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health coverage helps lower, middle-income families purchase coverage with tax credits and cost-sharing subsidies to help reduce how much they pay out-of-pocket for health care.

Featured Posts

  • New Immigrant Eligibility Restrictions Coming to Federally-Funded Health Coverage

    This time next year, an estimated 1.4 million lawfully present immigrants are expected to lose health coverage due to the Budget Reconciliation Law. The law restricts eligibility for federally funded health coverage to only a very narrow group of immigrants – lawful permanent residents (LPR, or green card holders), Cuban and Haitian entrants, and people…

  • 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 Managed Care: The Big Five in Q2 2025

    Q2 2025, which ended on June 30, is not just another quarter.  That’s because on July 4 the Budget Reconciliation Law (P.L. 119-21) was signed into law.  That law makes major cuts to Medicaid, reducing federal payments to states by $990 billion over the next ten years and leaving 7.5 million Americans uninsured in 2034.…

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  • New Federal Budget Law Spells Trouble for Patients with Insulin-Requiring Diabetes

    By: Billy Dering, Amy Killelea, and Christine Monahan (Georgetown University Center on Health Insurance Reforms) The recently enacted federal budget law is set to significantly roll back critical provisions of the Affordable Care Act (ACA) that have expanded health insurance coverage to millions. The law takes aim at health care programs that primarily serve low- and moderate-…

  • Webinar: Budget Reconciliation (HR1) Medicaid and Marketplace Provisions

    In Partnership with Monday, July 28, 2025 the Georgetown University McCourt School of Public Policy Center for Children and Families (CCF) and Center on Health Insurance Reforms (CHIR) held a joint webinar about the Medicaid and Marketplace provisions of the new budget reconciliation law (HR1). Experts at CCF and CHIR explained the provisions of the…