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Lisa Dubay @ldubay.bsky.social · 20d

New estimates from my @urbaninstitute.bsky.social ky.social colleagues showing that 4.8 million people will become uninsured if the enhanced premium tax credits are not extended. www.urban.org/research/pub...

Reposted by Lisa Dubay

Sarah Lueck @sarahl202.bsky.social · 21d

Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)

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Lisa Dubay @ldubay.bsky.social · Sep 3

Just want to say -- I look for your estimates every week. You are very much appreciated. Glad to see you on bluesky, I've been going to twitter just to see your posts!

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Lisa Dubay @ldubay.bsky.social · Jul 1

Most people on Medicaid with incomes above 100 percent of the FPL are kids, pregnant women, and elderly who are getting help with Medicare deductibles and co-insurance or who are spending down their income and assets for long-term care (Medicaid pays some portion of 69 percent of LTSS.

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Reposted by Lisa Dubay

Edwin Park @edwincpark.bsky.social · Jun 28

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)

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Reposted by Lisa Dubay

Edwin Park @edwincpark.bsky.social · May 20

New CBO estimates of reconciliation bill reported by Budget Committee Sunday: gross #Medicaid cuts of $792B before interactions with ACA changes. Total of $803B in net health care cuts. Estimates don't account for Rules Committee changes with even harsher Medicaid cuts. www.cbo.gov/publication/...?

Estimated Budgetary Effects of a Bill to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14, the One Big Beautiful Bill Act

As ordered reported by the House Committee on the Budget on May 18, 2025

www.cbo.gov

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Reposted by Lisa Dubay

Samantha Artiga @sartiga.bsky.social · May 13

My new @kff.org quick take discusses the House's proposed penalty to reduce Medicaid financing for states covering undocumented immigrants with their own funds and identifies which states would be affected:
www.kff.org/quick-take/w...

Which States Would Be Affected by a House Proposal to Cut Federal Medicaid Funding for States That Cover Undocumented Immigrants?

KFF data show that as of April 2025, 14 states plus DC use state-only dollars to provide health coverage to children regardless of immigration status, including 7 states that also do so for at least s...

www.kff.org

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Lisa Dubay @ldubay.bsky.social · May 9

Excellent piece by @urbaninstitute.bsky.social on the distributional effects of tax cut extensions paid for by cuts to #Medicaid and #SNAP. Lowest income families would face losses in income after taxes and benefits and highest income familes would see large gains. www.urban.org/research/pub...

Who Gains and Who Loses under a Tax Cut Extension with Medicaid and SNAP Spending Reductions

In this brief, we estimate the combined impact of three major proposals on taxpayers’ after-tax, after-transfer incomes to show who would benefit and who would lose.

www.urban.org

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Reposted by Lisa Dubay

Edwin Park @edwincpark.bsky.social · May 1

Thread on my new blog on how taking a step back and looking at the combined effect of several #Medicaid cuts under consideration by House GOP yields a clear conclusion: they would together end the #Medicaid expansion and terminate coverage for 21 million people: ccf.georgetown.edu/2025/05/01/c...

Combined Impact of Medicaid Cuts Under Consideration Would End Expansion and Take Away Coverage for Nearly 21 Million Low-Income People

In analyzing the draconian Medicaid cuts under consideration by House Republicans for inclusion in budget reconciliation legislation, it is often easier to examine each specific proposal in isolati…

ccf.georgetown.edu

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Reposted by Lisa Dubay

Sabrina Corlette @sabrinacorlette.bsky.social · Apr 17

Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...

Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box

georgetown.app.box.com

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Lisa Dubay @ldubay.bsky.social · Mar 25

Latest estimates on economic impact on states of proposed cuts to Medicaid and SNAP

Edwin Park @edwincpark.bsky.social · Mar 25

New @commonwealthfund.org estimates from GW researchers on economic impact of $880 billion in #Medicaid cuts. Includes single-year state-by-state effects on economic activity, job losses and state tax revenues: Also includes impact of SNAP cuts. www.commonwealthfund.org/publications...

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Reposted by Lisa Dubay

Urban Institute @urbaninstitute.bsky.social · Mar 21

What are the effects of dismantling the Department of #Education on students with #disabilities?

An Urban Wire post examines the potential impacts of disrupting the Department of Education’s key functions of enforcing critical civil rights laws and distributing IDEA #funding to the states.

How Dismantling the Education Department Could Affect Disabled Students across the US

Though states and local governments are primarily responsible for K–12 education, the US Department of Education is critical to ensuring disabled children in every community have access to a free, app...

www.urban.org

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Lisa Dubay @ldubay.bsky.social · Mar 21

Interested in promoting upward mobility? Come hear about how to shape policy making and create change in your community with my @urbaninstitute.bsky.social colleagues.

Urban Institute @urbaninstitute.bsky.social · Mar 19

Join Urban on 3/26 @ 1 p.m. ET for a virtual #event that will explore the Upward Mobility Framework. Participants will hear from speakers who are applying the Upward Mobility Framework to shape programming & policymaking and gain insights on how to create change in their #communities. #LiveatUrban

Advancing Residents' Upward Mobility by Fostering Dignity and Belonging, Economic Success, and Power and Autonomy

Join us for an interactive session for local leaders where we’ll explore the Urban Institute’s Upward Mobility Framework, a research-backed model designed to advance upward mobility and racial equity ...

upward-mobility.urban.org

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Lisa Dubay @ldubay.bsky.social · Mar 18

Important new research on the impact of federal work requirements for Medicaid beneficiares on coverage from my @urbaninstitute.bsky.social colleagues @jh4.bsky.social, Genevieve Kenney, and Michael Karpman.

Urban Institute @urbaninstitute.bsky.social · Mar 18

According to #research, about 5 million expansion adults could lose #Medicaid in 2026 under a federal work requirement similar to the Limit, Save, Grow Act.

Urban experts assessed the potential coverage losses under #federal Medicaid work requirements drawing on lessons from two states.

Assessing Potential Coverage Losses among Medicaid Expansion Enrollees under a Federal Medicaid Work Requirement

We assess potential coverage losses under federal Medicaid work requirements for adults ages 19 to 55 enrolled in the Affordable Care Act’s Medicaid expansion.

www.urban.org

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Lisa Dubay @ldubay.bsky.social · Mar 7

Dont' miss this timely virtual event ! Featuring @edwincpark.bsky.social, Genevieve Kenney, Sara Rosenbaum @milkeninstitute.org , and @greggbloche.bsky.social

Urban Institute @urbaninstitute.bsky.social · Mar 7

Proposed cuts to #Medicaid could endanger #health insurance for low-income Americans.

Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban

Downsizing Medicaid: How Proposed Cuts Could Endanger Health Insurance for Low-Income Americans

The Urban Institute–Georgetown Law Series on Health Justice features conversations with researchers and legal professionals about how we can reduce widespread disparities in medical care and health in...

www.urban.org

Reposted by Lisa Dubay

Edwin Park @edwincpark.bsky.social · Feb 25

Reupping my blog from yesterday. The major #Medicaid cuts under consideration to meet the budget resolution target of at least $880b in cuts are the same Medicaid cuts from failed 2017 repeal bills. House GOP leaders are just trying to disguise them as anti-fraud. ccf.georgetown.edu/2025/02/24/s...

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Lisa Dubay @ldubay.bsky.social · Feb 25

See what would happen in your Congressional Distrct with link at the bottom of the page.

Lisa Dubay @ldubay.bsky.social · Feb 25

E&C committee was asked to cut $880 billion to make way for tax cuts. Latest paper from my @urbaninstitute.bsky.social colleagues on what would happen to insurance coverage if the 90 percent FMAP for the Medicaid expansion was eliminated. www.urban.org/research/pub...

Reducing Federal Support for Medicaid Expansion Would Shift Costs to States and Likely Result in Coverage Losses

Leadership in the House of Representatives has proposed substantial federal funding cuts to the Medicaid program over the next 10 years. This report focuses on the proposal to reduce the 90 percent fe...

www.urban.org

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Reposted by Lisa Dubay

Yonah Freemark @yonahfreemark.com · Feb 10

The US DOT says it's planning to prioritize areas with high marriage & high birth rates for funding.

Our new analysis @urbaninstitute.bsky.social shows this would disproportionately fund:
—Communities with a higher white resident share
—Low-density areas
—High-income areas
—Car-dependent areas

DOT’s Plan to Distribute Funding by Birth and Marriage Rates Would Leave Communities Most In Need Behind

If enacted, the new US Department of Transportation memo would prioritize funding to whiter, higher-income, more car-dependent areas over communities of color and people who walk, bike, or take public...

www.urban.org

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Lisa Dubay @ldubay.bsky.social · Jan 26

ha, ha, ha !

Lisa Dubay @ldubay.bsky.social · Jan 4

Very excited about this new collaboration between @urbaninstitute.bsky.social and Georgetown Law! Keep your eyes on this space!

Gregg Bloche @greggbloche.bsky.social · Dec 20

Delighted to announce the online launch of the Urban Institute/Georgetown Law Project on Health Equity (Brian Smedley, Yael Cannon, & I will co-direct) - we're engaging leading thinkers to craft remedies for our health system's profound disparities - more to come ... www.urban.org/projects/urb...

Urban Institute-Georgetown Law Project on Health Equity and the Law

www.urban.org

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Lisa Dubay @ldubay.bsky.social · Dec 9

Congress is considering extending the enhanced premium tax credits. According to my @urbaninstitute.bsky.social colleagues, households' spending on insurance premiums would surge if the EPTCs are not extended. www.urban.org/research/pub...

Household Spending on Premiums Would Surge if Enhanced Premium Tax Credits Expire

In this brief, we estimate household premiums for people with Marketplace coverage in 2025 with and without enhanced PTCs by income and state to gauge the impact on families if the more generous credi...

www.urban.org

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Lisa Dubay @ldubay.bsky.social · Dec 6

Thanks @ddiamond.bsky.social ! If you want to see how many people would lose coverage in your state check out this map from my @urbaninstitute.bsky.social colleagues: www.urban.org/data-tools/h...

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Reposted by Lisa Dubay

Matthew Rae @mattrae.bsky.social · Nov 25

The big three public health programs, Medicaid, Medicare and the Marketplace ACA subsidies are lifting about 39 million people out of poverty.

Matthew Rae @mattrae.bsky.social · Nov 25

Census Health Inclusive Poverty Measure incorporates insurance into poverty measurement. 2 things jumped out to me from this measure
1) The Marketplaces bring 1.8 million people out of poverty
2) Poverty is even more concentrated in states that didn't expand Medicaid
www.census.gov/library/work...

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Lisa Dubay @ldubay.bsky.social · Nov 25

What the new administration could mean for health related lawsuits including preventive services, MTALA, medication abortion, family planning and more...https://www.kff.org/medicare/issue-brief/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration/

How Pending Health-Related Lawsuits Could be Impacted by the Incoming Trump Administration | KFF

This brief provides an overview of current lawsuits in health policy including preventive services, abortion care, gender affirming care, Medicare drug price negotiations, nursing home staffing rules,...

www.kff.org

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