Elisabeth Wright Burak
@ewburak
Research faculty, health policy @georgetownccf. DMV Arkansan. @umich sports leanings, Hogs❤️1st. Tweets on: Medicaid/CHIP + interesting (to me) miscellany.
“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…
Babies and toddlers in the US -- bad news for you. Trump Isn’t Done Cutting Your Health Care thebulwark.com/p/trump-isnt-d…
👀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
New paper in this month's Health Affairs, with HBS PhD student extraordinaire (link in next tweet): We show that Medicaid managed care has shifted substantially over time from a program dominated by local insurers to one dominated by national for-profit insurers.
We have a moral obligation to our children to protect them from completely preventable but potentially deadly or debilitating illnesses by training their immune system to fight said illnesses.
We have a moral obligation to our children to Make America Healthy Again.
Reversing about 3/4ths of the coverage gains since the ACA
For those who haven't been closely following how many people will lose health insurance from Republican actions: CBO projects 11.8 million more uninsured from the Big Bill. An additional 5.1 million uninsured from allowing ACA tax credits to expire and administrative actions.
“When it comes to low-income families, there is always this argument they should have to work harder to demonstrate their worthiness.” My colleague Jen Wagner in NYT piece on how Republican bill takes health cvg & SNAP away by tangling folks in red tape. nytimes.com/2025/06/29/ups…
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…
"Red tape for thee, tax cuts for me" That's a big part of how you end up with a bill largely transferring resources from the lowest- to the highest-income households nytimes.com/2025/06/29/ups…
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.
Worth Repeating: Pregnant Women, Infants, Young Children are NOT Protected in Proposed Medicaid cuts ccf.georgetown.edu/2025/07/01/wor… via @GeorgetownCCF
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…
Medicaid: A Lifeline for Women’s Health Across the Lifespan @georgetownCCF ccf.georgetown.edu/2025/06/30/med… via @GeorgetownCCF
This effectively repeals Medicaid expansion in only a few years. New analysis here: cbpp.org/research/medic…
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…
It’s remarkable how much of the debate about Medicaid cuts is now about hospitals and a rural hospital fund to placate critics and appear to soften the blow, not the millions of people who will lose coverage or find it unaffordable. Some will lose SNAP benefits at the same time.
Latest from @EdwinCPark Congressional Budget Office Confirms Senate Republican Reconciliation Bill’s Medicaid Cuts Are More Draconian than the House-Passed Bill ccf.georgetown.edu/2025/06/29/con… via @GeorgetownCCF
The House didn't hold hearings on the big budget bill, but I go to the Capitol when it was up for committee votes--in Energy & Commerce, in Budget, in Rules. I would have in the Senate, but they have held *zero* committee meetings--it's all been backroom dealing, and still is.
In a shocking dereliction of duty the leadership of the U.S. Senate - the so-called “world’s greatest deliberative body” - released text at midnight last night for the “OBBB” allegedly to start debate at noon today. Medicaid cuts remain extremely draconian.
So true Sen. Tillis. So states will cut Medicaid, education etc.
TILLIS, who says he is a NO on the megabill barring further Medicaid changes, told us last night - “Trust me when I tell you, my Republican colleagues and leadership of the legislature are not going to raise taxes to fill the gap, and even if they could, the number is too…
NEW: Group of Louisiana hospitals is out with a statement warning Medicaid cuts in Senate GOP’s bill “would be historic in their devastation” Says House version is “a more workable solution” LA Sen. Cassidy recently raised concerns w/ Senate’s cuts. And of course it’s the home…
👀Our new report finds Medicaid is a key insurer for small business workers and their families. This is a pretty astounding finding especially as the denominator is all Medicaid enrollees which includes seniors and people with disabilities. ccf.georgetown.edu/2025/06/26/med…