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Who Paid, and Who Stayed? Early 2026 Enrollment Trends in the Individual Market - Wakely A new report from Wakely Consulting Group, an HMA Company, models changes to the 2026 ACA market enrollment due to the loss of federal subsidies. Findings

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...

Happy #TaxDay! While millions of Americans file their returns today, statehouses across the country are making decisions that will shape who pays, who gains, & who gets left behind for years to come. And right now, states are headed in two VERY different directions. Some context:

Have questions about how new #Medicaid and SNAP work requirements interact, and how states can use shared data and streamlined processes to help keep eligible people enrolled? My @centeronbudget.bsky.social colleagues have answers 👇

SNAP work requirements don’t boost jobs, but drop participation, research finds As states enact stricter work requirements for the federal food stamp program, a new analysis suggests those requirements won’t enhance employment and will push more people off of food assistance. The...

The best evidence shows that SNAP's harsh work requirement doesn't increase employment or earnings. It just cuts people off SNAP.

Yet Republicans dramatically expanded this ineffective policy in H.R. 1, putting millions more people at risk of losing SNAP.

Trump Policies Would Worsen Homelessness, Attack Basic Freedoms of People Who Can’t Afford Rent In a nation as wealthy and innovative as ours, no one should be forced to sleep in a park, in a car, or in shelters. But today, millions of people don’t have enough income to cover high housing...

My new paper details how the Trump Admin is pushing policies that 1) take assistance away while making housing *less* affordable and 2) punish people who become homeless because they can’t afford rent. www.cbpp.org/research/hou...

Last week, I outlined questions I would be looking to have answered when the President’s budget is released.
Now that we have the full proposal, we can now answer them.

Hint: It fails to offer affordability solutions to make life more affordable while raising the risk of hasty, harmful cuts. 🧵

Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators - KFF Health News Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have unco...

HHS wasted taxpayer dollars to find that people enrolled were eligible, a new KFF article shows:

kffhealthnews.org/news/article...

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.

Projected Reductions in Medicaid Expansion Enrollment Under OBBBA’s Work Requirements and Six-Month Redeterminations The One Big Beautiful Bill Act (OBBBA) established new work requirements and increased the frequency of eligibility redeterminations for adults covered by th…

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

The Trump Administration is expected to release a budget proposal for 2027 in late March or early April. @brendanvduke.bsky.social lays out five key questions we will be looking to answer when the budget is released: www.cbpp.org/research/fed...

Happy Birthday, #ACA. My colleague @sarahl202.bsky.social with a reminder of how the law has helped millions, and what is now at risk.

CMS Weaponizes Fraud Against Medicaid in Minnesota: The State Fights Back On March 2, the state of Minnesota filed a lawsuit against the Centers for Medicare & Medicaid Services in federal district court. The case, State of Minnesota v. Oz, is in response to two actions tak...

Minnesota has sued to halt CMS' unlawful, punitive effort to block federal #Medicaid funding through a "deferral". My colleague Andy Schneider takes a look at the lawsuit and how CMS isn't following its own regulations. A court hearing is scheduled for tomorrow: ccf.georgetown.edu/2026/03/06/c...

CMS Releases Guidance on 6-Month Medicaid Renewals for Expansion Adults Guidance on implementing six-month renewals for the Medicaid adult expansion group, as required by H.R. 1 was sent to state Medicaid directors earlier today (March 6, 2026). The delayed guidance (whic...

New CMS guidance gives states two options when to start implementing the H.R. 1 requirement for conducting renewals for #Medicaid expansion enrollees every six months. My colleague Tricia Brooks explains why option 2 is far better for states and beneficiaries: ccf.georgetown.edu/2026/03/06/c...

This week at CBPP, we focused on food assistance, health, housing, and the economy: www.cbpp.org/blog/in-case...

First Trump Admin targeted Minnesota and is trying to block billions in federal funding from the state’s #Medicaid program. Then it similarly weaponized claims of Medicaid fraud against California and Maine. Now it is going after New York. There seems to be a pattern but what could it be…

There are several reasons why this administration might decline to make a strong case for war against Iran. The first is the same reason why it has gotten away with most of its illegal behavior: Congress as currently constituted will do nothing to constrain the president, so why bother.

The President's Echo System — Harvard University Press A sharp analysis of the propaganda partnerships between US presidents and private organizations that fueled the Cold War and paved the way for the War on Terror.How do US presidents motivate public su...

⁶ My book, out this June, explores these collaborations in detail.

⁷ Nixon administration kept the war going with the help of think-tanks such as the American Enterprise Institute, and this collaboration was the foundation of the modern conservative intellectual movement. See note 6.

What this KFF chart shows: over one million U.S. citizen kids may lose their Medicaid & CHIP health coverage, due to the over-reaching, harsh policies the Admin is seeking alongside ICE’s overbroad, chaotic dragnet that has harmed people with & without lawful immigration status.

CMS Proposed Rule Would Reduce ACA Marketplace Enrollment by 2 Million People February 09, 2026: A new proposed rule from the Centers for Medicare and Medicaid Services (CMS) to make broad changes to the Affordable Care Act (ACA) marketplaces would reduce marketplace enrollment...

On the heels of expired PTC enhancements that resulted in 1 million—and counting—fewer people enrolling in #ACA marketplace plans for 2026, CMS released a proposed rule for 2027 that would reduce marketplace enrollment by 2 million people in 2027 alone. @claireheyison.bsky.social explains:

CBPP's Samantha Waxman on today's Senate vote to overturn parts of D.C.'s tax law (via X): x.com/waxmansd/sta...

After Bad Bunny’s Super Bowl performance at #SuperBowlLX, everyone’s talking about #PuertoRico. But here’s what many might not know about how federal policy affects the territory 🧵👇

Senators have the responsibility to uphold and defend the Constitution. Using the annual budget process when necessary to protect the constitutional rights and safety of all people and communities should be a requirement of the job.

In the wake of another horrific shooting death in MN by federal immigration officers -on top of wrongful detentions, violence, & fear there & across the country- it is appropriate for the Senate to use the budget process to push for critical protections for people & communities.

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...

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

This “affordability” framework for a second reconciliation bill (i.e. a “Second Big Beautiful Bill”) follows the same structure as its predecessor:

1.)Making it harder for Americans to afford health care, food & groceries.

2.)Tax cuts for rich people. 🧵

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/...

Marketplace Enrollees In Every Congressional District Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...

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...

a woman says it 's all gone in a dark room ALT: a woman says it 's all gone in a dark room

Today’s #JobsReport covers the month of November and some of October. Due to the shutdown, only data surveyed from firms, not households, was collected in October, so we don’t have the unemployment rate for October. (1/9)