Sarah Lueck
@sarahl202.bsky.social
1.4K followers 400 following 160 posts
VP for Health Policy at the Center on Budget and Policy Priorities. DSM native and @WSJ alumna. Views expressed here are mine. she/her
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sarahl202.bsky.social
Attn: Idaho
Marketplace enrollees in the Gem State are facing big premium increases if Congress does not act.
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)
sarahl202.bsky.social
Just 0.6% of people receiving premium credits make more than 800% of the poverty level (or about $125K for an individual). That’s far short of $600K & federal spending on credits for people with somewhat higher incomes is miniscule. This is not a tax benefit for wealthy people.
sarahl202.bsky.social
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)
sarahl202.bsky.social
The law also deeply cuts eligibility across all major health coverage programs for most categories of immigrants living lawfully in the U.S.
sarahl202.bsky.social
The R health plan renders roughly 15M people uninsured by 2034: 10M due to health cuts in the legislation, 4.2M because the legislation failed to extend expiring improvements to marketplace premium tax credits; and more marketplace losses under Trump Admin rule changes
sarahl202.bsky.social
The latest CBO estimates make clear that the so-called “Big Beautiful Bill” is anything but--it would cause widespread harm with more than $1T in cuts to Medicaid & ACA marketplaces and higher costs for families trying to afford health care and groceries.
sarahl202.bsky.social
Senate Republicans made a horrible bill even worse. Let's count the ways:
sarahl202.bsky.social
TSen. Scott amendment effectively repeals Medicaid expansion in only a few years. New analysis here: www.cbpp.org/research/med...
sarahl202.bsky.social
As the Senate continues its debate, let’s hope Senators weighing how the bill will impact their constituents do the math and that House members (some of whom thought the Senate would reduce the harm of the bill) do too.
sarahl202.bsky.social
CBO says 11.8M people would become uninsured by 2034 if the bill is enacted, up from 10.9M under the House bill. Add in the 4.2M who would become uninsured b/c of the failure to extend enhanced PTCs + the Admin’s rule changes to the marketplace &total uninsured = about 17M.
sarahl202.bsky.social
Plus new red tape in the bill will make it far harder for marketplace enrollees to get & keep coverage.
sarahl202.bsky.social
A $25B rural health fund and $6B directed at Alaska and Hawaii (which the Parliamentarian says violates Senate rules) isn’t going to help fill that gap. Narrow changes targeted at securing specific senators’ votes don’t change the harm this bill would do across the country.
sarahl202.bsky.social
Now we have details & can see that the cuts are even higher – more than $1 trillion – and where they come from: taking away Medicaid from more people because of a work requirement, cuts to provider taxes, and restrictions on payments to providers make up more than half the cuts.
sarahl202.bsky.social
New Congressional Budget Office (CBO) numbers confirm what we already knew – the reconciliation bill is getting worse, not better. The Senate bill will cut health care more deeply than the House bill and leave more people uninsured. www.cbo.gov/publication/...
Estimated Budgetary Effects of an Amendment in the Nature of a Substitute to H.R. 1, the One Big Beautiful Bill Act, Relative to the Budget Enforcement Baseline for Consideration in the Senate
As posted on the website of the Senate Committee on the Budget on June 27, 2025
www.cbo.gov
Reposted by Sarah Lueck
shelbytgonzales.bsky.social
The latest Senate Republican plan retains a deeply harmful provision that tramples over state rights’ to make decisions about how to use their own funds to ensure their state residents can access comprehensive health coverage.
sarahl202.bsky.social
Senate Republican leaders appear to be barreling ahead with their harmful reconciliation bill. Reminder that the Republican health agenda would take us backward on covering the uninsured, largely reversing #ACA gains. 👎
(h/t @pkrugman.bsky.social for the graphic idea)
Reposted by Sarah Lueck
katiebergh.bsky.social
Senate Republicans are rushing to pass a bill that would take #SNAP food assistance away entirely from millions of low-income people & cut food benefits for millions more. Some states could even end SNAP entirely. But Senators still have time to reject these harmful policies.
Reposted by Sarah Lueck
peggybaileydc.bsky.social
Every major bill language release is happening under the cover of night. Tracks since the bill is so unpopular.

Are Senators really going to set millions of families backwards by taking health coverage & food asst away from them? Is that why they got into politics? Really?