Allison Orris

Senators have the responsibility to uphold and defend the Constitution. Using the annual budget process when necessary to protect the constitutional rights and safety of all people and communities should be a requirement of the job.

In the wake of another horrific shooting death in MN by federal immigration officers -on top of wrongful detentions, violence, & fear there & across the country- it is appropriate for the Senate to use the budget process to push for critical protections for people & communities.

As we mark one year since President Trump’s inauguration, it’s important to take stock of the harm the Administration – and congressional Republicans – have inflicted in such a short time. www.cbpp.org/research/fed...

President Trump’s one-page health care plan not only fails to extend enhanced premium tax credits (PTCs), more than doubling out-of-pocket premiums on the ACA marketplace. It also cuts PTCs even further by changing how existing cost-sharing reductions are funded. (1/3) tinyurl.com/37x7wbcz

This “affordability” framework for a second reconciliation bill (i.e. a “Second Big Beautiful Bill”) follows the same structure as its predecessor:

1.)Making it harder for Americans to afford health care, food & groceries.

2.)Tax cuts for rich people. 🧵

The House passed a measure today to extend the Premium Tax Credit enhancements for three years. The bipartisan vote shows there’s strong support for immediate action to make millions of people’s health care more affordable. All eyes are now on the Senate. x.com/JakeSherman/...

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...

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...

a woman says it 's all gone in a dark room ALT: a woman says it 's all gone in a dark room

Today’s #JobsReport covers the month of November and some of October. Due to the shutdown, only data surveyed from firms, not households, was collected in October, so we don’t have the unemployment rate for October. (1/9)

House Republican Health Care Bill Fails to Address Marketplace Affordability The health bill House Republicans are preparing to bring to the floor this week not only fails to prevent imminent premium spikes for more than 20 million people in marketplace plans, but would raise....

The House Republicans’ response to expiring premium tax credit enhancements simply doesn’t respond to expiring PTC enhancements.

Instead, they recycle old Republican policy priorities and do nothing to address the impending marketplace affordability crisis.

YouTube video by Center on Budget and Policy Priorities 3 Key Dates to Keep in Mind When Choosing Your Health Coverage Plan for 2026

This week is critical for health coverage affordability. CBPP’s @jenniferlsullivan.bsky.social breaks down what’s at stake as Congress votes on extending premium tax credit enhancements & the 3 key dates marketplace enrollees need to know when choosing 2026 coverage: www.youtube.com/watch?v=6QY5...

A recent WSJ op-ed reaches the wrong conclusion about a GAO report on #ACA marketplaces. The report details vulnerabilities that call for targeted action – it doesn’t show widespread fraud, and it shouldn’t be used as an excuse to raise ppl’s premiums. tinyurl.com/4rnrpkt2

[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance | The United States Senate Committee on Finance [2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance

Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...

Scoop: Senate GOP chairs circulate health plan as ACA subsidies hang in the balance Two key Republican chairmen circulated the plan as the GOP struggles to unite around health policies.

Sens Cassidy and Crapo are circulating a health proposal that would do little to address the premium spikes millions of ACA marketplace enrollees will face starting Jan 1, and would further increase many people’s out of pocket costs for health care over time. www.axios.com/2025/12/08/s...

New HHS data on ACA marketplace enrollment for 2026 so far suggest a similar number of ppl have selected a plan compared to last year even as they see higher premium costs that reflect expiration of PTC enhancements. But don't make too much if it.

Instead of a clean extension of PTC enhancements (which makes silver plans more affordable), some Republicans have proposed encouraging people to buy down to less generous bronze plans.

Don’t be fooled: While bronze plans often have lower premiums, people face much higher costs when they get care.

People With Low Incomes May Lose $0 Premium Plans — a Lifeline — Unless Congress Acts 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...

ACA marketplace plans w/ $0 premiums help ppl get & stay covered. Recent Republican proposals would require minimum premiums or fail to extend premium tax credit enhancements based on the false claim that ppl who don’t use medical care are “phantom enrollees.” 🧵https://tinyurl.com/4uc68zbf

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.

Today, the Senate Finance Committee held a hearing on rising health care costs. But the real, urgent focus should be that 20 million people would face higher premium costs if the PTC enhancements expire at the end of the year.

Here’s how real people will are affected.

CMS Issues New Guidance on H.R. 1’s Restrictions on State Use of Provider Taxes to Finance Medicaid On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued new guidance with some new detail about how it will implement provisions in H.R. 1 — the budget reconciliation la…

I also have a new blog on CMS guidance issued on Nov 14th indicating in part how CMS will implement H.R. 1's restrictions on state use of provider taxes to help finance their #Medicaid programs, which will shift costs to states and lead to damaging Medicaid cuts: ccf.georgetown.edu/2025/11/18/c...

Vague Offers of Cash Fail to Address Looming Premium Spikes for Marketplace Enrollees President Trump and some congressional Republicans have floated ending or cutting marketplace tax credits that help more than 20 million people afford coverage and instead giving people a fixed sum...

As millions shop for ACA marketplace coverage, vague proposals to replace premium tax credits with cash "accounts" would raise costs and leave people without affordable options; policymakers should extend proven tax credit enhancements instead. www.cbpp.org/blog/vague-o...

My colleague @shelbytgonzales.bsky.social unpacks the new effort to rescind Biden Admin's #PublicCharge rule and how doing so will create fear and confusion among people who are immigrants and their families.

Marketplace Enrollees Across the Country 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...

New interactive map from @CenterOnBudget showing out-of-pocket premium increases in every congressional district due to premium tax credit enhancements expiring. Explore it here: www.cbpp.org/research/hea...

My colleague @nicolerapfogel.bsky.social talked with CQ this week about why Republican HSA and cash account proposals are no substitute for extending the soon-to-expire PTC enhancements that more than 20 million ACA marketplace enrollees rely on to keep coverage affordable.

Marketplace Open Enrollment for 2026 - Beyond the Basics Updated November 10, 2025 1. What are premium tax credits (PTCs)? Premium tax credits, also known as PTCs, help individuals and families with low and

Making decisions about ACA marketplace coverage for 2026 is complicated, since the PTC enhancements that expire in Dec haven't yet been extended. We created a running list of FAQs to answer ?s about deadlines, automatic re-enrollment, and more. www.healthreformbeyondthebasics.org/marketplace-...

Expanding Health Savings Accounts Would Do Little to Improve Access to Affordable Health Care Amid the urgent debate over whether Congress will act to prevent cost increases for millions of people in 2026 marketplace plans, some Republicans are promoting expansions of health savings accounts.....

Read more from @centeronbudget.bsky.social about why HSAs and other proposals won’t make coverage more affordable and do little to help the people who would hurt the most from expiring premium tax credit enhancements.

BREAKING: We took the Trump-Vance administration back to court and WON AGAIN.

The court was clear today: the President must stop playing politics with the lives of 42 million people in America.

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...