Charles GetCovered-ba ✡️
@charlesgaba.com
Healthcare data analysis, advocacy & snark.
(Formerly @charles_gaba on 🐤)
🏥 https://ACASignups.net
🔵 https://Blue26.org
(Formerly @charles_gaba on 🐤)
🏥 https://ACASignups.net
🔵 https://Blue26.org
Pinned
Charles GetCovered-ba ✡️
@charlesgaba.com
· Nov 12
ACA Signups
Healthcare policy data, analysis & snark.
ACASignups.net
Welcome new followers!
I'm a healthcare policy analyst, advocate & blogger who focuses primarily on the ACA. I’ve also gained some attention for my COVID19 data analysis.
I also raise money online for Democratic candidates.
You can follow my work (& even support it!) at ACASignups.net.
I'm a healthcare policy analyst, advocate & blogger who focuses primarily on the ACA. I’ve also gained some attention for my COVID19 data analysis.
I also raise money online for Democratic candidates.
You can follow my work (& even support it!) at ACASignups.net.
Reposted by Charles GetCovered-ba ✡️
Reposted by Charles GetCovered-ba ✡️
5) Dems showed (a) it's possible to get something out of "shutting down the government" despite what the pundits said, and (b) that they could hold together for 40 days. It's not a policy win, but it changes expectations for what they can do in the future, strengthening their negotiating position.
November 10, 2025 at 1:53 PM
5) Dems showed (a) it's possible to get something out of "shutting down the government" despite what the pundits said, and (b) that they could hold together for 40 days. It's not a policy win, but it changes expectations for what they can do in the future, strengthening their negotiating position.
Reposted by Charles GetCovered-ba ✡️
Rick Scott told me his plan would be to take all of the remaining ACA subsidies and redistribute them to HSA accounts and people can then buy whatever insurance a state certifies. Basically a repeal/replace.
He denied when I asked wouldn’t that create two-tiered system where sick pay much more…
He denied when I asked wouldn’t that create two-tiered system where sick pay much more…
November 11, 2025 at 3:42 AM
Rick Scott told me his plan would be to take all of the remaining ACA subsidies and redistribute them to HSA accounts and people can then buy whatever insurance a state certifies. Basically a repeal/replace.
He denied when I asked wouldn’t that create two-tiered system where sick pay much more…
He denied when I asked wouldn’t that create two-tiered system where sick pay much more…
Reposted by Charles GetCovered-ba ✡️
I wrote a long post about this last week; tomorrow I'll be doing a deeper dive into every state where this is a thing.
acasignups.net/25/11/06/pre...
acasignups.net/25/11/06/pre...
Premium Alignment, or how a dozen states are quietly providing ACA enrollees w/better options even in the face of expiring tax credits
I've written multiple times in the past about "Silver Loading," the ACA health insurance policy pricing strategy in which insurance carriers load the extra cost of their Cost Sharing Reduction financi...
acasignups.net
November 11, 2025 at 3:19 AM
I wrote a long post about this last week; tomorrow I'll be doing a deeper dive into every state where this is a thing.
acasignups.net/25/11/06/pre...
acasignups.net/25/11/06/pre...
I know I keep teasing this (still plan a full post tomorrow), but if you're on an ACA plan & live in any of the following states you *may* be in luck:
WA, IL, VT, PA, AR, WV, AK, TX, CO, MO, WY, NM, MD, VA
tl; dr version: If you're on a Silver plan this year, take a close look at GOLD plans.
WA, IL, VT, PA, AR, WV, AK, TX, CO, MO, WY, NM, MD, VA
tl; dr version: If you're on a Silver plan this year, take a close look at GOLD plans.
My ACA current plan is going from $385/mo to $821/mo.
November 11, 2025 at 3:18 AM
I know I keep teasing this (still plan a full post tomorrow), but if you're on an ACA plan & live in any of the following states you *may* be in luck:
WA, IL, VT, PA, AR, WV, AK, TX, CO, MO, WY, NM, MD, VA
tl; dr version: If you're on a Silver plan this year, take a close look at GOLD plans.
WA, IL, VT, PA, AR, WV, AK, TX, CO, MO, WY, NM, MD, VA
tl; dr version: If you're on a Silver plan this year, take a close look at GOLD plans.
Reposted by Charles GetCovered-ba ✡️
Update: Taking longer than expected. Hope to publish tomorrow.
November 11, 2025 at 3:06 AM
Update: Taking longer than expected. Hope to publish tomorrow.
Reposted by Charles GetCovered-ba ✡️
& instead of anyone pointing out any of this or how Thune betrayed Trump by not nuking the filibuster as he’s been repeatedly asked to beyond not controlling his MAJORITY caucus, beyond this CR not even passing yet, my feed is nonstop Schumer-bashing when he didn’t even vote for it as a heat shield.
November 11, 2025 at 1:01 AM
& instead of anyone pointing out any of this or how Thune betrayed Trump by not nuking the filibuster as he’s been repeatedly asked to beyond not controlling his MAJORITY caucus, beyond this CR not even passing yet, my feed is nonstop Schumer-bashing when he didn’t even vote for it as a heat shield.
Reposted by Charles GetCovered-ba ✡️
The House GOP is in crisis w/ MTG is lashing out after nobody backed her for higher office & Mo Brooks(!) wrote an op-ed blasting Johnson for not swearing in Grijalva 2 entire weeks ago, the GOP budget killed the enhanced subsidies in the 1st place, & Republicans control everything…
November 11, 2025 at 1:01 AM
The House GOP is in crisis w/ MTG is lashing out after nobody backed her for higher office & Mo Brooks(!) wrote an op-ed blasting Johnson for not swearing in Grijalva 2 entire weeks ago, the GOP budget killed the enhanced subsidies in the 1st place, & Republicans control everything…
Reposted by Charles GetCovered-ba ✡️
Exactly you go pick which plan you want… he just wants to get rid of the regulations that mandate deductible maximum’s and pre-existing etc… It’s so destructive
November 11, 2025 at 1:51 AM
Exactly you go pick which plan you want… he just wants to get rid of the regulations that mandate deductible maximum’s and pre-existing etc… It’s so destructive
📣 Now it's time to focus on the 2026 Midterm Main Event!
I'll be filling in competitive #MICHIGAN districts soon; for now you can help MI Senate Dems, MI House Dems & the MI Democratic Party.
Donate today! #Blue26
secure.actblue.com/donate/miblu...
I'll be filling in competitive #MICHIGAN districts soon; for now you can help MI Senate Dems, MI House Dems & the MI Democratic Party.
Donate today! #Blue26
secure.actblue.com/donate/miblu...
Chip in!
Show your support with a contribution.
secure.actblue.com
November 11, 2025 at 1:22 AM
📣 Now it's time to focus on the 2026 Midterm Main Event!
I'll be filling in competitive #MICHIGAN districts soon; for now you can help MI Senate Dems, MI House Dems & the MI Democratic Party.
Donate today! #Blue26
secure.actblue.com/donate/miblu...
I'll be filling in competitive #MICHIGAN districts soon; for now you can help MI Senate Dems, MI House Dems & the MI Democratic Party.
Donate today! #Blue26
secure.actblue.com/donate/miblu...
Reposted by Charles GetCovered-ba ✡️
We're debating on the government funding package right now and every single Republican voted against a Democratic amendment to pass a clean, one-year extension of the ACA tax credits.
Republicans just don't care about your health care.
Republicans just don't care about your health care.
November 11, 2025 at 1:10 AM
We're debating on the government funding package right now and every single Republican voted against a Democratic amendment to pass a clean, one-year extension of the ACA tax credits.
Republicans just don't care about your health care.
Republicans just don't care about your health care.
🎉 MAZEL TOV PENNSYLVANIA!! YOU KEPT ALL 3 DEFENDERS OF DEMOCRACY ON THE BENCH!
NEXT UP: State Supreme Court seats in WISCONSIN, MICHIGAN, NORTH CAROLINA and more!
Donate today!
secure.actblue.com/donate/state...
NEXT UP: State Supreme Court seats in WISCONSIN, MICHIGAN, NORTH CAROLINA and more!
Donate today!
secure.actblue.com/donate/state...
Chip in!
Show your support with a contribution.
secure.actblue.com
November 11, 2025 at 1:19 AM
🎉 MAZEL TOV PENNSYLVANIA!! YOU KEPT ALL 3 DEFENDERS OF DEMOCRACY ON THE BENCH!
NEXT UP: State Supreme Court seats in WISCONSIN, MICHIGAN, NORTH CAROLINA and more!
Donate today!
secure.actblue.com/donate/state...
NEXT UP: State Supreme Court seats in WISCONSIN, MICHIGAN, NORTH CAROLINA and more!
Donate today!
secure.actblue.com/donate/state...
Reposted by Charles GetCovered-ba ✡️
@mohaveindv.bsky.social deleted their post blaming the Jews for buying off these Democrats and using our shady Jew money to coerce them into voting on cloture, but not before it was unironically reposted by 400 people.
I wonder why they decided to delete it?
I wonder why they decided to delete it?
November 10, 2025 at 5:07 PM
@mohaveindv.bsky.social deleted their post blaming the Jews for buying off these Democrats and using our shady Jew money to coerce them into voting on cloture, but not before it was unironically reposted by 400 people.
I wonder why they decided to delete it?
I wonder why they decided to delete it?
Reposted by Charles GetCovered-ba ✡️
Also, to be blunt, Qatari PAC money would benefit more from a government shutdown reopening than AIPAC coercing a shutdown opening.
@mohaveindv.bsky.social deleted their post blaming the Jews for buying off these Democrats and using our shady Jew money to coerce them into voting on cloture, but not before it was unironically reposted by 400 people.
I wonder why they decided to delete it?
I wonder why they decided to delete it?
November 11, 2025 at 1:05 AM
Also, to be blunt, Qatari PAC money would benefit more from a government shutdown reopening than AIPAC coercing a shutdown opening.
Reposted by Charles GetCovered-ba ✡️
I'm taking this personally, @kaine.senate.gov .
November 11, 2025 at 12:10 AM
I'm taking this personally, @kaine.senate.gov .
Reposted by Charles GetCovered-ba ✡️
For that matter, the ACA marketplaces literally allow you to “negotiate your own insurance” RIGHT NOW. That’s the whole point of having a marketplace: You can compare plans and pick the one you feel is the best value for your needs & budget.
November 11, 2025 at 12:20 AM
For that matter, the ACA marketplaces literally allow you to “negotiate your own insurance” RIGHT NOW. That’s the whole point of having a marketplace: You can compare plans and pick the one you feel is the best value for your needs & budget.
“Negotiating your own insurance” will result in everyone getting the dirt-cheapest junk plan which covers virtually nothing, because most people are terrible at risk assessment.
Trump: "I want the money to go into an account for people where they buy their own health insurance. It's so good. The insurance will be better. It'll cost less. Everybody is gonna be happy. They're gonna feel like entrepreneurs. They're actually able to go out & negotiate their own insurance"
November 11, 2025 at 12:13 AM
“Negotiating your own insurance” will result in everyone getting the dirt-cheapest junk plan which covers virtually nothing, because most people are terrible at risk assessment.
Reposted by Charles GetCovered-ba ✡️
“You don’t just flip a switch…” —Mike Johnson
It took them less than six months to pass a budget bill that gave billionaires permanent tax breaks and stripped away nearly $1T in Medicaid from Americans and ACA susbsidies.
Also notable — Trump starting issuing tariffs 10 days after being sworn in.
It took them less than six months to pass a budget bill that gave billionaires permanent tax breaks and stripped away nearly $1T in Medicaid from Americans and ACA susbsidies.
Also notable — Trump starting issuing tariffs 10 days after being sworn in.
Mike Johnson: "That's the reason the inflation is up, the cost of living is up so high -- because of the policies of the previous administration. Now, we're working to root those policies out and implement our own, but it takes a little time."
November 10, 2025 at 9:48 PM
“You don’t just flip a switch…” —Mike Johnson
It took them less than six months to pass a budget bill that gave billionaires permanent tax breaks and stripped away nearly $1T in Medicaid from Americans and ACA susbsidies.
Also notable — Trump starting issuing tariffs 10 days after being sworn in.
It took them less than six months to pass a budget bill that gave billionaires permanent tax breaks and stripped away nearly $1T in Medicaid from Americans and ACA susbsidies.
Also notable — Trump starting issuing tariffs 10 days after being sworn in.
Reposted by Charles GetCovered-ba ✡️
Before 2026, most Bronze Marketplace plans are not HDHPs. But starting in 2026, all Bronze Marketplace plans will be HDHPs, by definition: www.healthinsurance.org/blog/one-big... (also catastrophic plans, but those aren't subsidy-eligible).
One Big Beautiful Bill Act brings sweeping changes to health coverage
Five provisions of the One Big Beautiful Bill (OBBBA) Act take effect in 2025 and early 2026 and will significantly impact Medicaid enrollees, Marketplace consumers, and low-income immigrants. In this...
www.healthinsurance.org
November 10, 2025 at 10:57 PM
Before 2026, most Bronze Marketplace plans are not HDHPs. But starting in 2026, all Bronze Marketplace plans will be HDHPs, by definition: www.healthinsurance.org/blog/one-big... (also catastrophic plans, but those aren't subsidy-eligible).
Reposted by Charles GetCovered-ba ✡️
Here is my latest for @msnbc.com, on Trump's ill-advised concept of a plan for health care, which entails repealing the ACA, and redistributing private insurers' tax breaks to the people for what would essentially amount to an HSA, which is unhelpful if not wealthy. www.msnbc.com/opinion/msnb...
Opinion | Trump’s new plan for Obamacare leaves Americans to fend for themselves
We finally know what “concepts of a plan” looks like – and it’s not good.
www.msnbc.com
November 10, 2025 at 10:13 PM
Here is my latest for @msnbc.com, on Trump's ill-advised concept of a plan for health care, which entails repealing the ACA, and redistributing private insurers' tax breaks to the people for what would essentially amount to an HSA, which is unhelpful if not wealthy. www.msnbc.com/opinion/msnb...
So, we're fucked.
VAN SUSTEREN: Is the Republican healthcare solution going to go into effect at midnight on Dec. 31? Because people are gonna get sticker shock
MIKE JOHNSON: We have November and December to work on it
MIKE JOHNSON: We have November and December to work on it
November 10, 2025 at 9:34 PM
So, we're fucked.
The notebook in question.
November 10, 2025 at 9:34 PM
The notebook in question.
"This is all far from over."
--Dead Again (fun little thriller, btw)
--Dead Again (fun little thriller, btw)
Uniter
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
November 10, 2025 at 9:28 PM
"This is all far from over."
--Dead Again (fun little thriller, btw)
--Dead Again (fun little thriller, btw)
Reposted by Charles GetCovered-ba ✡️
Uniter
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
November 10, 2025 at 8:38 PM
Uniter
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
@jollygoodginger.bsky.social’s internal sources say 4 Rogue Senators are flippable on ACA-less Shutdown
Contact US Capitol 1-202-224-3121, www.senate.gov/senators/sen...
↓↓↓↓
1️⃣ @kaine.senate.gov (757) 518-1674
2️⃣ @rosen.senate.gov (702) 388-0205
3️⃣ @hassan.senate.gov
4️⃣ @shaheen.senate.gov
Let me guess:
"Sell across state lines!"
"Patient-centric healthcare!"
"Portability!"
Or, if you want to go REALLY old school: "Tort reform!"
"Sell across state lines!"
"Patient-centric healthcare!"
"Portability!"
Or, if you want to go REALLY old school: "Tort reform!"
Mike Johnson on the Republican healthcare plan: "We've got notebooks full of ideas."
November 10, 2025 at 9:21 PM
Let me guess:
"Sell across state lines!"
"Patient-centric healthcare!"
"Portability!"
Or, if you want to go REALLY old school: "Tort reform!"
"Sell across state lines!"
"Patient-centric healthcare!"
"Portability!"
Or, if you want to go REALLY old school: "Tort reform!"