Jenny Haley

Table 1 shows subsidized Marketplace coverage among nonelderly veterans under enhanced and standard Marketplace PTCs, 2026.

New analysis estimates that over 600K nonelderly #veterans would have subsidized Marketplace coverage in 2026 under enhanced premium #tax credits (PTCs). Urban Institute’s recent #research brief explores the impact on coverage if PTCs expire. https://urbn.is/421tt2B

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…

As Congress debates the future of enhanced Marketplace premium #tax credits (PTCs), a new Urban Institute analysis finds that 4.8 million people will lose #health coverage in 2026 if they allow PTCs to expire.

Discover more in the latest #research brief.

The Reconciliation Bill Would Deny Medicaid Coverage to Many People with Health Needs and Other Work Barriers Though the reconciliation bill exempts people in poor health or who have caregiving responsibilities from Medicaid work requirements, in practice, many people facing barriers to work would be at high ...

Evidence shows that work requirements in the House-passed reconciliation bill would deny many adults with health needs and other #employment barriers who rely on #Medicaid coverage to pay for essential #healthcare. Learn more in a new Urban Wire post.

Figure 1 shows Distribution of Families with Changes in Resources Due to Selected Policies in the House Budget Reconciliation Bill.

Of the 22.6 million #families who would end up with less resources under the reconciliation bill, more than half are at or below the #poverty level. New #research shows losses will far outweigh gains for the lowest income families. urbn.is/4l9JXwA

The Reconciliation Bill Would Deny Medicaid Coverage to Many Working People Medicaid coverage helps people access the health care they need to work and go to school. Enacting proposed work requirements would make it more difficult for working people and students to obtain and...

Urban #research experts find that many people would lose or be denied #Medicaid coverage and access to needed #healthcare under the reconciliation bill's imposed federal work requirements.

Learn more in a new Urban Wire piece.

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...

Figure 4 shows Many Adults in Immigrant Families with Children Were Worried About Visiting Health Care Settings Because of Immigration Concerns. A blue bar graph shows 19% for All immigrant families with children, 13% for All-citizen immigrant families with children, 14% for Green card and citizen families with children, and 38%***/^^^ for Mixed-status families with children. The Source is the Well-Being & Basic Needs Survey, December 2024. Figure shows the share of adults ages 18-64 in immigrant families w/ children who reported they are worried "a lot" or "some" about visiting a doctor's office, health clinic, or hospital because of not wanting to draw attention to immigration status of someone in the family, overall and by family citizenship and immigration status. */**/*** Estimate differs significantly from adults in all-citizen immigrant families with children at the 0.10/0.05/0.01 level, using 2-tailed tests. ^/^^/^^^ from adults in green card and citizen families with children.

Thread: A new Urban Institute analysis demonstrates the widespread prevalence of challenges faced by #immigrant #families with #children, particularly in meeting basic housing, food, and health needs and worries about immigration policies. urbn.is/4mzT0bw

Medicaid Work Requirements Could Threaten Parents’ and Children’s Coverage and Well-Being By Jennifer M. Haley, Genevieve M. Kenney, Eva H. Allen, and Michael Karpman Work requirements in Medicaid are on the agenda at the federal level and in multiple states, despite evidence that they …

Guest Georgetown CCF blog from @urbaninstitute.bsky.social researchers on how #Medicaid work requirements in the House GOP reconciliation bill would threaten parents' and their children's coverage and well-being: ccf.georgetown.edu/2025/05/19/m...

Who Gains and Who Loses under a Tax Cut Extension with Medicaid and SNAP Spending Reductions In this brief, we estimate the combined impact of three major proposals on taxpayers’ after-tax, after-transfer incomes to show who would benefit and who would lose.

Excellent piece by @urbaninstitute.bsky.social on the distributional effects of tax cut extensions paid for by cuts to #Medicaid and #SNAP. Lowest income families would face losses in income after taxes and benefits and highest income familes would see large gains. www.urban.org/research/pub...

Research to Inform 2025 Reconciliation: Taxes, Safety Net, and Beyond In 2025, Congress will consider legislation to extend the expiring provisions in the 2017 Tax Cuts and Jobs Act, as well as address other tax and policy areas, utilizing the partisan reconciliation pr...

As Congress advances major #tax cut and homeland security legislation through the reconciliation process, Urban has published a resource page for analyses relevant to the legislative proposals.

Explore the latest insights related to the major tax, safety net, #health, and #housing proposals.

New Evidence Confirms Arkansas’s Medicaid Work Requirement Did Not Boost Employment Arkansas’s 2018–19 Medicaid work requirement program reduced the number of adults with health insurance and had no effect on employment. A similar national policy could have the same result.

A new analysis from Urban Institute researchers shows that a #Medicaid work requirement program implemented in Arkansas in 2018-2019 reduced the number of adults with #health insurance coverage and had no effect on #employment.

Learn more in an Urban Wire post.

Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box

Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...

Assessing Potential Coverage Losses among Medicaid Expansion Enrollees under a Federal Medicaid Work Requirement We assess potential coverage losses under federal Medicaid work requirements for adults ages 19 to 55 enrolled in the Affordable Care Act’s Medicaid expansion.

Our new @urbaninstitute.bsky.social analysis: About 5 million Medicaid expansion enrollees ages 19-55 could lose coverage in 2026 under federal work requirements. Nearly all who would be subject to work requirements already work/participate in related activities or could meet exemption criteria.

Downsizing Medicaid: How Proposed Cuts Could Endanger Health Insurance for Low-Income Americans The Urban Institute–Georgetown Law Series on Health Justice features conversations with researchers and legal professionals about how we can reduce widespread disparities in medical care and health in...

Proposed cuts to #Medicaid could endanger #health insurance for low-income Americans.

Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban

New urbaninstitute.bsky.social study shows how eliminating the 90 percent FMAP for the Medicaid expansion could affect states. Either they’d have to come up with $44.3B in 2026 to maintain coverage or eliminate the expansion and cut 15.9M Medicaid or CHIP enrollees. www.urban.org/sites/defaul...

Local Data for Equitable Communities blue header over top a colorfully illustrated city scape.

Urban Institute and @rwjf.bsky.social recently launched the Local Data for Equitable Communities grant program. If you're a nonprofit looking to leverage funding for data projects to catalyze action to improve conditions where you live, apply now!

Improving Maternal Health and Well-Being through Medicaid/CHIP Postpartum Coverage Extensions This brief examines the implementation of postpartum coverage extensions in five states (New Jersey, New Mexico, Ohio, South Carolina, and Virginia) and identifies key considerations for ensuring exte...

Nearly every state has newly extended pregnancy-related Medicaid to a full year postpartum. But our new @urbaninstitute.bsky.social research finds limited communication to enrollees, providers, and other stakeholders could dampen extensions’ potential positive effects. 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...

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...

Thanks @ddiamond.bsky.social ! If you want to see how many people would lose coverage in your state check out this map from my @urbaninstitute.bsky.social colleagues: www.urban.org/data-tools/h...

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...