Sarah Lueck

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

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...

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.

Five Key Changes to ACA Marketplaces Amid Uncertainty Over Premium Tax Credit Enhancements | Center on Budget and Policy Priorities Recent policy changes, most notably enhancements to premium tax credits to reduce enrollees’ health insurance premiums, have driven record-breaking enrollment gains and delivered reduced costs, simpli...

NEW from @jenniferlsullivan.bsky.social and me for @centeronbudget.bsky.social: With Congress poised to take away premium tax credit enhancements soon, ~4M people will lose coverage and costs will rise for nearly all ACA marketplace enrollees unless Congress acts.🧵

Just 0.6% of people receiving premium credits make more than 800% of the poverty level (or about $125K for an individual). That’s far short of $600K & federal spending on credits for people with somewhat higher incomes is miniscule. This is not a tax benefit for wealthy people.

Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)

Premium Tax Credit Improvements Must Be Extended to Prevent Steep Rise in Health Care Costs | Center on Budget and Policy Priorities Improvements to premium tax credits, enacted in the American Rescue Plan and extended by the Inflation Reduction Act, have helped nearly 20 million people afford health coverage in the Affordable...

Enhanced PTCs are set to expire, raising costs for marketplace enrollees unless Congress acts. Self employed people, gig workers, early retirees, and low-wage workers are among those who will face steep hikes; some will end up uninsured. www.cbpp.org/research/hea...

The law also deeply cuts eligibility across all major health coverage programs for most categories of immigrants living lawfully in the U.S.

Senate Bill Expands Medicaid Work Requirements to Include Some Parents, Would Take Away Coverage From Millions: State and Congressional District Estimates | Center on Budget and Policy Priorities The Senate Finance Committee released a bill that would make the harsh Medicaid work requirements in the House bill even more damaging by extending them to parents of children over age 14.The Senate.....

The new law will take Medicaid away from people enrolled via the expansion if they don't meet a work requirement, harming parents, ppl w/ disabilities, and those with chronic illnesses. Protected groups and working people will lose coverage due to red tape www.cbpp.org/research/hea...

The R health plan renders roughly 15M people uninsured by 2034: 10M due to health cuts in the legislation, 4.2M because the legislation failed to extend expiring improvements to marketplace premium tax credits; and more marketplace losses under Trump Admin rule changes

The latest CBO estimates make clear that the so-called “Big Beautiful Bill” is anything but--it would cause widespread harm with more than $1T in cuts to Medicaid & ACA marketplaces and higher costs for families trying to afford health care and groceries.

Senate Republicans made a horrible bill even worse. Let's count the ways:

TSen. Scott amendment effectively repeals Medicaid expansion in only a few years. New analysis here: www.cbpp.org/research/med...

As the Senate continues its debate, let’s hope Senators weighing how the bill will impact their constituents do the math and that House members (some of whom thought the Senate would reduce the harm of the bill) do too.

CBO says 11.8M people would become uninsured by 2034 if the bill is enacted, up from 10.9M under the House bill. Add in the 4.2M who would become uninsured b/c of the failure to extend enhanced PTCs + the Admin’s rule changes to the marketplace &total uninsured = about 17M.

Plus new red tape in the bill will make it far harder for marketplace enrollees to get & keep coverage.

Premium Tax Credit Improvements Must Be Extended to Prevent Steep Rise in Health Care Costs | Center on Budget and Policy Priorities Improvements to premium tax credits, enacted in the American Rescue Plan and extended by the Inflation Reduction Act, have helped nearly 20 million people afford health coverage in the Affordable...

The Senate bill, like the House, fails to extend enhanced premium tax credits, leaving 4.2M people uninsured in 2034 and some 22 million facing premium increases (some quite large) in 2026. www.cbpp.org/research/hea...

A $25B rural health fund and $6B directed at Alaska and Hawaii (which the Parliamentarian says violates Senate rules) isn’t going to help fill that gap. Narrow changes targeted at securing specific senators’ votes don’t change the harm this bill would do across the country.

Now we have details & can see that the cuts are even higher – more than $1 trillion – and where they come from: taking away Medicaid from more people because of a work requirement, cuts to provider taxes, and restrictions on payments to providers make up more than half the cuts.

Wyden Statement on New CBO Numbers Showing More than $930 Billion in Medicaid Cuts In New Senate Draft | The United States Senate Committee on Finance Wyden Statement on New CBO Numbers Showing More than $930 Billion in Medicaid Cuts In New Senate Draft

Yesterday, the Senate voted to start debate on a bill that Senate Democrats warned would cut $930 billion from #Medicaid, based on a preliminary CBO analysis. www.finance.senate.gov/ranking-memb...

Estimated Budgetary Effects of an Amendment in the Nature of a Substitute to H.R. 1, the One Big Beautiful Bill Act, Relative to the Budget Enforcement Baseline for Consideration in the Senate As posted on the website of the Senate Committee on the Budget on June 27, 2025

New Congressional Budget Office (CBO) numbers confirm what we already knew – the reconciliation bill is getting worse, not better. The Senate bill will cut health care more deeply than the House bill and leave more people uninsured. www.cbo.gov/publication/...

The latest Senate Republican plan retains a deeply harmful provision that tramples over state rights’ to make decisions about how to use their own funds to ensure their state residents can access comprehensive health coverage.

Senate Republican leaders appear to be barreling ahead with their harmful reconciliation bill. Reminder that the Republican health agenda would take us backward on covering the uninsured, largely reversing #ACA gains. 👎
(h/t @pkrugman.bsky.social for the graphic idea)

Senate Republicans are rushing to pass a bill that would take #SNAP food assistance away entirely from millions of low-income people & cut food benefits for millions more. Some states could even end SNAP entirely. But Senators still have time to reject these harmful policies.

www.cbpp.org/press/statem...

Every major bill language release is happening under the cover of night. Tracks since the bill is so unpopular.

Are Senators really going to set millions of families backwards by taking health coverage & food asst away from them? Is that why they got into politics? Really?

The reconciliation bill puts health benefits for tipped workers at risk. ⬇️

As Senate Republican leaders rush their bill to a vote, they are focused on band-aid fixes to clear process hurdles. Instead, they should stop moving forward with harmful legislation that takes health care away from millions of people.

$1 trillion > $15 billion

And a capped fund that Congress could shrink or cannibalize in the future isn’t a substitute for the foundation of rural hospital stability: Medicaid. www.cbpp.org/blog/trackin...

House Republican Reconciliation Bill Would Harm Rural Households, Communities, and Economies | Center on Budget and Policy Priorities The bill continues the pattern under this Administration of hurting the people the President pledged to help.

Now that I'm verified on BlueSky (‼️), I want to highlight how rural communities will be harmed by the GOP's budget bill and why people shouldn't just "get over it" or that "we're all going to die."

See my piece on the impact on rural economies:
www.cbpp.org/research/fed...

The "one big beautiful bill," which would leave some 16m uninsured, is making people say some ugly things.

Sen. McConnell: "They'll get over it."

Sen. Ernst: "Well, we all are going to die."

CMS Administrator Oz: "Prove that you matter."