The One Big Beautiful Bill ratchets up work requirements for Medicaid.
In the process it will force states to pay millions more to Equifax to verify that residents qualify for the program.
Wild story by @sangerkatz.bsky.social @asmaaelk.bsky.social and Sarah Kliff
www.nytimes.com/2025/11/03/h...
Don’t live your life assuming I will never come on Bluesky.
Want to be my boss? @upshot.nytimes.com is looking for a new editor. It's a great job leading a creative, collaborative, fun team, if I do say so myself. t.co/EMsA6p7eSh
How the GOP mega-bill bill finds its savings: piling more paperwork on the poor.
w/ @sangerkatz.bsky.social
www.nytimes.com/2025/06/29/u...
Big tax cut bills typically don't leave the poor worse off. Bills cutting the safety net don't normally include benefits for the rich.
The GOP reconciliation bill is something we haven't really seen before. w/ @aliciaparlap.bsky.social + @sangerkatz.bsky.social
www.nytimes.com/interactive/...
A Complete List of Everything in the Republican Bill, and How Much It Would Cost or Save
(This very long list is now updated with Congressional Budget Office estimates)
www.nytimes.com/interactive/...
A bunch of papers cited in the government MAHA report are apparently fake. www.notus.org/health-scien... @emilykennard.bsky.social @margaretmanto.bsky.social
Easily one of my favorite stories we've ever worked on.
Have you ever... not gotten around to opening your mail for a week or two? That's the kind of thing that will get a low-income family kicked off benefits. The GOP reconciliation bill would ramp up such hurdles.
If you want to think more about how paperwork can prevent eligible people from getting benefits, this piece 2020 piece with @emmbadger.bsky.social has a fun quiz, a large survey, and lots of research, and features photos of our boss's mail. www.nytimes.com/interactive/...
Here's a complete list of *everything* in the GOP megabill, thanks to heroic efforts from @aliciaparlap.bsky.social @emmbadger.bsky.social and Josh Katz. www.nytimes.com/interactive/...
NEW: Under Trump, the National Science Foundation is awarding grants at the slowest pace in decades. We took a detailed look at every area of science affected by the funding lag. Here's a gift link: www.nytimes.com/interactive/...
The Medicaid work requirement in the House bill is a lot stricter than work requirements in previous legislation. www.nytimes.com/2025/05/22/u... with Sarah Kliff
If House Manager Amendment ending #Silverload is signed into law I expect numerous insurers to leave the ACA market in 2026... Pay particular attention to Texas
If a non-expansion state newly adopts expansion, hospitals/other providers see those SDPs at 110% of Medicare fall to 100%. Creates another disincentive for states to take up expansion along with other provisions including elimination of existing fiscal incentives to encourage expansion (7/x)
Scalise says 2027 is the new target date to implement Medicaid work requirements
Congress is looking at major changes to the Medicaid expansion. New research finds it has saved 27,000 lives. www.nytimes.com/2025/05/16/h...
As Congress Debates Cutting Medicaid, a Major Study Shows It Saves Lives: www.nytimes.com/2025/05/16/h...
Of course we will report updated CBO numbers when they are published!
Republicans in W&M voted down an amendment that would have permanently extended enhanced Obamacare subsidies.
@repstevenhorsford.bsky.social, who introduced it, argued that if Congress was using a current policy baseline for tax cuts, it should also do so for the subsidies.
In the first 15 minutes of the E&C markup, the number 13.7 million uninsured has already come up twice. It's an exaggeration of what the GOP bill would do. www.nytimes.com/2025/05/13/u...
Read @tonyromm.bsky.social on the many the ways the Trump agenda will put pressure on state budgets. www.nytimes.com/2025/05/13/u...
My colleague Claire Cain Miller is hoping to hear from folks about challenges facing boys and young men. Please read her article and share your stories here: www.nytimes.com/2025/05/13/u...
CMS just proposed a rule to make it harder for states to increase their federal Medicaid match by taxing managed care providers. The policy is similar to a provision in the House legislation released last night. public-inspection.federalregister.gov/2025-08566.pdf h/t @newscat44.bsky.social
Yes! Thanks for flagging. This rule deals with one subset of these taxes.
Within 30 days of the date of this order, the Secretary shall, in coordination with the Assistant to the President for Domestic Policy, the Administrator for the Centers for Medicare and Medicaid Services, and other relevant executive department and agency (agency) officials, communicate most-favored-nation price targets to pharmaceutical manufacturers to bring prices for American patients in line with comparably developed nations.
There's relatively little substantive content in the text of the MFN EO, but this section is emblematic of the many, many questions people should have about its scope. Where will the Secretary get this pricing information? How will they decide "price targets"? For which drugs? Which countries? Etc.
The morning after House Republicans release a plan to reduce Medicaid spending by hundreds of billions, Sen. Josh Hawley is out with an op-ed encouraging his colleagues not to cut the program. www.nytimes.com/2025/05/12/o...
Bluesky friends: Any theories about the story behind the special Tennessee DSH policy in this bill?
