There's been a lot of discussion about some of the later provisions in the bill, such as Medicaid work requirements. But some of the rule changes have already happened or will happen this fall when people are enrolling in coverage for 2026.

90 days. That's how long until close to 20 million households get notices that their health insurance is going up, way up, by an average of more than 75%. Even those without ACA subsidies will see the raw cost of insurance up around 15%. Expect a 4-alarm fire this fall. From me:

CBO now says there will be 10m more uninsured from the “OBBB”. But the estimate of 4.2m uninsured from the enhanced ACA tax credits expiring at the end of the year stands. So we are looking at 14+ million more uninsured over 10 yrs unless that changes.

Spoke to Jen Kates about long-term PrEP as a game-changer in the worldwide fight against HIV -- and whether we're going to blow the opportunity because the Trump administration has pulled so far back on global aid thebulwark.com/p/we-are-fumbl… (1)

65% of Medicaid beneficiaries say the new tax and spending law will hurt them. From our latest tracking poll: kff.org/medicaid/poll-….

With growing interest in what will happen if enhanced ACA premium tax credits are allowed to expire at the end of this year, we have a calculator that estimates increased costs by zip code, income, and age. kff.org/interactive/ho…

Prior-auth may be the pre-x of today. Most see it as a big problem for them. Few think the recently announced voluntary initiative to curb it will amount to much. Our latest tracking poll: kff.org/patient-consum…

Of course you do!

I told a couple yesterday (60+, $85K Income) that their insurance would be going up $2K next year. That went well. This is going to get real ugly, real fast.

Millions could lose insurance, many more millions could see higher insurance premiums It's yet another big debate about the ACA, another big argument over whether gov't spending on health care is worthwhile Today we break it down at The Bulwark (link in thread)

Note that the cost of extending ACA subsidies would be a fraction of what the new GOP tax cuts cost I.e., this is a pretty clear test of priorities thebulwark.com/p/a-massive-he…

More background here from Cynthia Cox and the team at KFF healthsystemtracker.org/brief/individu…

Roy Cooper as Governor led the charge for Medicaid expansion, which boosted NC’s rural hospitals and covered more than 600k No idea how much it will help his Senate bid, but that’s a pretty big accomplishment for which he can rightly take a lot of credit huffpost.com/entry/north-ca…

It sure seems like health care is going to be a big part of Roy Cooper's campaign. He expanded Medicaid under the ACA in North Carolina in a bipartisan compromise with Republicans in the state legislature.

Today, CMS is expected to announce Medicare Part D projected premiums, along with next steps for the Medicare Part D premium stabilization demo. The demo, launched last year, was instrumental in lowering Part D premiums for 2025. kff.org/medicare/issue…

A reminder that more health care hiring generally equals higher health care costs.