While CBO’s estimates of baseline program costs have changed for various reasons since their previous projections in 2024, one thing that hasn’t changed is the fact that OBBBA made huge cuts to Medicaid.
These updated baseline projections are consistent with CBO’s analysis of OBBBA, which they estimated would cause 10 million people to become uninsured - 7.5 million from its Medicaid provisions. tinyurl.com/3h5p3ffp
Meanwhile, CBO projects that the number of people who are uninsured will rise by roughly 11 million.
Make no mistake: CBO continues to estimate huge cuts to #Medicaid from OBBBA, last year’s reconciliation bill, despite Trump Admin officials’ false claims otherwise. In fact, CBO projects that 7 million ppl will lose #ACA Medicaid expansion coverage from 2025 to 2032.
Following the expiration of PTC enhancements, #ACA marketplace plan selections dropped by 1.2 million during the 2026 open enrollment period. A new analysis suggests that millions more will drop coverage over the year as enrollees confront higher monthly premiums. www.wakely.com/blog/who-pai...
Map showing the percentage change in the number of SNAP participants between July 2025 and December 2025 in each state.
Last July, the Republican megabill (H.R. 1) enacted the deepest SNAP cuts in history. Today, we're releasing a tracker of how many people in each state are losing the SNAP benefits they need to afford groceries. www.cbpp.org/research/foo...
@nicolerapfogel.bsky.social digs into the 2026 #ACA marketplace open enrollment data: enrollees shifted into higher deductible plans, yet out-of-pocket premiums still way up.
HHS wasted taxpayer dollars to find that people enrolled were eligible, a new KFF article shows:
kffhealthnews.org/news/article...
The data are pretty striking...people are paying much more and getting much less
A horizontal bar graph from KFF showing that 80% of returning marketplace enrollees report higher health care costs and that many enrollees are not confident they can afford premiums all year.
This week’s 16th anniversary of the #ACA marks an unfortunate turning point for ACA marketplaces: More people are likely to go uninsured because of affordability concerns and many will face higher health costs, as federal policy decisions that increase premiums and red tape take hold.
Even among people who are working or qualify for an exemption, 19-37% would lose their coverage due to additional red tape.
Older adults and self-employed workers would lose coverage at particularly high rates. Many ppl with health conditions, functional limitations, and who care for disabled family members would also lose coverage.
New from @urbaninstitute.bsky.social: Medicaid work requirements & 6-mo. redeterminations under OBBBA will cause ~5-10 million people to lose their Medicaid coverage in 2028. That’s 27-55% of people subject to work requirements. tinyurl.com/4wnysptw
Today marks the 16th anniversary of the #ACA. The law covers record numbers of people in #Medicaid and the marketplaces, bans insurer discrimination against people with health conditions, and helps millions afford their health costs. Unfortunately this is all now at risk.
How does recent growth compare to recent years?
Economy added just 0.16 million jobs over 12 months to Feb 2026.
Job growth stopped.
#Medicaid is a critical source of coverage for many populations, incl. kids, adults, & ppl w/ disabilities. @CenterOnBudget’s new fact sheet details the important role the program plays in keeping ppl healthy: www.cbpp.org/research/hea...
Marketplace enrollees’ premiums have skyrocketed following the recent expiration of PTC enhancements. Some have suggested health savings accounts and less generous plans as a more affordable alternative to comprehensive coverage. Here’s why that line of reasoning is flawed: 🧵
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...
Meanwhile, the plan would send people cash. It’s entirely unclear how much help people would get, or how this would work, much less why it’s better than acting immediately to directly cover people’s premiums through PTC enhancements. (3/3)
Along with dramatically raising people’s health care costs, allowing PTC enhancements to expire would cause 4M people to become uninsured. And changing the way cost sharing reductions are funded would cause hundreds of thousands more to become uninsured. (2/3) tinyurl.com/ydsxsz62
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
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/...
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...
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.
With marketplace premium spikes on the verge of hitting 20M+ people Jan. 1, House Speaker Johnson is reportedly considering a bill from Rep.Fitzpatrick with a 2-year extension of PTC enhancements. But the bill raises big concerns. www.politico.com/live-updates...
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...
The way to combat fraud is by addressing it through targeted and direct solutions that protect people from improper conduct – not by allowing people’s premium costs to spike and taking away their health coverage.
What should NOT be done is to allow premium tax credit enhancements to expire, which would raise costs for 20+ million ppl & cause nearly 4 million to become uninsured. Nor should enrollees be forced to make minimum premium payments as some have proposed.
tinyurl.com/zndd97k7
In 2024, CMS took actions to curtail fraudulent broker activity. More can be done through common-sense legislation to crack down on bad-actor brokers and address vulnerabilities.
Fraud calls for targeted actions. It does not call for policies that would put millions of people’s health at risk by raising premiums for nearly all #ACA marketplace enrollees and taking away coverage.