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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

  • Threats to Maternal and Infant Health Won’t End After Shutdown Resolved

    The current federal government shutdown is driven by failure of the Congress to finalize this year’s federal budget appropriations or adopt a Continuing Resolution (CR). The shutdown is already impacting  the Supplemental Nutrition Assistance Program (SNAP), Head Start programs and other family supports, as Congress remains in a stand-still over extending ACA marketplace enhanced premium…

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  • What to Expect for Open Enrollment, 2026 Edition

    The Affordable Care Act (ACA) Marketplaces have had their ups and downs over the last decade, but it’s hard to find a year when consumers have faced more uncertainty going into an open enrollment period. “Window shopping” for 2026 Marketplace health plans has already begun in several states and open enrollment begins in most states on November…

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  • 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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