Edwin Park
@edwincpark.bsky.social
Health policy especially Medicaid, CHIP and the Affordable Care Act. Research Professor at the Center for Children and Families (CCF) at Georgetown University’s McCourt School of Public Policy.
ccf.georgetown.edu
ccf.georgetown.edu
Pinned
Edwin Park
@edwincpark.bsky.social
· Sep 19
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…
ccf.georgetown.edu
ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...
Reposted by Edwin Park
Proposed changes to public charge rules are expected to reduce participation in public programs.
A recent KFF/NYT poll found 1 in 10 immigrant adults say they disenrolled from or avoided enrolling in assistance programs due to immigration-related fears: https://on.kff.org/4pmhzK8
A recent KFF/NYT poll found 1 in 10 immigrant adults say they disenrolled from or avoided enrolling in assistance programs due to immigration-related fears: https://on.kff.org/4pmhzK8
December 6, 2025 at 5:04 PM
Proposed changes to public charge rules are expected to reduce participation in public programs.
A recent KFF/NYT poll found 1 in 10 immigrant adults say they disenrolled from or avoided enrolling in assistance programs due to immigration-related fears: https://on.kff.org/4pmhzK8
A recent KFF/NYT poll found 1 in 10 immigrant adults say they disenrolled from or avoided enrolling in assistance programs due to immigration-related fears: https://on.kff.org/4pmhzK8
Reposted by Edwin Park
The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children.
Click here to read AAP's full statement: bit.ly/3Y9ZQJT
Click here to read AAP's full statement: bit.ly/3Y9ZQJT
December 5, 2025 at 4:15 PM
The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children.
Click here to read AAP's full statement: bit.ly/3Y9ZQJT
Click here to read AAP's full statement: bit.ly/3Y9ZQJT
Reposted by Edwin Park
A key mission of @kff.org public opinion work is to amplify the voices of the people directly impacted by healthy policy debates. Today we release a great example of this- a survey of ACA Marketplace Enrollees
www.kff.org/public-opini...
www.kff.org/public-opini...
2025 KFF Marketplace Enrollees Survey | KFF
This survey explores how ACA Marketplace enrollees expect to respond if their premium payments doubled as expected in 2026 when enhanced premium tax credits are set to expire. About a third would very...
www.kff.org
December 4, 2025 at 1:38 PM
A key mission of @kff.org public opinion work is to amplify the voices of the people directly impacted by healthy policy debates. Today we release a great example of this- a survey of ACA Marketplace Enrollees
www.kff.org/public-opini...
www.kff.org/public-opini...
Even if an above-the-line deduction where you don’t have to itemize, it would provide the biggest benefit to those with the highest incomes/in highest tax brackets while providing no or modest benefits to those with lower incomes (who now most benefit from the enhanced Marketplace credits). 1/2
Sen. Josh Hawley, R-Mo., is proposing a new tax deduction for healthcare costs as lawmakers face an end-of-year deadline to address an expiring Affordable Care Act tax credit.
Read more: https://taxnotes.co/48llQHP
Read more: https://taxnotes.co/48llQHP
December 4, 2025 at 5:12 PM
Even if an above-the-line deduction where you don’t have to itemize, it would provide the biggest benefit to those with the highest incomes/in highest tax brackets while providing no or modest benefits to those with lower incomes (who now most benefit from the enhanced Marketplace credits). 1/2
H.R. 1's rural health fund was always an inadequate & temporary fig leaf for rural hospitals. But then Trump Admin capped payments to providers at 15%. Now it provides little info about states' applications raising questions about where the $ will really go. kffhealthnews.org/news/article...
Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications - KFF Health News
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy pro...
kffhealthnews.org
December 3, 2025 at 9:46 PM
H.R. 1's rural health fund was always an inadequate & temporary fig leaf for rural hospitals. But then Trump Admin capped payments to providers at 15%. Now it provides little info about states' applications raising questions about where the $ will really go. kffhealthnews.org/news/article...
Reposted by Edwin Park
Some Republicans now eyeing *January* as next chance to get something done -- after crushing premium hikes for ~20M have already taken effect.
December 2, 2025 at 11:03 PM
Some Republicans now eyeing *January* as next chance to get something done -- after crushing premium hikes for ~20M have already taken effect.
Reposted by Edwin Park
NEW: Hopes fade in Congress for a health care deal before premiums soar in January
Two weeks before recess, they're nowhere close.
Senate to vote on a bill of Dems' choosing; expected to fail.
Enhanced ACA funds set to expire, as many Republicans want.
www.nbcnews.com/politics/con...
Two weeks before recess, they're nowhere close.
Senate to vote on a bill of Dems' choosing; expected to fail.
Enhanced ACA funds set to expire, as many Republicans want.
www.nbcnews.com/politics/con...
Hopes fade in Congress for a health care deal before premiums soar in January
Billions of dollars in tax credits under the Affordable Care Act are poised to expire at the end of the year. Lawmakers in both parties say they're nowhere close to a deal to renew them.
www.nbcnews.com
December 2, 2025 at 8:40 PM
NEW: Hopes fade in Congress for a health care deal before premiums soar in January
Two weeks before recess, they're nowhere close.
Senate to vote on a bill of Dems' choosing; expected to fail.
Enhanced ACA funds set to expire, as many Republicans want.
www.nbcnews.com/politics/con...
Two weeks before recess, they're nowhere close.
Senate to vote on a bill of Dems' choosing; expected to fail.
Enhanced ACA funds set to expire, as many Republicans want.
www.nbcnews.com/politics/con...
From @kff.org updated analysis of the harmful impact of H.R. 1's restrictions on state use of provider taxes to finance their #Medicaid programs including the mandatory reduction in existing provider taxes in most Medicaid expansion states starting in October 2027: www.kff.org/medicaid/5-k...
December 1, 2025 at 5:08 PM
From @kff.org updated analysis of the harmful impact of H.R. 1's restrictions on state use of provider taxes to finance their #Medicaid programs including the mandatory reduction in existing provider taxes in most Medicaid expansion states starting in October 2027: www.kff.org/medicaid/5-k...
Doulas Provide Crucial Care to Mothers. #Medicaid Cuts Could Change That www.nytimes.com/2025/11/23/n...
Doulas Provide Crucial Care to Mothers. Medicaid Cuts Could Change That.
www.nytimes.com
November 30, 2025 at 10:08 PM
Doulas Provide Crucial Care to Mothers. #Medicaid Cuts Could Change That www.nytimes.com/2025/11/23/n...
Reposted by Edwin Park
Gone are the days of seniors walking down the road from their house to see the town doctor. https://cnn.it/3MdyJuI
November 30, 2025 at 5:00 PM
Gone are the days of seniors walking down the road from their house to see the town doctor. https://cnn.it/3MdyJuI
Reposted by Edwin Park
When a politician says: we’ll deregulate health insurance and send you a “freedom account” check, ask: freedom to buy what? If insurers don’t offer real policies or can cherry-pick only healthy people, that money is a coupon for a store that’s not open.
November 28, 2025 at 12:52 PM
When a politician says: we’ll deregulate health insurance and send you a “freedom account” check, ask: freedom to buy what? If insurers don’t offer real policies or can cherry-pick only healthy people, that money is a coupon for a store that’s not open.
Reposted by Edwin Park
I was genuinely interested to see President Trump's health plan today. Guess we'll have to wait longer.
November 24, 2025 at 6:37 PM
I was genuinely interested to see President Trump's health plan today. Guess we'll have to wait longer.
When the G.O.P. #Medicaid Cuts Arrive, These Hospitals Will Be Hit Hardest www.nytimes.com/2025/11/18/u...
When the G.O.P. Medicaid Cuts Arrive, These Hospitals Will Be Hit Hardest
www.nytimes.com
November 23, 2025 at 3:40 PM
When the G.O.P. #Medicaid Cuts Arrive, These Hospitals Will Be Hit Hardest www.nytimes.com/2025/11/18/u...
Reposted by Edwin Park
During the last major reduction in federal Medicaid spending, all states reduced spending on home care by serving fewer people, cutting benefits, or reducing payment rates.
States may use similar methods in the future: https://on.kff.org/48so73J
States may use similar methods in the future: https://on.kff.org/48so73J
November 22, 2025 at 4:00 PM
During the last major reduction in federal Medicaid spending, all states reduced spending on home care by serving fewer people, cutting benefits, or reducing payment rates.
States may use similar methods in the future: https://on.kff.org/48so73J
States may use similar methods in the future: https://on.kff.org/48so73J
Reposted by Edwin Park
maybe they can be shamed sometimes? www.politico.com/news/2025/11...
Trump admin backs off idea to force SNAP users to reapply
Officials will rely on state standards that are already in place to ensure eligibility, despite USDA chief Brooke Rollins’ comments last week.
www.politico.com
November 21, 2025 at 5:02 PM
maybe they can be shamed sometimes? www.politico.com/news/2025/11...
Reposted by Edwin Park
Secretary Kennedy, speaking to a bipartisan group of governors, has mixed up Medicare and Medicaid, and implied the people who will lose the latter are either unauthorized immigrants, dual eligible, or people who “don’t want to get a job.”
November 21, 2025 at 12:04 AM
Secretary Kennedy, speaking to a bipartisan group of governors, has mixed up Medicare and Medicaid, and implied the people who will lose the latter are either unauthorized immigrants, dual eligible, or people who “don’t want to get a job.”
Reposted by Edwin Park
The Trump Administration is abandoning plans for the biggest-ever cut to Social Security Disability Insurance, which would have hit older workers hardest.
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
Social Security scraps plan to limit disability benefits after uproar
The policy would have fundamentally altered who qualifies for the two federal disability programs by eliminating or limiting a person’s age as a factor to consider.
wapo.st
November 19, 2025 at 10:20 PM
The Trump Administration is abandoning plans for the biggest-ever cut to Social Security Disability Insurance, which would have hit older workers hardest.
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
I also have a new blog on CMS guidance issued on Nov 14th indicating in part how CMS will implement H.R. 1's restrictions on state use of provider taxes to help finance their #Medicaid programs, which will shift costs to states and lead to damaging Medicaid cuts: ccf.georgetown.edu/2025/11/18/c...
CMS Issues New Guidance on H.R. 1’s Restrictions on State Use of Provider Taxes to Finance Medicaid
On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued new guidance with some new detail about how it will implement provisions in H.R. 1 — the budget reconciliation la…
ccf.georgetown.edu
November 18, 2025 at 7:18 PM
I also have a new blog on CMS guidance issued on Nov 14th indicating in part how CMS will implement H.R. 1's restrictions on state use of provider taxes to help finance their #Medicaid programs, which will shift costs to states and lead to damaging Medicaid cuts: ccf.georgetown.edu/2025/11/18/c...
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
Several Key Questions about Trump Administration’s Drug Pricing Deals and Their Impact on Medicaid Remain Unaddressed
On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new Center for Medicare and Medicaid Innovation (CMMI) model to implement pricing agreements with two drug ma…
ccf.georgetown.edu
November 18, 2025 at 7:13 PM
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
Reposted by Edwin Park
By moving to rescind the Biden Admin’s #PublicCharge rule, which largely restored long-standing policy after courts blocked a harmful rule put forward in the first Trump rule, the Administration is reigniting fear and confusion among people who are immigrants and their families.
November 18, 2025 at 2:02 AM
By moving to rescind the Biden Admin’s #PublicCharge rule, which largely restored long-standing policy after courts blocked a harmful rule put forward in the first Trump rule, the Administration is reigniting fear and confusion among people who are immigrants and their families.
Reposted by Edwin Park
The Trump administration today proposed to end a 2022 public charge policy that had given immigrants certainty about how this centuries old wealth test will apply to them.
It appears they are replacing it with chaos and only allowing 30 days for public comment
It appears they are replacing it with chaos and only allowing 30 days for public comment
NILC Statement on Trump’s New Attempt to Resurrect Harmful “Public Charge” Wealth Test
www.nilc.org
November 17, 2025 at 10:31 PM
The Trump administration today proposed to end a 2022 public charge policy that had given immigrants certainty about how this centuries old wealth test will apply to them.
It appears they are replacing it with chaos and only allowing 30 days for public comment
It appears they are replacing it with chaos and only allowing 30 days for public comment
Reposted by Edwin Park
Policy merits or demerits aside, it is logistically impossible to set up a brand new HSA scheme in the next six weeks. I suspect it could prove logistically impossible to execute in the next six months.
People are picking their plans for 2026 between now and January 15.
People are picking their plans for 2026 between now and January 15.
Cassidy pitches his alternative to extending extra ACA subsidies
Cassidy wants to replace enhanced ACA subsidies with payments to health savings accounts.
www.statnews.com
November 17, 2025 at 10:43 PM
Policy merits or demerits aside, it is logistically impossible to set up a brand new HSA scheme in the next six weeks. I suspect it could prove logistically impossible to execute in the next six months.
People are picking their plans for 2026 between now and January 15.
People are picking their plans for 2026 between now and January 15.
Reposted by Edwin Park
This summer's sweeping Republican reconciliation bill is poised to do a historic amount of harm. But it's also now handed state policymakers a historic opportunity of their own: championing revenues to mitigate harm for millions, show a better course, & advance a brighter future.
With the harmful Republican megabill shifting costs to states, lawmakers must raise new revenues and protect existing ones to safeguard health care, food assistance, and other vital services while building stronger, more equitable communities. www.cbpp.org/blog/states-...
States Must Prioritize Revenue to Support People and Communities in Wake of Harmful Republican Megabill
As states move closer to their 2026 legislative sessions, lawmakers nationwide are grappling with how to respond to fallout from recent federal policies, including this July’s harmful Republican...
www.cbpp.org
November 17, 2025 at 8:38 PM
This summer's sweeping Republican reconciliation bill is poised to do a historic amount of harm. But it's also now handed state policymakers a historic opportunity of their own: championing revenues to mitigate harm for millions, show a better course, & advance a brighter future.
Reposted by Edwin Park
Welker to Sen. John Barrasso on healthcare: "What I hear you saying is there's no plan, there's no bill." (Note that he doesn't try to refute her claim!)
November 16, 2025 at 4:00 PM
Welker to Sen. John Barrasso on healthcare: "What I hear you saying is there's no plan, there's no bill." (Note that he doesn't try to refute her claim!)
Reposted by Edwin Park
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com
November 16, 2025 at 3:34 PM
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...