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...
Reminder that there are a lot of unanswered questions about how these Most Favored Nation pricing deals will actually work in #Medicaid: ccf.georgetown.edu/2025/11/18/s...
December 19, 2025 at 7:24 PM
Reminder that there are a lot of unanswered questions about how these Most Favored Nation pricing deals will actually work in #Medicaid: ccf.georgetown.edu/2025/11/18/s...
Reposted by Edwin Park
AAP learned this week that seven grants to AAP under the U.S. Department of Health and Human Services are being terminated. The sudden withdrawal of these funds will directly impact and potentially harm infants, children, youth, and their families.
www.washingtonpost.com/health/2025/...
www.washingtonpost.com/health/2025/...
December 17, 2025 at 11:34 PM
AAP learned this week that seven grants to AAP under the U.S. Department of Health and Human Services are being terminated. The sudden withdrawal of these funds will directly impact and potentially harm infants, children, youth, and their families.
www.washingtonpost.com/health/2025/...
www.washingtonpost.com/health/2025/...
Reposted by Edwin Park
Consumer sentiment is down nearly 30% compared to a year ago according to the final UMich Surveys of Consumers report.
About 47% of consumers spontaneously mentioned that high prices are weighing down their personal finances. a year ago only 35% reported this
About 47% of consumers spontaneously mentioned that high prices are weighing down their personal finances. a year ago only 35% reported this
December 19, 2025 at 6:10 PM
Consumer sentiment is down nearly 30% compared to a year ago according to the final UMich Surveys of Consumers report.
About 47% of consumers spontaneously mentioned that high prices are weighing down their personal finances. a year ago only 35% reported this
About 47% of consumers spontaneously mentioned that high prices are weighing down their personal finances. a year ago only 35% reported this
Reposted by Edwin Park
@georgetownccf.bsky.social is hiring! We are looking for a Research Fellow (JD or MA required) to work on a new project tracking the implementation of Medicaid work reporting requirements. This will be a two year position.
Details available here: ccf.georgetown.edu/about-us/jobs/
Details available here: ccf.georgetown.edu/about-us/jobs/
Jobs
CCF is Hiring! Research Fellow The Georgetown University Center for Children and Families is seeking a legal/policy analyst for a new project focusing on state implementation of new federally-mandated...
ccf.georgetown.edu
December 16, 2025 at 11:17 PM
@georgetownccf.bsky.social is hiring! We are looking for a Research Fellow (JD or MA required) to work on a new project tracking the implementation of Medicaid work reporting requirements. This will be a two year position.
Details available here: ccf.georgetown.edu/about-us/jobs/
Details available here: ccf.georgetown.edu/about-us/jobs/
Reposted by Edwin Park
I want to raise a few issues with this ...
- The unemployment rate was 4.6% in Nov 2025.
- There are 982,000 more unemployed people in Nov 2025 than in Jan 2025.
- There are 271,000 fewer federal government employees.
- 982,000 > 271,000. More than 3 times more unemployed.
- The unemployment rate was 4.6% in Nov 2025.
- There are 982,000 more unemployed people in Nov 2025 than in Jan 2025.
- There are 271,000 fewer federal government employees.
- 982,000 > 271,000. More than 3 times more unemployed.
December 19, 2025 at 6:41 PM
I want to raise a few issues with this ...
- The unemployment rate was 4.6% in Nov 2025.
- There are 982,000 more unemployed people in Nov 2025 than in Jan 2025.
- There are 271,000 fewer federal government employees.
- 982,000 > 271,000. More than 3 times more unemployed.
- The unemployment rate was 4.6% in Nov 2025.
- There are 982,000 more unemployed people in Nov 2025 than in Jan 2025.
- There are 271,000 fewer federal government employees.
- 982,000 > 271,000. More than 3 times more unemployed.
The driving GOP leadership motivation for draconian #Medicaid cuts in H.R. 1 was always this: Medicaid is too big in their view and must be drastically cut back (even though that will make millions uninsured). All the false claims about fraud, undocumented immigrants, etc are just cover for that.
Scalise: "Does everybody in America want to be on Medicaid? That's what Democrats are doing."
December 18, 2025 at 3:22 PM
The driving GOP leadership motivation for draconian #Medicaid cuts in H.R. 1 was always this: Medicaid is too big in their view and must be drastically cut back (even though that will make millions uninsured). All the false claims about fraud, undocumented immigrants, etc are just cover for that.
Reposted by Edwin Park
Hey states: decouple. Before it’s too late.
Delaware will save more than $300M after federal tax decoupling takes effect
Delaware’s corporate tax revenue was at risk due to federal tax provisions passed in the “one big, beautiful bill.”
whyy.org
December 17, 2025 at 1:21 PM
Hey states: decouple. Before it’s too late.
Reposted by Edwin Park
BREAKING: Trump admin officially proposes new CMS rules to restrict trans health care for young people, including one that would change the conditions for hospitals to participate in Medicare/Medicaid by barring those that offer gender-affirming care to minors.
www.statnews.com/2025/12/18/t...
www.statnews.com/2025/12/18/t...
In major effort to end gender-affirming care, Trump administration takes aim at hospitals
The Trump administration intends to make its most forceful attempt yet at restricting gender-affirming care for transgender youth in the U.S.
www.statnews.com
December 18, 2025 at 2:54 PM
BREAKING: Trump admin officially proposes new CMS rules to restrict trans health care for young people, including one that would change the conditions for hospitals to participate in Medicare/Medicaid by barring those that offer gender-affirming care to minors.
www.statnews.com/2025/12/18/t...
www.statnews.com/2025/12/18/t...
Reposted by Edwin Park
Rep. Jim McGovern says 4 Republicans have signed the Democrats' discharge petition to extend ACA subsidies for 3 years. That vote could not happen until next year, so the Dems are trying a procedural move to get a vote today. Unclear how that will go. then there's still a filibuster block in Senate
December 17, 2025 at 3:17 PM
Rep. Jim McGovern says 4 Republicans have signed the Democrats' discharge petition to extend ACA subsidies for 3 years. That vote could not happen until next year, so the Dems are trying a procedural move to get a vote today. Unclear how that will go. then there's still a filibuster block in Senate
Reposted by Edwin Park
Ryan Mackenzie of Pennsylvania makes 218, likely forcing a House floor vote this week
December 17, 2025 at 3:05 PM
Ryan Mackenzie of Pennsylvania makes 218, likely forcing a House floor vote this week
Reposted by Edwin Park
GOP Rep. Mike Lawler has signed the Democratic discharge petition for a 3-year ACA funding extension.
He's the second Republican to do so.
Two more and it gets to 218.
Dam is breaking...
He's the second Republican to do so.
Two more and it gets to 218.
Dam is breaking...
December 17, 2025 at 2:55 PM
GOP Rep. Mike Lawler has signed the Democratic discharge petition for a 3-year ACA funding extension.
He's the second Republican to do so.
Two more and it gets to 218.
Dam is breaking...
He's the second Republican to do so.
Two more and it gets to 218.
Dam is breaking...
Reposted by Edwin Park
Without health care, private-sector job growth would be near zero.
December 16, 2025 at 3:44 PM
Without health care, private-sector job growth would be near zero.
Reposted by Edwin Park
Oh Well! Mike Johnson Says GOP Won’t Vote To Prevent ACA Costs From Skyrocketing
Oh Well! Mike Johnson Says GOP Won’t Vote To Prevent ACA Costs From Skyrocketing
Oh Well! Mike Johnson Says GOP Won’t Vote To Prevent ACA Costs From Skyrocketing
www.huffpost.com
December 16, 2025 at 4:39 PM
Oh Well! Mike Johnson Says GOP Won’t Vote To Prevent ACA Costs From Skyrocketing
Reposted by Edwin Park
House GOP moderates signal they’ll fall in line with Johnson’s health plan www.politico.com/news/2025/12...
House GOP moderates signal they’ll fall in line with Johnson’s health plan
Vulnerable members have agitated for a vote to extend Obamacare subsidies. But that appears unlikely to happen.
www.politico.com
December 16, 2025 at 3:00 AM
House GOP moderates signal they’ll fall in line with Johnson’s health plan www.politico.com/news/2025/12...
Reposted by Edwin Park
Q: At the end of this year, those extended Obamacare subsidies expire. What's your message to those 24m Americans who will see their premiums go up?
TRUMP: Don't make it sound so bad. Obviously you're a sycophant for Democrats. You're obviously a provider of bad news for Republicans.
TRUMP: Don't make it sound so bad. Obviously you're a sycophant for Democrats. You're obviously a provider of bad news for Republicans.
December 12, 2025 at 11:07 PM
Q: At the end of this year, those extended Obamacare subsidies expire. What's your message to those 24m Americans who will see their premiums go up?
TRUMP: Don't make it sound so bad. Obviously you're a sycophant for Democrats. You're obviously a provider of bad news for Republicans.
TRUMP: Don't make it sound so bad. Obviously you're a sycophant for Democrats. You're obviously a provider of bad news for Republicans.
So only provision directly related to ACA Marketplaces is one appropriating cost sharing reductions which would effectively reduce underlying subsidies for those with lower incomes and make even more people uninsured. Like Crapo-Cassidy nothing at all on extending the expiring enhanced credits.
Speaker Johnson is eying a vote on a health care package *next week*, per House Republican leadership aides. Underlying bill will include policies like codifying AHPs, approving CSRs, PBM transparency. (NO Crapo-Cassidy.)
Plus an amendment on extending ACA funds; no details yet.
Plus an amendment on extending ACA funds; no details yet.
December 12, 2025 at 10:25 PM
So only provision directly related to ACA Marketplaces is one appropriating cost sharing reductions which would effectively reduce underlying subsidies for those with lower incomes and make even more people uninsured. Like Crapo-Cassidy nothing at all on extending the expiring enhanced credits.
Reposted by Edwin Park
With marketplace premium spikes on the verge of hitting 20M+ people Jan. 1, House Speaker Johnson is reportedly considering a bill from Rep.Fitzpatrick with a 2-year extension of PTC enhancements. But the bill raises big concerns. www.politico.com/live-updates...
House Republicans weigh vote on Obamacare extension
GOP moderates are exploring a last ditch attempt to get a vote to extend expiring subsidies.
www.politico.com
December 12, 2025 at 7:23 PM
With marketplace premium spikes on the verge of hitting 20M+ people Jan. 1, House Speaker Johnson is reportedly considering a bill from Rep.Fitzpatrick with a 2-year extension of PTC enhancements. But the bill raises big concerns. www.politico.com/live-updates...
Reposted by Edwin Park
Get ready to learn a very wonky term: "effectuated enrollment." It's the number of people who sign up for ACA coverage or get auto-renewed and then pay their premiums. It's going to matter a lot if enhanced tax credits expire and people face an average increase in premium payments of 114%.
December 10, 2025 at 7:48 PM
Get ready to learn a very wonky term: "effectuated enrollment." It's the number of people who sign up for ACA coverage or get auto-renewed and then pay their premiums. It's going to matter a lot if enhanced tax credits expire and people face an average increase in premium payments of 114%.
Reminder GOP Congress/Trump could have easily extended enhanced Marketplace credits as part of H.R. 1. They ignored budget rules barring adding to deficits in future decades by asserting that "current policy" extensions of expiring tax cuts wouldn't count. Could have done the same with the credits.
December 10, 2025 at 4:04 PM
Reminder GOP Congress/Trump could have easily extended enhanced Marketplace credits as part of H.R. 1. They ignored budget rules barring adding to deficits in future decades by asserting that "current policy" extensions of expiring tax cuts wouldn't count. Could have done the same with the credits.
Like the Senate Crapo/Cassidy plan House GOP "ideas" don't include extending enhanced Marketplace credits at all. Proposals like appropriating cost-sharing reductions and codifying Trump Admin rules would further hike premium costs for those with lower incomes and further deter participation.
New: House Speaker Mike Johnson presented Republican members with a list of 10 options to address health care costs, two sources told NOTUS.
None of them involved extending ACA subsidies.
https://www.notus.org/congress/mike-johnson-health-care-cost-suggestions-aca-subsidies
None of them involved extending ACA subsidies.
https://www.notus.org/congress/mike-johnson-health-care-cost-suggestions-aca-subsidies
Mike Johnson Skips ACA Subsidies in Plans to Tackle Health Care Costs
The speaker’s ideas to lower health care costs include “innovation,” according to a photo of the slide shared with NOTUS.
www.notus.org
December 10, 2025 at 3:50 PM
Like the Senate Crapo/Cassidy plan House GOP "ideas" don't include extending enhanced Marketplace credits at all. Proposals like appropriating cost-sharing reductions and codifying Trump Admin rules would further hike premium costs for those with lower incomes and further deter participation.
This plan doesn't extend the expiring enhanced Marketplace credits at all & instead contributes $ to HSAs for enrollees who may not even have HSAs & can't use that $ for premiums. By appropriating cost-sharing reductions, it further lowers underlying credit amounts & raises premium costs even more.
Thune says Republicans will hold a vote on the Cassidy-Crapo health care plan Thursday as a counterproposal to Dems three-year extension of ACA tax credits
December 9, 2025 at 7:53 PM
This plan doesn't extend the expiring enhanced Marketplace credits at all & instead contributes $ to HSAs for enrollees who may not even have HSAs & can't use that $ for premiums. By appropriating cost-sharing reductions, it further lowers underlying credit amounts & raises premium costs even more.
Reposted by Edwin Park
A few thoughts on new Medicaid work req guidance from CMS
Topline it says v. little so states remain in a bind with huge demands and little guidance to go on.
But some takeaways:
1. Confirms that states will have access to 90/10 fed match for new IT systems (vendors are 😀).
🧵
Topline it says v. little so states remain in a bind with huge demands and little guidance to go on.
But some takeaways:
1. Confirms that states will have access to 90/10 fed match for new IT systems (vendors are 😀).
🧵
The Trump Administration has released preliminary guidance on mandatory Medicaid work requirements. We will read and share thoughts soon here and on our website ccf.georgetown.edu
medicaid.gov/federal-poli...
medicaid.gov/federal-poli...
medicaid.gov
December 8, 2025 at 11:05 PM
A few thoughts on new Medicaid work req guidance from CMS
Topline it says v. little so states remain in a bind with huge demands and little guidance to go on.
But some takeaways:
1. Confirms that states will have access to 90/10 fed match for new IT systems (vendors are 😀).
🧵
Topline it says v. little so states remain in a bind with huge demands and little guidance to go on.
But some takeaways:
1. Confirms that states will have access to 90/10 fed match for new IT systems (vendors are 😀).
🧵
Reposted by Edwin Park
Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance | The United States Senate Committee on Finance
[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance
www.finance.senate.gov
December 9, 2025 at 12:29 AM
Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance | The United States Senate Committee on Finance
[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance
www.finance.senate.gov
December 9, 2025 at 12:29 AM
Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
Senate Republican health "plan" doesn't extend expiring enhanced Marketplace premium credits at all. Just $ for Health Savings Accounts while cutting federal #Medicaid $ for states using their own funds to cover undocumented immigrants & prohibiting Medicaid coverage of gender affirming care (1/2)
December 8, 2025 at 6:36 PM
Senate Republican health "plan" doesn't extend expiring enhanced Marketplace premium credits at all. Just $ for Health Savings Accounts while cutting federal #Medicaid $ for states using their own funds to cover undocumented immigrants & prohibiting Medicaid coverage of gender affirming care (1/2)