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...
Thread: For the first time since June 2024 the Congressional Budget Office issued this week detailed baseline estimates for #Medicaid and for health insurance coverage. Here are a few takeaways: (1/x)
February 13, 2026 at 6:23 PM
Thread: For the first time since June 2024 the Congressional Budget Office issued this week detailed baseline estimates for #Medicaid and for health insurance coverage. Here are a few takeaways: (1/x)
Reposted by Edwin Park
Judge blocks Trump administration move to cut $600 million in HIV funding from states
www.latimes.com/politics/sto...
www.latimes.com/politics/sto...
Judge blocks Trump administration move to cut $600 million in HIV funding from states
A federal judge granted California and other states a temporary restraining order halting the administration's health funding cuts for 14 days while the litigation continues.
www.latimes.com
February 13, 2026 at 1:46 AM
Judge blocks Trump administration move to cut $600 million in HIV funding from states
www.latimes.com/politics/sto...
www.latimes.com/politics/sto...
Reposted by Edwin Park
👀Last year to grease the wheels of historic Medicaid cuts, the House Florida R delegation was told that the state would be able to rush in a request for a hospital payment arrangement and Trump CMS would approve it.
Apparently the feds have not followed thru.
www.floridatoday.com/story/opinio...
Apparently the feds have not followed thru.
www.floridatoday.com/story/opinio...
Florida’s stalled Medicaid plan is putting lives at risk
Florida hospitals warn that delayed CMS approval of the state’s Medicaid payment plan is pushing maternity, psych and pediatric care to the brink.
www.floridatoday.com
February 12, 2026 at 11:03 PM
👀Last year to grease the wheels of historic Medicaid cuts, the House Florida R delegation was told that the state would be able to rush in a request for a hospital payment arrangement and Trump CMS would approve it.
Apparently the feds have not followed thru.
www.floridatoday.com/story/opinio...
Apparently the feds have not followed thru.
www.floridatoday.com/story/opinio...
A number of states are pursuing large, irresponsible tax cuts even though they face significant cost-shifts from the federal government under the draconian #Medicaid and SNAP cuts in H.R. 1. That will make the resulting budget cuts at the state level harming low-income families even more damaging.
Combined, Senate Bills 476 and 477 would leave an estimated deficit of more than $6 Billion per year in Georgia - this is more the state spends on Medicaid, this is more than the state spends on Higher Education. This would put programs Georgia relies on at risk.
February 12, 2026 at 8:19 PM
A number of states are pursuing large, irresponsible tax cuts even though they face significant cost-shifts from the federal government under the draconian #Medicaid and SNAP cuts in H.R. 1. That will make the resulting budget cuts at the state level harming low-income families even more damaging.
Reposted by Edwin Park
NEW REPORT: States in 2026 can take inspiration from these 11 states + D.C., by tackling current challenges with bold revenue policies that support vital public investment & make life more affordable for working families. Here’s the rundown: www.cbpp.org/research/sta...
States That Raised Revenue Offer Brighter Roadmap for Others
To build forward and invest in a brighter future, states should avoid cutting taxes and follow the example of these revenue-raising states to fund public services that support affordability for famili...
www.cbpp.org
February 12, 2026 at 3:10 PM
NEW REPORT: States in 2026 can take inspiration from these 11 states + D.C., by tackling current challenges with bold revenue policies that support vital public investment & make life more affordable for working families. Here’s the rundown: www.cbpp.org/research/sta...
Reposted by Edwin Park
🚨 In which major insurer earnings reports confirm everything I've been warning about:
acasignups.net/26/02/11/whi...
acasignups.net/26/02/11/whi...
In which major Insurer earnings reports confirm everything I've been warning about
via Amy Lotven of Inside Health Policy: Key Insurers Expect To Lose Nearly 3M Combined ACA Enrollee By End Of 2026 Key publicly traded insurers reported in recent earnings calls that they expect to lo...
acasignups.net
February 11, 2026 at 6:15 PM
🚨 In which major insurer earnings reports confirm everything I've been warning about:
acasignups.net/26/02/11/whi...
acasignups.net/26/02/11/whi...
Reposted by Edwin Park
“.. Virtually all the employment growth in America, once again, can be explained by healthcare and social assistance.”
- @weisenthal.bsky.social #NFP
- @weisenthal.bsky.social #NFP
February 11, 2026 at 4:04 PM
“.. Virtually all the employment growth in America, once again, can be explained by healthcare and social assistance.”
- @weisenthal.bsky.social #NFP
- @weisenthal.bsky.social #NFP
Reposted by Edwin Park
Yikes here are the numbers for the past 12 months. Everything is pretty much dead except healthcare/social assistance. Note that healthcare growth is largely not about the business cycle -- it's about the aging of the population and more elderly people needing care.
February 11, 2026 at 1:47 PM
Yikes here are the numbers for the past 12 months. Everything is pretty much dead except healthcare/social assistance. Note that healthcare growth is largely not about the business cycle -- it's about the aging of the population and more elderly people needing care.
Health care was the one sector with employment growth in 2025 yet last year’s budget reconciliation law - H.R. 1 - cuts #Medicaid and the ACA Marketplaces by $1.1 trillion/10 years.
February 11, 2026 at 3:18 PM
Health care was the one sector with employment growth in 2025 yet last year’s budget reconciliation law - H.R. 1 - cuts #Medicaid and the ACA Marketplaces by $1.1 trillion/10 years.
Reposted by Edwin Park
The National Governors Association said it will no longer hold a formal meeting with Trump when governors are scheduled to convene in Washington later this month, after the White House planned to invite only Republican governors. apnews.com/article/trum...
Annual governors' gathering with White House unraveling after Trump excludes Democrats
The National Governors Association annual conference is unraveling after President Donald Trump did not invite some Democrats to events.
apnews.com
February 10, 2026 at 10:07 PM
The National Governors Association said it will no longer hold a formal meeting with Trump when governors are scheduled to convene in Washington later this month, after the White House planned to invite only Republican governors. apnews.com/article/trum...
Reposted by Edwin Park
“We have drastically higher rates of people dropping their coverage,” a state Affordable Care Act marketplace director tells KFF Health News.
Obamacare Sign-Ups Drop, but the Extent Won’t Be Clear for Months - KFF Health News
Experts say Affordable Care Act sign-up data won’t be clear until people who were enrolled have paid — or haven't paid — their new, often much higher, premiums.
kffhealthnews.org
February 10, 2026 at 5:54 PM
“We have drastically higher rates of people dropping their coverage,” a state Affordable Care Act marketplace director tells KFF Health News.
One of the goals of H.R. 1's draconian #Medicaid cuts was to deter the 10 non-expansion states from adopting it in the future like repealing the fiscal incentive for new expansion, restricting existing provider taxes in expansion states, and cutting state directed payments more in expansion states.
Trump's "Big Beautiful Bill" killed Medicaid expansion in Mississippi, lawmakers say.
It would've helped 300,000 people.
www.mississippifreepress.org/medicaid-exp...
It would've helped 300,000 people.
www.mississippifreepress.org/medicaid-exp...
Medicaid Expansion Dead in Mississippi Due to Trump Cuts, Top Republican Says
Mississippi won’t expand Medicaid this year because of federal Medicaid funding cuts under Trump’s Big Beautiful Bill.
www.mississippifreepress.org
February 10, 2026 at 5:34 PM
One of the goals of H.R. 1's draconian #Medicaid cuts was to deter the 10 non-expansion states from adopting it in the future like repealing the fiscal incentive for new expansion, restricting existing provider taxes in expansion states, and cutting state directed payments more in expansion states.
Reposted by Edwin Park
Congressional Republicans claimed "real" disabled people wouldn't be impacted by Medicaid cuts, and that lie is starting to play out in state budgets.
February 10, 2026 at 4:47 PM
Congressional Republicans claimed "real" disabled people wouldn't be impacted by Medicaid cuts, and that lie is starting to play out in state budgets.
Reposted by Edwin Park
The Trump administration plans to rescind $600 million in public health funds from four states led by Democrats because it finds the grants “inconsistent with agency priorities,” according to documents reviewed by the NYT
Gift link: www.nytimes.com/2026/02/09/h...
Gift link: www.nytimes.com/2026/02/09/h...
Trump Administration to Cut $600 Million in Health Funding From Four States
www.nytimes.com
February 9, 2026 at 11:09 PM
The Trump administration plans to rescind $600 million in public health funds from four states led by Democrats because it finds the grants “inconsistent with agency priorities,” according to documents reviewed by the NYT
Gift link: www.nytimes.com/2026/02/09/h...
Gift link: www.nytimes.com/2026/02/09/h...
From @commonwealthfund.org Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse www.commonwealthfund.org/publications...
Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse
Since 2005, nearly 200 rural hospitals have completely or partially closed, and over 400 — more than 20 percent of rural hospitals — are at risk of closure.
www.commonwealthfund.org
February 9, 2026 at 5:49 PM
From @commonwealthfund.org Why Rural Hospitals Are Facing a Funding Crisis — and How It Could Get Worse www.commonwealthfund.org/publications...
From my colleague @joanalker1.bsky.social Critical Threats to Child and Family Health Intensify in 2026: Here is What We are Watching at CCF ccf.georgetown.edu/2026/02/06/c...
Critical Threats to Child and Family Health Intensify in 2026: Here is What We are Watching at CCF
The policy landscape for child and family health has undergone a dramatic transformation following the passage of H.R. 1, the budget reconciliation bill known as the One Big Beautiful Bill Act, and re...
ccf.georgetown.edu
February 9, 2026 at 3:37 PM
From my colleague @joanalker1.bsky.social Critical Threats to Child and Family Health Intensify in 2026: Here is What We are Watching at CCF ccf.georgetown.edu/2026/02/06/c...
Lessons from TANF for what would happen if #Medicaid was converted to a block grant: increasingly inadequate federal funding over time, fewer people enrolled and many more low-income people uninsured, and lack of federal accountability/oversight once funding is capped: www.wsj.com/politics/pol...?
How a $30 Billion Welfare Program Became a ‘Slush Fund’ for States
Republicans and Democrats alike decry the lack of oversight for America’s famous antipoverty experiment.
www.wsj.com
February 9, 2026 at 3:26 PM
Lessons from TANF for what would happen if #Medicaid was converted to a block grant: increasingly inadequate federal funding over time, fewer people enrolled and many more low-income people uninsured, and lack of federal accountability/oversight once funding is capped: www.wsj.com/politics/pol...?
Reposted by Edwin Park
😡 OH DEAR GOD.
CSR funding was ELIMINATED by the TRUMP Admin in 2017 when HIS Justice Dept. chose NOT to appeal a court decision IN REPUBLICANS FAVOR.
Furthermore, *reinstating* CSR funding would RAISE net premiums on millions of ACA enrollees while only reducing them for a few hundred thousand.
CSR funding was ELIMINATED by the TRUMP Admin in 2017 when HIS Justice Dept. chose NOT to appeal a court decision IN REPUBLICANS FAVOR.
Furthermore, *reinstating* CSR funding would RAISE net premiums on millions of ACA enrollees while only reducing them for a few hundred thousand.
BASH: Can you give me one specific example of a solution the president has put forward that is lowering healthcare costs, beyond prescription drugs?
DR OZ: There's something called a CSR
DR OZ: There's something called a CSR
February 8, 2026 at 4:47 PM
😡 OH DEAR GOD.
CSR funding was ELIMINATED by the TRUMP Admin in 2017 when HIS Justice Dept. chose NOT to appeal a court decision IN REPUBLICANS FAVOR.
Furthermore, *reinstating* CSR funding would RAISE net premiums on millions of ACA enrollees while only reducing them for a few hundred thousand.
CSR funding was ELIMINATED by the TRUMP Admin in 2017 when HIS Justice Dept. chose NOT to appeal a court decision IN REPUBLICANS FAVOR.
Furthermore, *reinstating* CSR funding would RAISE net premiums on millions of ACA enrollees while only reducing them for a few hundred thousand.
Reposted by Edwin Park
“We measure the impact of increased immigration on mortality among elderly Americans, who rely on the immigrant-intensive [health care] sectors… [we find] striking effects on mortality: a 25% increase in the steady state flow of immigrants to the US would result in 5,000 fewer deaths nationwide.”
February 9, 2026 at 11:34 AM
“We measure the impact of increased immigration on mortality among elderly Americans, who rely on the immigrant-intensive [health care] sectors… [we find] striking effects on mortality: a 25% increase in the steady state flow of immigrants to the US would result in 5,000 fewer deaths nationwide.”
Reposted by Edwin Park
So about TrumpRx: We crunched the numbers today and about half of the drugs on there have cheaper generics available already. www.statnews.com/2026/02/06/t...
February 6, 2026 at 11:09 PM
So about TrumpRx: We crunched the numbers today and about half of the drugs on there have cheaper generics available already. www.statnews.com/2026/02/06/t...
Reposted by Edwin Park
CMS Administrator Oz gets a couple pretty important facts about rural health and the recent federal Rural Health Transformation Fund wrong in a recent video. ccf.georgetown.edu/2026/02/06/f...
Fact-Checking Dr Oz’ Claims About Rural Health Investments
CMS Administrator Mehmet Oz makes two statements in this short video that are not correct: Rural areas and small towns need assistance with health care affordability, quality and accessibility. The Ru...
ccf.georgetown.edu
February 6, 2026 at 8:04 PM
CMS Administrator Oz gets a couple pretty important facts about rural health and the recent federal Rural Health Transformation Fund wrong in a recent video. ccf.georgetown.edu/2026/02/06/f...
Reposted by Edwin Park
New, from me: Trump finalized his Schedule F policy, allowing him to remove job protections from career civil servants.
The new rule is dishonest and unmoored from reality in its effort to formalize the politicization of the federal government 🧵
donmoynihan.substack.com/p/trumps-sch...
The new rule is dishonest and unmoored from reality in its effort to formalize the politicization of the federal government 🧵
donmoynihan.substack.com/p/trumps-sch...
Trump's Schedule F Rule Finalized
A bizarro rule formally justifies politicizing public services
donmoynihan.substack.com
February 6, 2026 at 4:16 AM
New, from me: Trump finalized his Schedule F policy, allowing him to remove job protections from career civil servants.
The new rule is dishonest and unmoored from reality in its effort to formalize the politicization of the federal government 🧵
donmoynihan.substack.com/p/trumps-sch...
The new rule is dishonest and unmoored from reality in its effort to formalize the politicization of the federal government 🧵
donmoynihan.substack.com/p/trumps-sch...
New MACPAC data show the highly effective Medicaid Drug Rebate Program reducing gross Medicaid drug costs by 54.9% in FY 2024. Earlier Congressional Budget Office research found that Medicaid gets the lowest net prices of other federal programs/agencies even the VA: www.macpac.gov/publication/...
February 5, 2026 at 5:37 PM
New MACPAC data show the highly effective Medicaid Drug Rebate Program reducing gross Medicaid drug costs by 54.9% in FY 2024. Earlier Congressional Budget Office research found that Medicaid gets the lowest net prices of other federal programs/agencies even the VA: www.macpac.gov/publication/...
This week CMS issued guidance on how it will implement H.R. 1's cuts to #Medicaid state-directed payments to hospitals and other providers. My new blog takes a look. Key takeaways include CMS is planning a proposed rule that may include additional SDP restrictions: ccf.georgetown.edu/2026/02/04/n...
New CMS Guidance on H.R. 1’s Restrictions of State Directed Payments
On February 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued new guidance implementing section 71116 of H.R. 1 (the “One Big Beautiful Bill Act” or P.L. 119-21), which restricts stat...
ccf.georgetown.edu
February 4, 2026 at 6:11 PM
This week CMS issued guidance on how it will implement H.R. 1's cuts to #Medicaid state-directed payments to hospitals and other providers. My new blog takes a look. Key takeaways include CMS is planning a proposed rule that may include additional SDP restrictions: ccf.georgetown.edu/2026/02/04/n...
Reposted by Edwin Park
New 25-page @centeronbudget.bsky.social paper from me summarizing the distributional, fiscal, and economic effects of One Big Beautiful Bill's tax cuts and cuts to health care, food assistance, student loans, and climate investments. 🧵
www.cbpp.org/research/fed...
www.cbpp.org/research/fed...
Republican Megabill Trades Essential Support to Low-Income People for Skewed Tax Cuts
The sprawling megabill passed by the Republican-controlled Congress and signed by President Trump in July 2025 will redistribute trillions of dollars upward over the next decade, making it harder for ...
www.cbpp.org
February 3, 2026 at 2:52 PM
New 25-page @centeronbudget.bsky.social paper from me summarizing the distributional, fiscal, and economic effects of One Big Beautiful Bill's tax cuts and cuts to health care, food assistance, student loans, and climate investments. 🧵
www.cbpp.org/research/fed...
www.cbpp.org/research/fed...