Gideon Lukens
@gidlukens.bsky.social
1.3K followers 500 following 170 posts
Senior Fellow and Director of Research, Health Policy @centeronbudget. Former Dep. Director for Economic Policy at OMB. Music lover. Views expressed are my own.
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gidlukens.bsky.social
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
gidlukens.bsky.social
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
gidlukens.bsky.social
Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $132,000 in New York will face a $17,100 increase in annual premiums. (2/4)
gidlukens.bsky.social
New York’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in New York will face a $12,700 increase in annual premiums. (1/4)
gidlukens.bsky.social
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
gidlukens.bsky.social
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
gidlukens.bsky.social
Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $130,000 in Virginia will face a $7,900 increase in annual premiums. (2/4)
gidlukens.bsky.social
Virginia’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Virginia will face a $18,000 increase in annual premiums. (1/4)
gidlukens.bsky.social
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states (Oct. 15 – Dec.15 in Idaho) and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
gidlukens.bsky.social
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes.
gidlukens.bsky.social
Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $130,000 in Idaho will face a $7,800 increase in annual premiums. (2/4)
gidlukens.bsky.social
Idaho’s 2026 ACA marketplace open enrollment begins Oct 15. People are already window shopping, seeing next year’s premiums spike due to expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Idaho will face a $17,900 increase in annual premiums. (1/4)
gidlukens.bsky.social
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
gidlukens.bsky.social
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
gidlukens.bsky.social
Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $130,000 in Georgia will face a $13,200 increase in annual premiums. (2/4)
gidlukens.bsky.social
Georgia’s 2026 ACA marketplace window shopping began October 1, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Georgia will face a $24,900 increase in annual premiums. (1/4)
Reposted by Gideon Lukens
jenniferlsullivan.bsky.social
Some policymakers say that that Congress can delay extending the Premium Tax Credit (PTC) enhancements until later this year but the problem is more urgent than that. thehill.com/policy/healt...
thehill.com
gidlukens.bsky.social
After the enhancements, the uninsured rate fell most for people with low incomes in non-expansion states – people who would have been eligible for Medicaid if their states expanded…and who stand to lose the most if enhancements expire. (3/3)
gidlukens.bsky.social
In non-expansion states, uninsurance will rise by 37% in the median state. The steepest increases are in Mississippi (65% increase), South Carolina, Tennessee, Texas, Georgia, West Virginia, Alabama, and Louisiana. (2/3)
gidlukens.bsky.social
But if the enhancements expire, CBO estimates that ~4 million people will become uninsured. To be clear: these are 4 million REAL people who will lose marketplace coverage and NOT get employer or any other insurance. (4/4)
gidlukens.bsky.social
Marketplace enrollment grew 143% for people with incomes 100-200% FPL after premium tax credit enhancements, showing how extending them would overwhelmingly benefit low- and moderate-income households. (3/4)
gidlukens.bsky.social
For Black and Latino people, marketplace enrollment grew 186% and 158% (doubled to tripled) over 2021-2024. Uninsurance will increase by 30% (925,000) among Black people if the enhancements expire – more than any other racial group. (2/4)
tinyurl.com/yhv9jxm3
4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire
In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…
tinyurl.com
gidlukens.bsky.social
Since 2021, ACA marketplace enrollment more than doubled for people with low incomes and for Black and Latino enrollees after premium tax credit enhancements. (1/4)