to see in the world (of reactionary MAGA dorks and former BigLaw partners).

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