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
Pinned
Edwin Park
@edwincpark.bsky.social
· Sep 19
Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained
Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with…
ccf.georgetown.edu
ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...
Reposted by Edwin Park
During the last major reduction in federal Medicaid spending, all states reduced spending on home care by serving fewer people, cutting benefits, or reducing payment rates.
States may use similar methods in the future: https://on.kff.org/48so73J
States may use similar methods in the future: https://on.kff.org/48so73J
November 22, 2025 at 4:00 PM
During the last major reduction in federal Medicaid spending, all states reduced spending on home care by serving fewer people, cutting benefits, or reducing payment rates.
States may use similar methods in the future: https://on.kff.org/48so73J
States may use similar methods in the future: https://on.kff.org/48so73J
Reposted by Edwin Park
maybe they can be shamed sometimes? www.politico.com/news/2025/11...
Trump admin backs off idea to force SNAP users to reapply
Officials will rely on state standards that are already in place to ensure eligibility, despite USDA chief Brooke Rollins’ comments last week.
www.politico.com
November 21, 2025 at 5:02 PM
maybe they can be shamed sometimes? www.politico.com/news/2025/11...
Reposted by Edwin Park
Secretary Kennedy, speaking to a bipartisan group of governors, has mixed up Medicare and Medicaid, and implied the people who will lose the latter are either unauthorized immigrants, dual eligible, or people who “don’t want to get a job.”
November 21, 2025 at 12:04 AM
Secretary Kennedy, speaking to a bipartisan group of governors, has mixed up Medicare and Medicaid, and implied the people who will lose the latter are either unauthorized immigrants, dual eligible, or people who “don’t want to get a job.”
Reposted by Edwin Park
The Trump Administration is abandoning plans for the biggest-ever cut to Social Security Disability Insurance, which would have hit older workers hardest.
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
Social Security scraps plan to limit disability benefits after uproar
The policy would have fundamentally altered who qualifies for the two federal disability programs by eliminating or limiting a person’s age as a factor to consider.
wapo.st
November 19, 2025 at 10:20 PM
The Trump Administration is abandoning plans for the biggest-ever cut to Social Security Disability Insurance, which would have hit older workers hardest.
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
The rule would have devastated up to 1.5 million workers' financial stability, retirement security & access to health care.
wapo.st/4o48J24
I also have a new blog on CMS guidance issued on Nov 14th indicating in part how CMS will implement H.R. 1's restrictions on state use of provider taxes to help finance their #Medicaid programs, which will shift costs to states and lead to damaging Medicaid cuts: ccf.georgetown.edu/2025/11/18/c...
CMS Issues New Guidance on H.R. 1’s Restrictions on State Use of Provider Taxes to Finance Medicaid
On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued new guidance with some new detail about how it will implement provisions in H.R. 1 — the budget reconciliation la…
ccf.georgetown.edu
November 18, 2025 at 7:18 PM
I also have a new blog on CMS guidance issued on Nov 14th indicating in part how CMS will implement H.R. 1's restrictions on state use of provider taxes to help finance their #Medicaid programs, which will shift costs to states and lead to damaging Medicaid cuts: ccf.georgetown.edu/2025/11/18/c...
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
Several Key Questions about Trump Administration’s Drug Pricing Deals and Their Impact on Medicaid Remain Unaddressed
On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new Center for Medicare and Medicaid Innovation (CMMI) model to implement pricing agreements with two drug ma…
ccf.georgetown.edu
November 18, 2025 at 7:13 PM
New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...
Reposted by Edwin Park
By moving to rescind the Biden Admin’s #PublicCharge rule, which largely restored long-standing policy after courts blocked a harmful rule put forward in the first Trump rule, the Administration is reigniting fear and confusion among people who are immigrants and their families.
November 18, 2025 at 2:02 AM
By moving to rescind the Biden Admin’s #PublicCharge rule, which largely restored long-standing policy after courts blocked a harmful rule put forward in the first Trump rule, the Administration is reigniting fear and confusion among people who are immigrants and their families.
Reposted by Edwin Park
The Trump administration today proposed to end a 2022 public charge policy that had given immigrants certainty about how this centuries old wealth test will apply to them.
It appears they are replacing it with chaos and only allowing 30 days for public comment
It appears they are replacing it with chaos and only allowing 30 days for public comment
NILC Statement on Trump’s New Attempt to Resurrect Harmful “Public Charge” Wealth Test
www.nilc.org
November 17, 2025 at 10:31 PM
The Trump administration today proposed to end a 2022 public charge policy that had given immigrants certainty about how this centuries old wealth test will apply to them.
It appears they are replacing it with chaos and only allowing 30 days for public comment
It appears they are replacing it with chaos and only allowing 30 days for public comment
Reposted by Edwin Park
Policy merits or demerits aside, it is logistically impossible to set up a brand new HSA scheme in the next six weeks. I suspect it could prove logistically impossible to execute in the next six months.
People are picking their plans for 2026 between now and January 15.
People are picking their plans for 2026 between now and January 15.
Cassidy pitches his alternative to extending extra ACA subsidies
Cassidy wants to replace enhanced ACA subsidies with payments to health savings accounts.
www.statnews.com
November 17, 2025 at 10:43 PM
Policy merits or demerits aside, it is logistically impossible to set up a brand new HSA scheme in the next six weeks. I suspect it could prove logistically impossible to execute in the next six months.
People are picking their plans for 2026 between now and January 15.
People are picking their plans for 2026 between now and January 15.
Reposted by Edwin Park
This summer's sweeping Republican reconciliation bill is poised to do a historic amount of harm. But it's also now handed state policymakers a historic opportunity of their own: championing revenues to mitigate harm for millions, show a better course, & advance a brighter future.
With the harmful Republican megabill shifting costs to states, lawmakers must raise new revenues and protect existing ones to safeguard health care, food assistance, and other vital services while building stronger, more equitable communities. www.cbpp.org/blog/states-...
States Must Prioritize Revenue to Support People and Communities in Wake of Harmful Republican Megabill
As states move closer to their 2026 legislative sessions, lawmakers nationwide are grappling with how to respond to fallout from recent federal policies, including this July’s harmful Republican...
www.cbpp.org
November 17, 2025 at 8:38 PM
This summer's sweeping Republican reconciliation bill is poised to do a historic amount of harm. But it's also now handed state policymakers a historic opportunity of their own: championing revenues to mitigate harm for millions, show a better course, & advance a brighter future.
Reposted by Edwin Park
Welker to Sen. John Barrasso on healthcare: "What I hear you saying is there's no plan, there's no bill." (Note that he doesn't try to refute her claim!)
November 16, 2025 at 4:00 PM
Welker to Sen. John Barrasso on healthcare: "What I hear you saying is there's no plan, there's no bill." (Note that he doesn't try to refute her claim!)
Reposted by Edwin Park
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com
November 16, 2025 at 3:34 PM
Food stamps are back, but millions will soon lose benefits permanently
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Even though the shutdown is over, the GOP’s signature tax and spending law is poised to kick people off the nation’s largest anti-hunger program.
www.politico.com/news/2025/11...
Reposted by Edwin Park
@kff.org released our 25th Annual Survey of state #Medicaid programs with lots of detailed information about state policy choices related to provider rates and taxes, benefit, delivery systems and prescription drugs. Check it out: www.kff.org/medicaid/50-...
A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes | KFF
This report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
www.kff.org
November 15, 2025 at 5:58 PM
@kff.org released our 25th Annual Survey of state #Medicaid programs with lots of detailed information about state policy choices related to provider rates and taxes, benefit, delivery systems and prescription drugs. Check it out: www.kff.org/medicaid/50-...
Evergreen: there has never been and never will be a credible Trump/GOP Congress plan to repeal & replace the ACA. The only plan has always been repealing/deeply cutting the ACA coverage expansions & cutting rest of #Medicaid to help pay for tax cuts for the wealthy. That’s what HR 1 did this summer
NEW: As health insurance bills rise, Republicans are still seeking an Obamacare alternative
There is no legislative product yet.
No consensus in the party about a plan.
But top GOP lawmakers and policy figures on Capitol Hill have begun discussing concepts.
www.nbcnews.com/politics/con...
There is no legislative product yet.
No consensus in the party about a plan.
But top GOP lawmakers and policy figures on Capitol Hill have begun discussing concepts.
www.nbcnews.com/politics/con...
As health insurance bills rise, Republicans are still seeking an Obamacare alternative
Premiums for millions of Americans in red and blue states are expected to more than double on average next year unless Congress finds a solution.
www.nbcnews.com
November 14, 2025 at 3:49 PM
Evergreen: there has never been and never will be a credible Trump/GOP Congress plan to repeal & replace the ACA. The only plan has always been repealing/deeply cutting the ACA coverage expansions & cutting rest of #Medicaid to help pay for tax cuts for the wealthy. That’s what HR 1 did this summer
Reposted by Edwin Park
Even though many reconciliation law provisions don’t take effect until FY 2027 or later, states are already preparing for budget pressures — leading to fewer provider rate increases relative to recent years and new restrictions on obesity drug coverage.
Details: https://on.kff.org/47TD1yr
Details: https://on.kff.org/47TD1yr
A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes | KFF
This report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
on.kff.org
November 13, 2025 at 7:44 PM
Even though many reconciliation law provisions don’t take effect until FY 2027 or later, states are already preparing for budget pressures — leading to fewer provider rate increases relative to recent years and new restrictions on obesity drug coverage.
Details: https://on.kff.org/47TD1yr
Details: https://on.kff.org/47TD1yr
Reposted by Edwin Park
New interactive map from @CenterOnBudget showing out-of-pocket premium increases in every congressional district due to premium tax credit enhancements expiring. Explore it here: www.cbpp.org/research/hea...
Marketplace Enrollees Across the Country Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended
Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...
www.cbpp.org
November 13, 2025 at 10:14 PM
New interactive map from @CenterOnBudget showing out-of-pocket premium increases in every congressional district due to premium tax credit enhancements expiring. Explore it here: www.cbpp.org/research/hea...
Reposted by Edwin Park
KFF's estimate that out-of-pocket ACA premiums will increase if enhanced tax credits expire by an average of 114% has been widely reported. But, it varies a lot, especially by income. Here's what increases look like in dollar terms -- from $378 at $18,000 to $1,836 at $45,000.
November 11, 2025 at 3:47 PM
KFF's estimate that out-of-pocket ACA premiums will increase if enhanced tax credits expire by an average of 114% has been widely reported. But, it varies a lot, especially by income. Here's what increases look like in dollar terms -- from $378 at $18,000 to $1,836 at $45,000.
Reposted by Edwin Park
As 22M people face rising premiums and 4M risk losing coverage, proposals to expand health savings accounts do nothing to make care affordable; extending premium tax credit enhancements would ensure enrollees continue to have access to care. www.cbpp.org/blog/expandi...
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.....
www.cbpp.org
November 11, 2025 at 5:18 PM
As 22M people face rising premiums and 4M risk losing coverage, proposals to expand health savings accounts do nothing to make care affordable; extending premium tax credit enhancements would ensure enrollees continue to have access to care. www.cbpp.org/blog/expandi...
Reposted by Edwin Park
The share of veterans enrolled in Medicaid varies across states, ranging from as low as 6% in North Dakota and New Hampshire to as high as 15% in Louisiana, Montana, New Mexico, and New York. https://on.kff.org/4p2i3Vl
November 11, 2025 at 5:25 PM
The share of veterans enrolled in Medicaid varies across states, ranging from as low as 6% in North Dakota and New Hampshire to as high as 15% in Louisiana, Montana, New Mexico, and New York. https://on.kff.org/4p2i3Vl
I would add that the most radical vision for Health Savings Accounts is one where HSAs are not tied to health insurance at all and the individual bears all the risk and is saving/paying for their own health care costs (instead of risk being pooled through public or private coverage).
November 11, 2025 at 2:46 PM
I would add that the most radical vision for Health Savings Accounts is one where HSAs are not tied to health insurance at all and the individual bears all the risk and is saving/paying for their own health care costs (instead of risk being pooled through public or private coverage).
In all the years I have worked in health policy GOP/conservative proposals always boil down to the same ideas: block grant/cap #Medicaid, Medicare premium support, unregulated individual health insurance markets and tax-favored accounts like Health Savings Accounts. So we’re back to HSAs this week.
November 11, 2025 at 1:07 PM
In all the years I have worked in health policy GOP/conservative proposals always boil down to the same ideas: block grant/cap #Medicaid, Medicare premium support, unregulated individual health insurance markets and tax-favored accounts like Health Savings Accounts. So we’re back to HSAs this week.
With talk of absurd GOP proposals to replace Marketplace tax credits with HSA contributions & require people to buy health services directly, this is just like a Project 2025 proposal to eliminate #Medicaid coverage & convert funding to vouchers/HSA contributions: ccf.georgetown.edu/2024/06/17/p...
November 10, 2025 at 10:29 PM
With talk of absurd GOP proposals to replace Marketplace tax credits with HSA contributions & require people to buy health services directly, this is just like a Project 2025 proposal to eliminate #Medicaid coverage & convert funding to vouchers/HSA contributions: ccf.georgetown.edu/2024/06/17/p...
Reposted by Edwin Park
Tell me you don’t understand risk pools without telling me you don’t understand risk pools
November 10, 2025 at 3:02 PM
Tell me you don’t understand risk pools without telling me you don’t understand risk pools
Reposted by Edwin Park
I asked Georgetown law prof David Super wtf is going on with this latest demand for states to claw back benefits already sent out.
He says the law doesn't allow for this, and if the USDA is mad that states already sent out SNAP money, too bad—they were following USDA's own guidance. Full comments:
He says the law doesn't allow for this, and if the USDA is mad that states already sent out SNAP money, too bad—they were following USDA's own guidance. Full comments:
November 9, 2025 at 4:19 PM
I asked Georgetown law prof David Super wtf is going on with this latest demand for states to claw back benefits already sent out.
He says the law doesn't allow for this, and if the USDA is mad that states already sent out SNAP money, too bad—they were following USDA's own guidance. Full comments:
He says the law doesn't allow for this, and if the USDA is mad that states already sent out SNAP money, too bad—they were following USDA's own guidance. Full comments:
Reposted by Edwin Park
BREAKING: Full November SNAP benefits to be issued by Trump administration despite shutdown. @statesnewsroom.com story:
Full November SNAP benefits to be issued by Trump administration despite shutdown
The U.S. Department of Agriculture told states Friday it was releasing full November funding for the nation’s major food assistance program that helps 42 million people afford groceries, complying wit...
www.newsfromthestates.com
November 7, 2025 at 7:51 PM
BREAKING: Full November SNAP benefits to be issued by Trump administration despite shutdown. @statesnewsroom.com story: