Sarah Lueck
@sarahl202.bsky.social
VP for Health Policy at the Center on Budget and Policy Priorities. DSM native and @WSJ alumna. Views expressed here are mine. she/her
With many people already seeing higher rates & open enrollment starting Nov 1, congressional R leaders & President Trump should work w/ Ds to reach an agreement now. Action has already been delayed too long.
October 14, 2025 at 9:19 PM
With many people already seeing higher rates & open enrollment starting Nov 1, congressional R leaders & President Trump should work w/ Ds to reach an agreement now. Action has already been delayed too long.
The pressure continues to mount for Congress and the Trump admin to address rising health care premiums for marketplace plans. The harm is already hitting, as people look at what they'll pay for 2026 — much higher, often unaffordable, costs. bsky.app/profile/gidl...
Georgia’s 2026 ACA marketplace window shopping began October 1, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Georgia will face a $24,900 increase in annual premiums. (1/4)
October 14, 2025 at 9:19 PM
The pressure continues to mount for Congress and the Trump admin to address rising health care premiums for marketplace plans. The harm is already hitting, as people look at what they'll pay for 2026 — much higher, often unaffordable, costs. bsky.app/profile/gidl...
Yesterday, Speaker Johnson seemed wistful about Republicans’ failed 2017 effort to repeal the #ACA (the law that originally created the credits). “...It’s a great frustration of mine and it’s always been of President Trump’s,” he said. x.com/sahilkapur/s...
Sahil Kapur on X: "I asked @SpeakerJohnson if he wants to repeal Obamacare. Here’s his full 5+ minute response. https://t.co/mfw1Mtilla" / X
I asked @SpeakerJohnson if he wants to repeal Obamacare. Here’s his full 5+ minute response. https://t.co/mfw1Mtilla
x.com
October 14, 2025 at 9:19 PM
Yesterday, Speaker Johnson seemed wistful about Republicans’ failed 2017 effort to repeal the #ACA (the law that originally created the credits). “...It’s a great frustration of mine and it’s always been of President Trump’s,” he said. x.com/sahilkapur/s...
Rep. Scalise, a member of R leadership, came out against an extension and said 90% of his House R colleagues share that view. x.com/elwasson/sta...
Erik Wasson on X: "SCALISE takes hard line against extending ACA subsidies. Calls Obamacare a “sink hole”. Says answer is association health plans and HSA accounts" / X
SCALISE takes hard line against extending ACA subsidies. Calls Obamacare a “sink hole”. Says answer is association health plans and HSA accounts
x.com
October 14, 2025 at 9:19 PM
Rep. Scalise, a member of R leadership, came out against an extension and said 90% of his House R colleagues share that view. x.com/elwasson/sta...
Speaker Johnson cast new doubt on Friday about the prospects for stopping the premium shock by extending premium credit enhancements, saying “if there is even any version of a reform that could find consensus and pass” www.politico.com/live-updates...
Mike Johnson raises fresh doubts about an Obamacare compromise
The speaker questioned whether there is “any version of a reform that could find consensus and pass.“
www.politico.com
October 14, 2025 at 9:19 PM
Speaker Johnson cast new doubt on Friday about the prospects for stopping the premium shock by extending premium credit enhancements, saying “if there is even any version of a reform that could find consensus and pass” www.politico.com/live-updates...
But most people in the U.S. already have far too much skin in the game when it comes to health costs. To improve health care access and affordability, it’s critical to secure an extension of premium tax credit enhancements and build from there.
October 14, 2025 at 1:16 PM
But most people in the U.S. already have far too much skin in the game when it comes to health costs. To improve health care access and affordability, it’s critical to secure an extension of premium tax credit enhancements and build from there.
Even as some Republicans say they are willing to negotiate on premium credit enhancements, but some only want a deal if the lowest income people pay higher costs. Sen. Thune said these folks should “have some skin in the game.” x.com/JakeSherman/...
Jake Sherman on X: ""There are reforms that need to be made. There should be income limits. There shouldn't be any premium free policies. Everybody should have some skin in the game. They ought to restructure it so it's not being payments made from the federal government to insurance companies who" / X
"There are reforms that need to be made. There should be income limits. There shouldn't be any premium free policies. Everybody should have some skin in the game. They ought to restructure it so it's not being payments made from the federal government to insurance companies who
x.com
October 14, 2025 at 1:16 PM
Even as some Republicans say they are willing to negotiate on premium credit enhancements, but some only want a deal if the lowest income people pay higher costs. Sen. Thune said these folks should “have some skin in the game.” x.com/JakeSherman/...
Even small premium amounts can mean the difference between having coverage and going uninsured. For people with low incomes (around $16K-$22K/year for an individual),having to pay a premium, plus copays and other costs, adds affordability challenges and red tape. bsky.app/profile/nico...
Without PTC enhancements, enrollees with the lowest incomes would face monthly premiums for benchmark silver plans. Even small costs can force them to choose between having health coverage and affording necessities like food and housing.
Marketplace Enrollees Rely on Enhanced Premium Tax Credits for Affordable Health Coverage | Center on Budget and Policy Priorities
Click on a state to hear a marketplace Navigator or enrollee talk about what it would mean if Congress does not act to extend the enhanced premium tax credits, which otherwise expire at the end of Dec...
www.cbpp.org
October 14, 2025 at 1:16 PM
Even small premium amounts can mean the difference between having coverage and going uninsured. For people with low incomes (around $16K-$22K/year for an individual),having to pay a premium, plus copays and other costs, adds affordability challenges and red tape. bsky.app/profile/nico...
Just 0.6% of people receiving premium credits make more than 800% of the poverty level (or about $125K for an individual). That’s far short of $600K & federal spending on credits for people with somewhat higher incomes is miniscule. This is not a tax benefit for wealthy people.
September 17, 2025 at 4:06 PM
Just 0.6% of people receiving premium credits make more than 800% of the poverty level (or about $125K for an individual). That’s far short of $600K & federal spending on credits for people with somewhat higher incomes is miniscule. This is not a tax benefit for wealthy people.
Enhanced PTCs are set to expire, raising costs for marketplace enrollees unless Congress acts. Self employed people, gig workers, early retirees, and low-wage workers are among those who will face steep hikes; some will end up uninsured. www.cbpp.org/research/hea...
Premium Tax Credit Improvements Must Be Extended to Prevent Steep Rise in Health Care Costs | Center on Budget and Policy Priorities
Improvements to premium tax credits, enacted in the American Rescue Plan and extended by the Inflation Reduction Act, have helped nearly 20 million people afford health coverage in the Affordable...
www.cbpp.org
July 21, 2025 at 9:41 PM
Enhanced PTCs are set to expire, raising costs for marketplace enrollees unless Congress acts. Self employed people, gig workers, early retirees, and low-wage workers are among those who will face steep hikes; some will end up uninsured. www.cbpp.org/research/hea...
The law also deeply cuts eligibility across all major health coverage programs for most categories of immigrants living lawfully in the U.S.
July 21, 2025 at 9:41 PM
The law also deeply cuts eligibility across all major health coverage programs for most categories of immigrants living lawfully in the U.S.
The new law will take Medicaid away from people enrolled via the expansion if they don't meet a work requirement, harming parents, ppl w/ disabilities, and those with chronic illnesses. Protected groups and working people will lose coverage due to red tape www.cbpp.org/research/hea...
Senate Bill Expands Medicaid Work Requirements to Include Some Parents, Would Take Away Coverage From Millions: State and Congressional District Estimates | Center on Budget and Policy Priorities
The Senate Finance Committee released a bill that would make the harsh Medicaid work requirements in the House bill even more damaging by extending them to parents of children over age 14.The Senate.....
www.cbpp.org
July 21, 2025 at 9:41 PM
The new law will take Medicaid away from people enrolled via the expansion if they don't meet a work requirement, harming parents, ppl w/ disabilities, and those with chronic illnesses. Protected groups and working people will lose coverage due to red tape www.cbpp.org/research/hea...
The R health plan renders roughly 15M people uninsured by 2034: 10M due to health cuts in the legislation, 4.2M because the legislation failed to extend expiring improvements to marketplace premium tax credits; and more marketplace losses under Trump Admin rule changes
July 21, 2025 at 9:41 PM
The R health plan renders roughly 15M people uninsured by 2034: 10M due to health cuts in the legislation, 4.2M because the legislation failed to extend expiring improvements to marketplace premium tax credits; and more marketplace losses under Trump Admin rule changes
As the Senate continues its debate, let’s hope Senators weighing how the bill will impact their constituents do the math and that House members (some of whom thought the Senate would reduce the harm of the bill) do too.
June 29, 2025 at 7:45 PM
As the Senate continues its debate, let’s hope Senators weighing how the bill will impact their constituents do the math and that House members (some of whom thought the Senate would reduce the harm of the bill) do too.