Christen Linke Young
clinkeyoung.bsky.social
Christen Linke Young
@clinkeyoung.bsky.social
Reposted by Christen Linke Young
New from CBO: year-by-year health coverage effects of the "Big Beautiful Bill."

The law kicks 10 million off their health insurance (the difference between the orange and dotted blue line). It also does nothing to address the cliff from the blue to the green, for another 5 million losing coverage.
August 11, 2025 at 6:15 PM
Reposted by Christen Linke Young
The "one big beautiful bill," which would leave some 16m uninsured, is making people say some ugly things.

Sen. McConnell: "They'll get over it."

Sen. Ernst: "Well, we all are going to die."

CMS Administrator Oz: "Prove that you matter."
“I know a lot of us are hearing from people back home about #Medicaid. But they’ll get over it.”

No. No, we won't.
TOP in @punchbowlnews.bsky.social AM: The Senate GOP is advancing reconciliation swiftly. Majority Leader John Thune is prepared to bypass House concerns as divisions over Medicaid and SALT persist. President Trump is pressing for a bill by July 4. Full story:
punchbowl.news/article/sena...
June 24, 2025 at 8:30 PM
Reposted by Christen Linke Young
As long as GOPs are cutting Medicaid they figure why not gut Obamacare too talkingpointsmemo.com/news/senate-...
Senate Republicans Take The Attack On Obamacare To A New Level
House Republicans included massive cuts to federal social safety net programs, like...
talkingpointsmemo.com
June 20, 2025 at 11:48 PM
Reposted by Christen Linke Young
"...the US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect"

-- @mattafiedler.bsky.social www.healthaffairs.org/content/fore...
Taking Stock Of The Health Coverage Impacts Of The House Reconciliation Bill | Health Affairs Forefront
The US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect; the resulting increase would erase almost ...
www.healthaffairs.org
June 10, 2025 at 9:05 PM
Reposted by Christen Linke Young
Interestingly, CBO assumes that where abortion coverage is required, insurers wouldn't get ACA CSR payments and instead continue silver loading. So, in states that require abortion coverage, enrollees would actually get higher premium subsidies paid for by the federal government.
June 5, 2025 at 6:47 PM
CBO finds the House bill has $1 trillion in health care cuts and increases the uninsured by 16 million (w/other changes).

How big is this? Compared to 2017 ACA repeal bills, this is larger than "skinny repeal" and up to two thirds the size of full repeal.

Wow.
www.brookings.edu/articles/new...
June 4, 2025 at 8:34 PM
Reposted by Christen Linke Young
Increasing frequency of eligibility redeterminations, when many states are ill-equipped to use existing data sources to confirm ongoing eligibility, has the same effect: Eligible folks get paperworked out of coverage alongside those who have actually become ineligible.
The policy of work requirements is really a policy of work reporting requirement. This is nuanced distinction but very important. Inevitably, people who are engaged in work will lose healthcare coverage because they failed to properly document or report that activity. This, obviously, is bad.
4/8
June 3, 2025 at 8:07 PM
Reposted by Christen Linke Young
I want to emphasize that this is 18,000 avoidable deaths per year *of Medicare enrollees.*

They aren't in CBO's "uninsured" count — they're older people and folks with disabilities on Medicare who won't get extra financial help because of a proposed moratorium on a regulation.
CBO projects that House reconciliation bill will cause 1.38 million low-income Medicare beneficiaries to lose Medicaid coverage

We estimate that this will lead to over 18,000 avoidable deaths per year stemming from loss of drug subsidies

Link to our memo led by @pennldi.bsky.social:
bit.ly/4mwfcDA
May 24, 2025 at 12:21 PM
Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...
Understanding Marketplace "Silver Loading"
Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.
www.brookings.edu
May 22, 2025 at 1:14 AM
Reposted by Christen Linke Young
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
May 20, 2025 at 1:20 PM
Reposted by Christen Linke Young
Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
May 20, 2025 at 2:53 AM
Reposted by Christen Linke Young
House Republicans’ plan would take Medicaid from people who can’t meet burdensome work reporting rules, putting up to 14.4 million at risk of losing Medicaid coverage by 2034. State and district level estimates here: www.cbpp.org/research/hea...
Harsh Work Requirements in House Republican Bill Would Take Away Medicaid Coverage From Millions: State and Congressional District Estimates | Center on Budget and Policy Priorities
The House Republican reconciliation legislation currently under consideration in the Energy & Commerce Committee would take away health coverage and leave at least 8.6 million people uninsured as it c...
www.cbpp.org
May 14, 2025 at 1:57 PM
Reposted by Christen Linke Young
NEW at @thebulwark.com

Why the Republican Medicaid cuts are even worse than you've heard

www.thebulwark.com/p/gop-republ...
The GOP Medicaid Cuts Are a Big F*cking Deal
7.6 million newly uninsured, and that’s not even the whole story.
www.thebulwark.com
May 14, 2025 at 11:13 AM
Reposted by Christen Linke Young
Over the weekend, Congressional Republicans proposed portions of a budget reconciliation package that could make significant changes to Medicaid and the ACA.

If passed, nearly 14 million people could become uninsured by 2034.

More from @kff.org here: www.kff.org/policy-watch...
How Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate? | KFF
This analysis details the number of people who would become uninsured from policy changes in the ACA Marketplace and Medicaid. The Congressional Budget Office estimates that, taken together, these cha...
www.kff.org
May 13, 2025 at 6:14 PM
Staggering, extreme stuff from Energy and Commerce text this morning. Largest Medicaid cut in history; according to CBO nearly 14 million people become uninsured under this agenda. Heartbreaking and cruel.
May 12, 2025 at 2:09 PM
You may have heard talk about the reconciliation bill ending Marketplace "silver loading." I wrote about the big middle class premium increases that would cause - hypothetical couple earning $62K per year sees premiums increase by $350 per month. www.brookings.edu/articles/und...
Understanding Marketplace "Silver Loading"
Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.
www.brookings.edu
May 9, 2025 at 6:27 PM
Reposted by Christen Linke Young
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
April 17, 2025 at 12:33 PM
Reposted by Christen Linke Young
New: ACA enrollment has more than doubled since 2020, with the greatest growth in states won by President Trump. If enhanced premium aid is allowed to expire at the end of this year, those states will see big out-of-pocket premiums hikes and loss of health coverage.
www.kff.org/policy-watch...
April 2, 2025 at 1:33 PM
HHS career staff are truly the best in the business. Brilliant, humble, mission-driven public servants who have come to work everyday -- often for decades -- to hold our patchwork health system together. I'm heartbroken for them, and for the institution they serve.
April 2, 2025 at 1:28 PM
Looking forward to chatting with some of the very smartest people about prescription drug supply chains next week. Join us! www.brookings.edu/events/the-r...
The role of the US government in drug supply chain reliability
On April 10, Brookings will convene a discussion over the role of the U.S. government in drug supply chain reliability.
www.brookings.edu
March 31, 2025 at 7:06 PM
Hi Bluesky! Great to be here from my new seat, as a visiting Fellow @brookings.edu! My first post is up this morning, on why Medicare can and should finalize a policy to promote broad access to "lower cost" drugs on Medicare Part D formularies. www.brookings.edu/articles/med...
Medicare's recent actions to promote access to lower cost drugs
Christen Link Young explores how Medicare has and can continue to promote access to lower cost drugs through proposed CMS reforms.
www.brookings.edu
March 28, 2025 at 1:53 PM