Jason Levitis
@jasonlevitis.bsky.social
Health and tax policy and law, private insurance, Marketplaces, 1332 waivers, admin burdens. Led ACA implementation at Treasury. Now Urban Institute, SHVS, and Yale Solomon Center.
Reposted by Jason Levitis
A key litmus test: “operationalizing changes in Marketplace policy requires months to build…Establishing and transferring funds to health savings accounts (HSAs) would take even longer. Fortunately, Marketplaces have already built IT systems for a “clean” extension [to switch] “on” in…days”
As we 👀 for the White House plan to extend ACA tax credits, here's a readers' guide with 6️⃣ key questions to ask.
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
Six Questions to Evaluate the White House’s Proposal to Extend Affordable Care Act Enhanced Premium Tax Credits
With consumers already seeing higher premiums from imminently expiring enhanced premium tax credits, federal policymakers will need to ensure that any plan c…
www.urban.org
December 1, 2025 at 4:42 PM
A key litmus test: “operationalizing changes in Marketplace policy requires months to build…Establishing and transferring funds to health savings accounts (HSAs) would take even longer. Fortunately, Marketplaces have already built IT systems for a “clean” extension [to switch] “on” in…days”
As we 👀 for the White House plan to extend ACA tax credits, here's a readers' guide with 6️⃣ key questions to ask.
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
Six Questions to Evaluate the White House’s Proposal to Extend Affordable Care Act Enhanced Premium Tax Credits
With consumers already seeing higher premiums from imminently expiring enhanced premium tax credits, federal policymakers will need to ensure that any plan c…
www.urban.org
December 1, 2025 at 2:53 PM
As we 👀 for the White House plan to extend ACA tax credits, here's a readers' guide with 6️⃣ key questions to ask.
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
The first and most important: does it quickly halt the growing harm from 2026 premium increases hitting consumers NOW with open enrollment in full swing?
www.urban.org/urban-wire/s...
Reposted by Jason Levitis
Today, Urban Institute senior fellow Jason Levitis testified at a Senate Finance Committee hearing on addressing the affordability cliff and the costs of #healthcare. See what the #research shows on how losing #ACA enhanced PTCs will impact coverage for millions.
Statement of Jason Levitis Before the Senate Finance Committee
In his testimony, entitled "The 2026 Health Care Affordability Cliff and the Costs of Health Care Complexity," Levitis discussed how the Marketplace pr…
urbn.is
November 19, 2025 at 9:07 PM
Today, Urban Institute senior fellow Jason Levitis testified at a Senate Finance Committee hearing on addressing the affordability cliff and the costs of #healthcare. See what the #research shows on how losing #ACA enhanced PTCs will impact coverage for millions.
Reposted by Jason Levitis
HSAs are tax shelters masquerading as health policy. They don't help people who are struggling to afford health coverage.
Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx
Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx
Expanding Health Savings Accounts Would Do Little to Improve Access to Affordable Health Care
Amid the urgent debate over whether Congress will act to prevent cost increases for millions of people in 2026 marketplace plans, some Republicans are promoting expansions of health savings accounts.....
tinyurl.com
November 11, 2025 at 4:04 PM
HSAs are tax shelters masquerading as health policy. They don't help people who are struggling to afford health coverage.
Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx
Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx
With the mini-burst of proposals to replace enhanced PTCs with spending accounts like FSAs, keep in mind that this would *absolutely wallop* older people with middle incomes—say a 63-year-old earning $65K—who are among the most dependent on enhanced PTCs. 🧵1/
November 9, 2025 at 4:20 AM
With the mini-burst of proposals to replace enhanced PTCs with spending accounts like FSAs, keep in mind that this would *absolutely wallop* older people with middle incomes—say a 63-year-old earning $65K—who are among the most dependent on enhanced PTCs. 🧵1/
Reposted by Jason Levitis
In a new @urbaninstitute.bsky.social issue brief, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors explain that if Congress lets enhanced ACA tax credits expire, it will reimpose a steep eligibility cliff for middle-income earners. www.urban.org/research/pub...
Eligibility Cliff on ACA Tax Credits Would Make Health Care Unaffordable for Middle-Class Families
A key sticking point in the government shutdown debate is the upcoming reductions in the premium tax credit (PTC), particularly how the credit declines as in…
www.urban.org
November 4, 2025 at 8:28 PM
In a new @urbaninstitute.bsky.social issue brief, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors explain that if Congress lets enhanced ACA tax credits expire, it will reimpose a steep eligibility cliff for middle-income earners. www.urban.org/research/pub...
Reposted by Jason Levitis
🏥 Writing for Health Affairs Forefront, @solomonctryls.bsky.social and @urbaninstitute.bsky.social senior fellow @jasonlevitis.bsky.social and his co-authors explain that Congress’s delay in extending ACA subsidies has already increased costs for consumers. www.healthaffairs.org/content/fore...
Health Affairs Journal
www.healthaffairs.org
October 14, 2025 at 6:46 PM
🏥 Writing for Health Affairs Forefront, @solomonctryls.bsky.social and @urbaninstitute.bsky.social senior fellow @jasonlevitis.bsky.social and his co-authors explain that Congress’s delay in extending ACA subsidies has already increased costs for consumers. www.healthaffairs.org/content/fore...
Reposted by Jason Levitis
📈 In a new @urbaninstitute.bsky.social report, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors project that millions more people will be uninsured if Congress lets enhanced premium tax credits for ACA Marketplace plans expire. www.urban.org/research/pub...
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…
www.urban.org
September 23, 2025 at 3:48 PM
📈 In a new @urbaninstitute.bsky.social report, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors project that millions more people will be uninsured if Congress lets enhanced premium tax credits for ACA Marketplace plans expire. www.urban.org/research/pub...
Reposted by Jason Levitis
"[T]he US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect." Always read @mattafiedler.bsky.social. www.healthaffairs.org/content/fore...
Taking Stock Of The Health Coverage Impacts Of The House Reconciliation Bill | Health Affairs Forefront
The US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect; the resulting increase would erase almost ...
www.healthaffairs.org
June 11, 2025 at 12:40 AM
"[T]he US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect." Always read @mattafiedler.bsky.social. www.healthaffairs.org/content/fore...
Reposted by Jason Levitis
Health care providers would lose $1 trillion in revenues and uncompensated care would increase $278 billion between 2025-34 due to House Republican reconciliation bill and expiration of premium tax credits. (1/3) www.urban.org/research/pub...
Reconciliation Bill and End of Enhanced Subsidies Would Cut Health Care Provider Revenue and Spike Uncompensated Care
The House of Representatives passed, and the Senate is now negotiating, a budget reconciliation bill that would impose federal funding cuts on Medicaid and the ACA Marketplaces.
www.urban.org
May 29, 2025 at 8:54 PM
Health care providers would lose $1 trillion in revenues and uncompensated care would increase $278 billion between 2025-34 due to House Republican reconciliation bill and expiration of premium tax credits. (1/3) www.urban.org/research/pub...
Reposted by Jason Levitis
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
May 20, 2025 at 1:20 PM
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...
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In short, we show that efforts to tax vast dynastic wealth are socially important but broken under current law. The fix we describe sidesteps both the legal and political-economy obstacles that have blocked past efforts. Have a look!
papers.ssrn.com/sol3/papers....
15/15
papers.ssrn.com/sol3/papers....
15/15
Taxing Dynasties
<p><span>The estate tax and the broader wealth-transfer-tax system are even more broken than is commonly understood. Over the past two decades, researchers and
papers.ssrn.com
April 11, 2025 at 11:38 PM
🍿
Reposted by Jason Levitis
CMS's proposed #ACA marketplace rule would mean fewer people with health coverage, more red tape, higher costs, less time to enroll, plus decreased access for certain groups. People currently struggling to afford the basics would once again lose out. Some highlights (lowlights?) - a 🧵:
March 11, 2025 at 3:54 PM
CMS's proposed #ACA marketplace rule would mean fewer people with health coverage, more red tape, higher costs, less time to enroll, plus decreased access for certain groups. People currently struggling to afford the basics would once again lose out. Some highlights (lowlights?) - a 🧵:
Reposted by Jason Levitis
Letter to Speaker Johnson opposing #Medicaid and SNAP cuts in budget resolution led by Rep. Gonzales (TX) and signed by other GOP members including Valadao (CA) Malliotakis (NY) De La Cruz (TX) Ciscomani (AZ) and Bresnahan (PA) who are part of the Republican Congressional Hispanic Conference.
President Donald Trump endorsed the House GOP budget, but has sent mixed signals about Medicaid.
Moderate House Republicans Warn Mike Johnson Against Medicaid Cuts
President Donald Trump endorsed the House GOP budget, but has sent mixed signals about Medicaid.
www.huffpost.com
February 20, 2025 at 2:59 AM
Letter to Speaker Johnson opposing #Medicaid and SNAP cuts in budget resolution led by Rep. Gonzales (TX) and signed by other GOP members including Valadao (CA) Malliotakis (NY) De La Cruz (TX) Ciscomani (AZ) and Bresnahan (PA) who are part of the Republican Congressional Hispanic Conference.
Reposted by Jason Levitis
In their next session, TX lawmakers may again consider leaving the federal Marketplace and transitioning to a state-based Marketplace. Our new report finds that stakeholders who would be most directly affected uniformly worried that risks outweighed potential benefits. www.urban.org/research/pub...
Considerations for a Potential State-Based Marketplace in Texas
This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...
www.urban.org
December 14, 2024 at 3:10 AM
In their next session, TX lawmakers may again consider leaving the federal Marketplace and transitioning to a state-based Marketplace. Our new report finds that stakeholders who would be most directly affected uniformly worried that risks outweighed potential benefits. www.urban.org/research/pub...
Reposted by Jason Levitis
New from @jasonlevitis.bsky.social and colleagues at @urbaninstitute.bsky.social
Shifting to a state based Marketplace comes with opportunities and risks, but those who would be most directly
affected believe that the risks outweigh the likely benefits.
#healthpolicy
www.urban.org/research/pub...
Shifting to a state based Marketplace comes with opportunities and risks, but those who would be most directly
affected believe that the risks outweigh the likely benefits.
#healthpolicy
www.urban.org/research/pub...
Considerations for a Potential State-Based Marketplace in Texas
This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...
www.urban.org
December 5, 2024 at 9:36 PM
New from @jasonlevitis.bsky.social and colleagues at @urbaninstitute.bsky.social
Shifting to a state based Marketplace comes with opportunities and risks, but those who would be most directly
affected believe that the risks outweigh the likely benefits.
#healthpolicy
www.urban.org/research/pub...
Shifting to a state based Marketplace comes with opportunities and risks, but those who would be most directly
affected believe that the risks outweigh the likely benefits.
#healthpolicy
www.urban.org/research/pub...
Reposted by Jason Levitis
@urbaninstitute.bsky.social has a great interactive out this week on what losses might look like by state: www.urban.org/data-tools/h...
November 15, 2024 at 8:38 PM
@urbaninstitute.bsky.social has a great interactive out this week on what losses might look like by state: www.urban.org/data-tools/h...
Great 🧵here, but 1332 fans want a word with Leg Counsel about how they narrowly denied us our own day.
Happy 11/15 day!! Here are some great 1115 facts 🧵
November 15, 2024 at 5:27 PM
Great 🧵here, but 1332 fans want a word with Leg Counsel about how they narrowly denied us our own day.
Reposted by Jason Levitis
Is there a link to these remarks?
November 13, 2024 at 5:07 PM
Is there a link to these remarks?
Reposted by Jason Levitis
Many working older adults with modest incomes will get slammed in 2025 if Congress doesn't renew enhanced premium tax credits. @urbaninstitute.bsky.social www.urban.org/research/pub...
Enhanced PTCs Help Older Adults and Those in High-Premium States Afford Coverage
In this summary, we examine the expected distribution of enhanced PTCs among nonelderly people with incomes over 400 percent of FPL by age, income, and state. We use projected 2025 subsidized Marketpl...
www.urban.org
September 18, 2024 at 6:25 PM
Many working older adults with modest incomes will get slammed in 2025 if Congress doesn't renew enhanced premium tax credits. @urbaninstitute.bsky.social www.urban.org/research/pub...
Reposted by Jason Levitis
Hey you, progressive lawyer who thinks you could never be a federal judge bc you’re not a douchey ambition monster or a MAGA zealot, please apply! buff.ly/4bd4egB
Make the Judiciary Less Awful By Applying to Be a Judge Yourself
Be the change you wish to see in the world (of reactionary MAGA dorks and former BigLaw partners).
buff.ly
January 29, 2024 at 7:14 PM
Hey you, progressive lawyer who thinks you could never be a federal judge bc you’re not a douchey ambition monster or a MAGA zealot, please apply! buff.ly/4bd4egB