Joan Alker
@JoanAlker1
ED of @georgetownccf and Research Professor GU’s @McCourtSchool of Public Policy; http://joanalker1.bsky.social
We can expect large Medicaid cuts to be disruptive to the small business sector of the economy because 1/3 of all Medicaid enrollees are connected to small businesses as our new report finds. Thanks to partners @SmlBizMajority ccf.georgetown.edu/2025/06/26/med…
A model for the nation? I don’t think so. As I note below Georgia’s Medicaid work requirement, now mandated in all states by Trumps budget bill, has been a shocking waste of taxpayer $$ generating corporate profit by keeping people out of coverage. abcnews.go.com/Health/georgia…
Congressional Republicans claimed they didn't want to "take coverage away from children" during debate on the Big Ugly Bill. Now Trump is ripping health care away from our youngest neighbors. I will intro a bill next week to keep these kids covered despite Trump's heartless and…
👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀 CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps will no longer be allowed
“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…
Our new @GeorgetownCCF and @GeorgetownCHIR explainer of the new budget bill is here: Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained ccf.georgetown.edu/2025/07/22/med… via @GeorgetownCCF
The 'One Big Beautiful Bill,' Now Law, Does Not Protect Rural Hospitals disq.us/t/4v3okro
"CBO never said that 4.8 million people were out of compliance with the proposed work requirements; they said that 4.8 million people would lose coverage because of the work requirements" @onceuponA kffhealthnews.org/MjA2MTMyNQ via @kffhealthnews
Explore this gift article from The New York Times. You can read it for free without a subscription. nytimes.com/2025/07/21/wel…
Babies and toddlers in the US -- bad news for you. Trump Isn’t Done Cutting Your Health Care thebulwark.com/p/trump-isnt-d…
“They literally said we weren’t going to touch Medicaid. And we touched a trillion dollars worth of Medicaid.” That's Republican Chip Roy -- via @NOTUSreports -- blowing up the big Trump/GOP lie on health care notus.org/congress/house…
New: Early reports from ACA insurers show the biggest premium increases in years, driven by: *An expected sicker pool of enrollees if enhanced premium tax credits are allowed to expire at the end of this year * Tariffs * Higher health care costs
New from @KFF on "rural health fund" added to get R votes for huge Medicaid cuts. -its short term; most cuts are backloaded -not targeted to rural areas -lack of transparency A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law kff.org/4235488/
This is quite the lede from @CitizenCohn. and quite the piece thebulwark.com/p/an-ignominio…
At least 17 million Americans would lose insurance under Trump plan wapo.st/44yyXlN
My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/tru…
We have not seen the final language but presume that the US Senate just voted 50-50 with Vance breaking the tie to pass the OBBB with over $1 trillion in Medicaid cuts. A sad day.
GOP negotiators looking at expanding the enhanced FMAP rate to at least three more states in addition to Alaska & Hawaii in order to pass muster with parliamentarian. Enhanced FMAP would be based on state population density and include North Dakota, South Dakota and Wyoming.…
New @CenterOnBudget analysis on the Scott Amendment—the “grandfathering” here is a mirage. “We estimate that after five years, only 8% of expansion enrollees would still be subject to the 90% matching rate, effectively phasing out the higher matching rate in only a few years.”
News: Sen. Rick Scott amendment lowering federal match for Medicaid expansion has been filed. Would be "grandfathering" in beneficiaries until 2030 at 90 percent match, lower state-specific rate kicks in in 2031. Cost savings of $313 billion full copy: cdn.sanity.io/files/ifn0l6bs…
Tillis: What do I tell 663,000 people in two years, three years, when President Trump breaks his promise by pushing them off of medicaid because the funding's not there anymore, guys? The people in the White House advising the president, they're not telling him that the effect…