Eric Patashnik

The One Big Beautiful Bill is a big step back for US health policy. My take in @nejm.org

www.nejm.org/doi/full/10....

A new article by David Mayhew and Ethan Yan on "memorable drives" to repeal congressional measures targeting Prohibition, the Taft–Hartley Act, and the ACA. "A congressional enactment can be just a first draft."
www.cambridge.org/core/journal...

Volume 50 Issue 4 | Journal of Health Politics, Policy and Law | Duke University Press

And Medicare: read.dukeupress.edu/jhppl/issue/...

Volume 50 Issue 2 | Journal of Health Politics, Policy and Law | Duke University Press

@jhppl.bsky.social has published birthday cards in the form of special issues celebrating the 60th anniversary of Medicaid’s enactment: read.dukeupress.edu/jhppl/issue/...

Happy 60th birthday to Medicare and Medicaid! Hang in there, I hear 60 is the new 40

The Implementation Timeline of the One Big Beautiful Bill Act An overview of when the cuts to basic needs programs such as Medicaid, Medicare, SNAP, and student loans and other provisions in the Republicans’ OBBBA go into effect.

Tons of my colleagues at @americanprogress.bsky.social undertook the Herculean task of creating a timeline for when various parts of the "big beautiful bill" begin and when various temporary provisions end. You can read it here: www.americanprogress.org/article/the-...

What does the ‘One Big Beautiful Bill’ mean for America? Quickly and easily listen to Trending Globally: Politics and Policy for free!

NEW Trending Globally #podcast: What does the ‘One Big Beautiful Bill’ mean for America? — Dan Richards talks with @ericpatashnik.bsky.social & Margaret Weir about Trump’s “One Big Beautiful Bill Act,” what it means for American society, the GOP, & the 2026 midterms.

Volume 50 Issue 4 | Journal of Health Politics, Policy and Law | Duke University Press

New in JHPPL: special issue marking Medicare’s 60th anniversary.

read.dukeupress.edu/jhppl/issue/...

What does the ‘One Big Beautiful Bill’ mean for America? Quickly and easily listen to Trending Globally: Politics and Policy for free!

I enjoyed talking about the One Big Beautiful Bill with my @watsonschoolbrown.bsky.social colleague Margaret Weir
on the Trending Globally #podcast, hosted by Dan Richards.
player.captivate.fm/episode/05f3...

What does the ‘One Big Beautiful Bill’ mean for America? Quickly and easily listen to Trending Globally: Politics and Policy for free!

I enjoyed talking about the One Big Beautiful Bill with my @watsonschoolbrown.bsky.social colleague Margaret Weir
on the Trending Globally #podcast, hosted by Dan Richards.
player.captivate.fm/episode/05f3...

Wow!

Congratulations! The health policy community is so fortunate to have you in this leadership role.

Rebounding with Medicare: Reform and Counterreform in American Health Policy Abstract. America's major health care programs were all enacted on the rebound from defeat of more expansive progressive ideas. Chastened reformers have typically adopted rebound strategies that accom...

And @starrprospect.bsky.social, arguing that after defeats, chastened health reformers have "typically adopted rebound strategies that accommodate some sources of opposition, incorporate elements of counterreforms, and reflect intervening institutional change. " N/N

shorturl.at/ch0kB

After Defeat: Conservative Postenactment Opposition to the ACA in Historical-Institutional Perspective Abstract. Since the enactment of the Affordable Care Act (ACA) in 2010, conservatives have sought to undermine the law's entrenchment. While they have failed in their ambitious quest to repeal the ACA...

@oberlanderunc.bsky.social and me on how conservatives never fully accepted the legitimacy of the ACA, contrasting the partisan battle over the ACA's implementation with the post-enactment politics of Social Security and Medicare. 4/N
read.dukeupress.edu/jhppl/articl...

The Dog That Almost Barked: What the ACA Repeal Fight Says about the Resilience of the American Welfare State Abstract. The 2017 GOP drive to “repeal and replace” the Affordable Care Act (ACA) arguably constituted the most ambitious effort to dismantle a social program in American history. Certainly it was th...

@jacobhacker.bsky.social and Paul Pierson on the GOP's near miss of ACA repeal in 2017, arguing that "the hurdles facing retrenchment—in particular, the sway of national public opinion—have not simply diminished; they have changed...." 3/N
read.dukeupress.edu/jhppl/articl...

Andrea Campbell on Medicaid, arguing that despite its growth and reach into the middle class, Medicaid's "welfare medicine image is a constant undercurrent" and "opinion about the program continues to be divided" by party ID and racial sentiment. 2/N
read.dukeupress.edu/jhppl/articl...

The partial repeal of the ACA through the Big Beautiful Bill is a stunning development. Here are some @jhppl.bsky.social articles that offer insights into what just happened--and what might come next. @haroldpollack.bsky.social @sarahgollust.bsky.social 1/N

America's national science agency officially homeless

Good news on FMAP.

Senate enters pivotal week for Medicaid overhaul New proposals keep cropping up despite the GOP's goal of passing reconciliation by July 4.

A proposal receiving active consideration to lower the 90% federal matching share (FMAP) for new Medicaid enrollees in expansion states would unravel Medicaid expansion over time. The GOP budget bill needs to be viewed as a partial ACA repeal.

www.axios.com/pro/health-c...

In the FY2026 House R Leg Branch bill, Rs included a provision that’d make it impossible for GAO to bring suit against Trump’s illegal impoundments.

This will never become law, and even if it did, others could still bring suit, but it shows their fealty to Trump and his illegal budgetary actions.

YouTube video by RWJF Medicaid at 60: Examining the Program's Past, Present, and Future

A video of my recent @rwjf.bsky.social panel with @povertyscholar.bsky.social, Andrea Campbell and David Adler on Medicaid's past, present and future prospects. @jhppl.bsky.social @haroldpollack.bsky.social @russellsagefdn.bsky.social @thewatsonschool.bsky.social
www.youtube.com/watch?v=KG2c...

mood

Medicaid cuts would devastate mental health, substance use treatment services in red states Though behavioral health conditions do not discriminate between Democrats and Republicans, the Medicaid cuts may be particularly damaging for residents of red states.

Medicaid is the nation’s single largest payer of behavioral health services. Most if not all of us have some lived experience with behavioral health challenges — whether ourselves or people close to us. Slashing Medicaid would devastate this population. www.statnews.com/2025/06/12/m...

Welcome! You are invited to join a webinar: Medicaid at 60: Examining the Program's Past, Present, and Future. After registering, you will receive a confirmation email about joining the webinar. President Lyndon B. Johnson signed Medicaid into law on July 30, 1965. Sixty years later, the program covers about one in five people in the United States. Medicaid’s 60th anniversary is an opportunit...

us02web.zoom.us/webinar/regi... 2/2

Today at 3pm! Join @povertyscholar.bsky.social (Cornell), Andrea Campbell (MIT), David Adler (RWJF) and me for a webinar on Medicaid's past, present and future at a critical moment in the program's trajectory. Event reg below. 1/2 @rwjf.bsky.social @watsoninstitute.bsky.social @jhppl.bsky.social

Volume 50 Issue 2 | Journal of Health Politics, Policy and Law | Duke University Press

.@jhppl.bsky.social' special issue on "Medicaid at 60" features articles by all-star contributors that will be discussed in the webinar. 2/2
read.dukeupress.edu/jhppl/issue/...

Medicaid at 60: Discussion on the Program’s Legacy and Future By David Adler, DrPH, MPA Medicaid has provided health insurance coverage to millions of people since it was signed into law on July 30, 1965. Ahead of its 60th anniversary, authors of Duke Univers…

Medicaid at 60: Discussion on the Program's Legacy and Future dukeupress.wordpress.com/2025/06/05/m...

It is a hard, but important time to be thinking and talking collectively about Medicaid. Join us next week (June 12th) for a historically grounded, future facing discussion.

Welcome! You are invited to join a webinar: Medicaid at 60: Examining the Program's Past, Present, and Future. After registering, you will receive a confirmation email about joining the webinar. President Lyndon B. Johnson signed Medicaid into law on July 30, 1965. Sixty years later, the program covers about one in five people in the United States. Medicaid’s 60th anniversary is an opportunit...

#Medicaid covers about one in five people nationwide. Join @RWJF and @JHPPL on June 12 @ 3 p.m. ET as we discuss the program’s legacy and future. Speakers include @povertyscholar.bsky.social Andrea Campbell, David Adler and me. Register: bit.ly/4dsIsXR