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Congress Reauthorized the SUPPORT Act, Now Comes the Hard Part
On December 1, President Trump signed into law the SUPPORT for Patients and Communities Reauthorization Act of 2025, extending a number of substance use disorder (SUD) prevention, treatment, and recovery programs through fiscal year 2030. The bipartisan bill—which passed the House 366-57 in June and the Senate by unanimous consent in September—reauthorizes critical programs including…
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CMS Guidance on Medicaid Work Requirements Leaves States Hanging
CMS released preliminary guidance on H.R. 1’s mandatory Medicaid work requirements on December 8. The much-anticipated guidance fell far short of answering all the questions states need answered, but it did acknowledge that implementing the Medicaid work reporting requirements mandated by the One Big Beautiful Bill (H.R. 1) will be a “serious undertaking for states…
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The Clock is Ticking. Can Congress Prevent an Imminent Spike in Marketplace Premiums on January 1?
Congress has returned to Washington, D.C. from its Thanksgiving break, but has yet to resolve the debate on whether or how to extend enhanced premium tax credits (ePTCs) scheduled to expire on December 31. These enhanced subsidies make coverage more affordable for millions of Americans who buy plans in the Affordable Care Act (ACA) Marketplaces. The clock…
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Cash is No Substitute for Coverage: Why Health Insurance Matters
As Congress ends the federal government shutdown, the underlying debate about extending enhanced premium tax credits (ePTCs) that help enrollees purchase coverage in the Affordable Care Act (ACA) marketplaces is not only unresolved, but is lurching into unexpected territory. President Donald Trump has suggested that instead of extending ePTCs into 2026 and beyond to support…
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Florida Leaders Have Failed to Implement Bipartisan Plan Approved Over 2 Years Ago to Help Families Afford Health Insurance for Their Children
Florida’s children are more likely to go without health insurance than children in most other states. In a rare display of bipartisan unity, the Florida Legislature recognized the need to address the high cost of health insurance for families with children and took action by unanimously approving a bill to expand the state’s Healthy Kids…



