BIG attention grabber from Wakely, which says the marketplaces will shrink 47-57% if tax credits expire and reconciliation changes are made. wakely.com/blog/future-of…

Really stellar summary by Katie Keith (part 1/3) of the final Marketplace Integrity rule posted on Friday, including a discussion of unusual large temporary changes in HHS policy likely motivated to create more reconciliation bill savings

My Health Affairs latest covers the health care developments in the Republican budget bill - from last-minute changes on Friday to today's parliamentarian rulings: healthaffairs.org/content/forefr… tl;dr: the bill (still) includes devastating cuts to Medicaid, the ACA, and much more.

A dozen states have "trigger" laws that would require cutbacks if the match is reduced...

Back at you Jonathan Cohn!

Thune has endorsed the Scott Medicaid amendment--which would effectively lower the FMAP for the Obamacare expansion population over time. His state has a constitutional amendment requiring it to keep covering the population regardless. nytimes.com/2025/04/06/ups…

News: The Senate Parliamentarian has officially declared that the provision to 'defund' Planned Parenthood can stay in reconciliation The bill currently says that PP, and other similar organizations, will not be able to receive federal funds for one year after the law is enacted

The Senate has just passed what amounts to the biggest health reform plan since the ACA, rolling back many of the health insurance coverage increases achieved by the ACA.

“By one estimate, the potential increase in the number of people uninsured, both through Republican actions and inaction, would erase almost three-quarters of the gains in coverage from the Affordable Care Act.” Larry Levitt KFF nytimes.com/2025/07/01/opi…

Mayors sue over Trump administration rules restricting ObamaCare enrollment trib.al/IKv5hld

As House Republicans consider the budget bill, here's some of what the Senate version would do: -12m uninsured people -$1,000,000,000,000+ cut from Medicaid -Higher health care costs -Erodes reproductive care nationwide More here for Health Affairs: healthaffairs.org/content/forefr…

This news comes < 2 weeks since the Supreme Court's decision in Braidwood Management and < 1 week since Dan Gorenstein and Tradeoffs previewed the possibility that Sec. Kennedy would reshape the US Preventive Services Task Force (as he has with ACIP): tradeoffs.org/2025/07/03/sup…

In her new #Crossroads article, Katie Keith of O'Neill Institute discusses how the One Big Beautiful Bill Act (OBBBA) will significantly roll back and fundamentally reshape access to health coverage and care in America, and also result in higher health care costs and red tape for

We’re suing the Trump Admin over an unlawful final rule increasing insurance premiums, shortening healthcare enrollment periods, and more. President Trump and Secretary Kennedy are doing their best to make it harder and more expensive for Americans to obtain health insurance and

My latest for Health Affairs covers the twists and turns in No Surprises Act litigation and the impact on the arbitration process. For more on the court cases, the latest data, and expert perspectives on IDR, join today's Health Policy Briefing! healthaffairs.org/content/forefr…

New publication from the Center for Health Policy and the Law! Andrew J. Twinamatsiko, Katie Keith, and Sarah Wetter address arguments over the Dormant Commerce Clause. oneill.law.georgetown.edu/publications/s…