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Preventive Services at Risk: Federal Instability and State Responses
In late June, the Supreme Court upheld the Affordable Care Act’s (ACA) preventive services provision, preserving—for now—zero cost sharing access to screenings, vaccines, and other preventive care for more than 150 million people. The decision in Kennedy v. Braidwood Management Inc. foreclosed a constitutional challenge to coverage of preventive care while underscoring new risks to consumers’ access to…
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Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained
Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21 which was previously entitled the…
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What’s New for the 2025 Plan Year Open Enrollment
As the Affordable Care Act Marketplaces enter their 12th year, enrollment is at an unprecedented high, insurer competition is robust, and four out of five Marketplace enrollees can find a plan for $10 per month or less. This has also been a year of relative stability, without dramatic policy reforms or market disruptions. However, there are several…
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Build Back Better Act: Health Coverage Provisions Explained
On November 19, 2021, the House of Representatives passed the Build Back Better Act, the budget reconciliation bill, with the Senate expected to consider the legislation in coming weeks. The Build Back Better Act includes numerous provisions that would dramatically strengthen and expand both public and private health insurance coverage. Some of the new provisions…
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Building a Better Transparency Mousetrap: Recommendations to Optimize Hospital and Health Plan Price Disclosures
By Sabrina Corlette, Megan Houston, Maanasa Kona, Rachel Schwab, and Nia Gooding from the Center on Health Insurance Reforms at Georgetown University’s Health Policy Institute. High and rising health care costs are projected to consume 20 percent of the U.S. economy by 2027, squeezing workers’ wages, reducing our economic competitiveness, and forcing difficult budgeting decisions for federal and…