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
It shows GOP Congress may want to further cut #Medicaid on top of nearly $1T in cuts enacted in H.R. 1 that will make 7.5M people uninsured. The draft bill also shows that both House and Senate GOP leaders aren't very serious about preventing the expiration of the enhanced Marketplace credits.
December 9, 2025 at 12:54 AM
It shows GOP Congress may want to further cut #Medicaid on top of nearly $1T in cuts enacted in H.R. 1 that will make 7.5M people uninsured. The draft bill also shows that both House and Senate GOP leaders aren't very serious about preventing the expiration of the enhanced Marketplace credits.
Senate Democrats were able to successfully exclude these 3 harsh House-passed cuts from the final version of H.R. 1 because they violated the "Byrd Rule". But as part of a draft bill that does *not* extend the expiring Marketplace credits in any form, Senate GOP leaders are trying to revive them.
December 9, 2025 at 12:47 AM
Senate Democrats were able to successfully exclude these 3 harsh House-passed cuts from the final version of H.R. 1 because they violated the "Byrd Rule". But as part of a draft bill that does *not* extend the expiring Marketplace credits in any form, Senate GOP leaders are trying to revive them.
Section 302 would prohibit federal #Medicaid & CHIP matching funds for gender affirming care for transgender individuals, forcing states to either drop that coverage or have to pick up all of the costs using their own funds.
December 9, 2025 at 12:44 AM
Section 302 would prohibit federal #Medicaid & CHIP matching funds for gender affirming care for transgender individuals, forcing states to either drop that coverage or have to pick up all of the costs using their own funds.
Section 202 would eliminate #Medicaid & CHIP coverage for people during a "reasonable opportunity period". Citizenship/ immigration status are usually automatically verified but in small number of cases people have 90 days to submit needed additional info. They now get temporary coverage in interim.
December 9, 2025 at 12:40 AM
Section 202 would eliminate #Medicaid & CHIP coverage for people during a "reasonable opportunity period". Citizenship/ immigration status are usually automatically verified but in small number of cases people have 90 days to submit needed additional info. They now get temporary coverage in interim.
Section 201 would cut #Medicaid expansion match from 90% to 80% for any state using their *own* funds to cover undocumented immigrants leading those states to drop that coverage. Some states with "trigger" laws may have no choice but to drop that coverage as their expansion could automatically end.
December 9, 2025 at 12:36 AM
Section 201 would cut #Medicaid expansion match from 90% to 80% for any state using their *own* funds to cover undocumented immigrants leading those states to drop that coverage. Some states with "trigger" laws may have no choice but to drop that coverage as their expansion could automatically end.
Those #Medicaid provisions were included in the House version of H.R. 1 but dropped due to Senate budget rules. There's also a provision requiring states to verify citizenship/immigration status. But that's already required. So may involve more red tape to cut enrollment among eligible people (2/2)
December 8, 2025 at 6:40 PM
Those #Medicaid provisions were included in the House version of H.R. 1 but dropped due to Senate budget rules. There's also a provision requiring states to verify citizenship/immigration status. But that's already required. So may involve more red tape to cut enrollment among eligible people (2/2)
Looks to be another recycled bad idea - similar to GOP proposals from the early 2000s to provide an above-the-line deduction for purchase of coverage in the unregulated individual market which would have done little to make health insurance more affordable and increase health coverage. 2/2
December 4, 2025 at 5:17 PM
Looks to be another recycled bad idea - similar to GOP proposals from the early 2000s to provide an above-the-line deduction for purchase of coverage in the unregulated individual market which would have done little to make health insurance more affordable and increase health coverage. 2/2
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.