Dustin Pugel @dustinpugel.bsky.social · 11/09/2026With the news today about continued, elevated inflation, I think this chart is especially important when understanding the frustration workers are feeling. Workers are getting a smaller piece of the pie now than at any post-war period. www.reuters.com/business/us-... 011
Reposted by Dustin PugelKentucky Lantern @kentuckylantern.com · 05/08/2026Kentucky is still not building enough homes to bridge housing gap, says state housing director From @liamniemeyer.bsky.social kentuckylantern.com/2026/08/05/k...kentuckylantern.comKentucky is still not building enough homes to bridge housing gap, says state housing director • Kentucky LanternA director with the state housing corporation says Kentucky is still not building nearly enough homes across all incomes, but especially for lower-income people, to bridge the state’s large housing su... 1126
Dustin Pugel @dustinpugel.bsky.social · 28/07/2026Kentucky has one basic cash assistance program for kids in *extremely* low-income families. That program has become the target for benefit cuts in order to backfill other, underfunded programs. But those fund sweeps hurt kids, and may not save money in the long run. 100
Reposted by Dustin PugelEdwin Park @edwincpark.bsky.social · 27/07/2026New @georgetownccf.bsky.social blog from me on CMS's new proposed rule implementing H.R. 1's restrictions on state use of provider taxes financing #Medicaid. It explains how the rule again goes beyond H.R. 1 requirements to make cost-shifts to states even larger: ccf.georgetown.edu/2026/07/27/c...ccf.georgetown.eduCMS Issues New Rule Again Going Beyond H.R. 1 Requirements to Further Restrict State Use of Medicaid Provider TaxesOn July 21, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new proposed rule that would implement two of H.R. 1’s restrictions on states’ use of provider taxes to finance their shar... 0710
Reposted by Dustin PugelKyPolicy @kypolicy.bsky.social · 21/07/2026In this analysis, @dustinpugel.bsky.social looks at the critical need for increased investment from the General Assembly to preserve, and improve, access to these important services. kypolicy.org/more-kentuck...kypolicy.orgMore Kentuckians With Disabilities Need Care in Their Community Than the Legislature Has Funded - Kentucky Center for Economic PolicyFor tens of thousands of Kentuckians with an intellectual or developmental disability, or who are simply getting older and less able to care for themselves, Medicaid services provided at home and in t... 011
Reposted by Dustin PugelGovernor Andy Beshear @govandybeshear.bsky.social · 23/06/2026In the last few weeks, my administration received a number of calls and emails from Kentuckians concerned about painful cuts to Medicaid, behavioral health services and senior meals. These are very real and valid concerns that I want to address. Op-Ed: tinyurl.com/4tmhv2ms 43214
Dustin Pugel @dustinpugel.bsky.social · 23/06/2026FWIW - we talked about this last fall: kypolicy.org/aca-marketpl...kypolicy.orgCosts on Kentucky’s Health Insurance Marketplace Will Explode Without Quick Action From Congress - Kentucky Center for Economic PolicyFor the nearly 100,000 Kentuckians who signed up for plans on kynect this year, premium costs are on track to skyrocket. 000
Dustin Pugel @dustinpugel.bsky.social · 23/06/2026KY insurance companies are requesting between 16.9% and 21.2% increases in premiums on kynect (our health insurance marketplace) for next year. insurance.ky.gov/ppc/Ratefil/... These will change before they're final, but the impact of the expired tax credits on the risk pool is real. 100
Reposted by Dustin PugelEconomic Policy Institute @epi.org · 07/05/2026In the long run, the college degree is losing its edge: Unemployment for young college graduates has risen in historical terms, and the college wage premium has been flat or falling in recent years. 051
Dustin Pugel @dustinpugel.bsky.social · 05/05/2026A housing fund started with money from a breakfast. Advocates say it needs a bigger boost kentuckylantern.com/2026/05/04/a...kentuckylantern.comA housing fund started with money from a breakfast. Advocates say it needs a bigger boost • Kentucky LanternAdvocates and nonprofit builders see the Kentucky's Affordable Housing Trust Fund at a crossroads as the state faces a worsening housing shortage. 000
Reposted by Dustin PugelJason Bailey @jbaileyky.bsky.social · 16/04/2026Small changes to the state budget are being made today. ~30 more earmarks are added using rainy day $, universities lose bond $ but gain some of cut operating funds, & $67M previously earmarked for state worker wage compression gets diverted. Updated here: kypolicy.org/budget-agree...kypolicy.orgBudget Agreement Cuts and Freezes Funding for Most Services, Continues to Underfund Medicaid - Kentucky Center for Economic PolicyThe legislative chambers have agreed to a new two-year state budget (HB 500, later amended by SB 197) that includes 7% cuts to many state agencies. The agreement falls $691 million short of fully fund... 024
Dustin Pugel @dustinpugel.bsky.social · 15/04/2026A Sine Die Haiku: Tax cuts squeeze budget. Austerity in good times, What happens in bad? #sinediehaiku 010
Dustin Pugel @dustinpugel.bsky.social · 14/04/2026Kentucky's Department for Community Based Services is in trouble under the budget cuts in HB 500. Critical services that primarily benefit our most vulnerable children will be scaled back in a number of ways because of a 9.1% cut to DCBS's base funding. kypolicy.org/dcbs-cuts-in...kypolicy.orgBudget Cuts Will Harm Services That Benefit Children - Kentucky Center for Economic PolicyIn the final budget agreement, the legislature passed deep cuts to DCBS, which primarily exists to serve Kentucky’s most vulnerable kids. 010
Reposted by Dustin PugelElise Gould @elisegould.bsky.social · 03/04/2026Today's jobs report came in stronger than expected with an increase of 178,000 to payroll employment. However, much of the gain was a bounce back to February declines (now a loss of 133,000 jobs). As a result, average monthly growth the last two months was only 22,500 jobs. #NumbersDay #EconSky 1926088
Reposted by Dustin PugelElise Gould @elisegould.bsky.social · 13/03/2026Today, the BLS released the latest Job Openings and Labor Turnover Survey data for January: - Most measures experienced little to no change since December - Benchmark revisions indicate very small changes in originally reported data for December, little to no impact on trends #NumbersDay #EconSky 1115
Reposted by Dustin PugelReuters Legal @legal.reuters.com · 25/02/2026JUST IN: US judge rejects Trump policy allowing swift deportations to alternate countries reut.rs/4kUIv2d 111128
Reposted by Dustin PugelLarry Levitt @larrylevitt.bsky.social · 25/02/2026President Trump didn't mention at all in his SOTU the most significant changes to health care he and Republicans in Congress have engineered: the biggest Medicaid cuts ever, expiration of enhanced ACA premium subsidies, and scaling back recommended vaccines. 28734
Dustin Pugel @dustinpugel.bsky.social · 24/02/2026Lawmakers will be debating two consequential bills to Medicaid (which serves 1 in 3 Kentuckians) this week: HB 2 and the budget. Both of these seem aimed at big cuts to the program, primarily by covering even fewer than HR 1 does. But what's really going on with Medicaid funding?🧵 100
Reposted by Dustin PugelJoan Alker @joanalker1.bsky.social · 20/02/2026Our new brief explores how states can draw down federal dollars to finance the administrative costs of Medicaid work reporting requirements. Don't be misled by the $200 million in HR 1 -- this will cost taxpayers WAY more. Much of the $ will go to large vendors. ccf.georgetown.edu/2026/02/11/i...ccf.georgetown.eduImplementing Costly Medicaid Work Reporting Requirements: Who Will Foot the Bill?Introduction The budget reconciliation bill enacted in July 2025 (H.R. 1) includes two major changes to federal Medicaid law that will impose large implementation costs on most states. One mandates th... 033
Reposted by Dustin PugelAFL-CIO @aflcio.org · 18/02/2026Thanks to years of sustained organizing, nearly half a million workers unionized in 2025! In the face of relentless attacks on our jobs, our rights and our freedoms, working people are turning to the labor movement to fight back. bit.ly/4rlJfzJ 06523
Reposted by Dustin PugelJoan Alker @joanalker1.bsky.social · 07/02/2026Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts. Yet a rural hospital in Idaho is already on the brink and the fund won’t save them And this in Sen. Crapo Ch. Senate Finance Ctte’s home state www.eastidahonews.com/2026/01/perf...eastidahonews.com'Perfect storm': Why Teton Valley Health Care chose to lay off staff, close infusion clinic - East Idaho NewsDRIGGS — Facing difficult decisions as state and federal funding stalls, Teton Valley Health Care administrators made the decision to lay off dozens of employees and close an infusion clinic. In all, ... 024
Reposted by Dustin PugelKFF @kff.org · 27/01/2026Out-of-pocket spending — which doesn’t include how much people pay towards premiums — increased in 2024, averaging $1,632 per capita. See how the total out-of-pocket spending per capita compares over time adjusted for inflation to 2024: on.kff.org/4r7rQKA 0129
Reposted by Dustin PugelEdwin Park @edwincpark.bsky.social · 16/01/2026As promised, here's why the Trump Administration effort to withhold federal #Medicaid funding from Minnesota is so radical and unprecedented, as explained in this must-read blog by my Georgetown CCF colleague Andy Schneider: ccf.georgetown.edu/2026/01/16/c...ccf.georgetown.eduCMS Weaponizes Fraud Against Medicaid in MinnesotaOn January 6, 2026, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, sent a letter to the Governor of Minnesota, Tim Walz, notifying him that his state’s Medicaid agenc... 055
Reposted by Dustin PugelAdam Bonica @adambonica.bsky.social · 14/01/20261/ I recently wrote about Frances Perkins—FDR’s Labor Secretary and first woman cabinet member. She is best known as the architect of the New Deal but she had a lesser-known achievement: She dismantled her era’s version of ICE.🧵 3836561390
Dustin Pugel @dustinpugel.bsky.social · 08/01/2026I was curious about how this decline in federal employment in KY compared to other industries in the state. Here's the outcome: 000
Reposted by Dustin PugelKyPolicy @kypolicy.bsky.social · 08/01/2026Our analysis of the governor's budget proposal ⬇️⬇️⬇️ 001
Dustin Pugel @dustinpugel.bsky.social · 07/01/2026So these numbers get revised all the time, but at the moment it looks like Kentucky had roughly 2,800 fewer federal employees in November than in January. This is our first glimpse at federal employment after the deferred resignation program ended in September. 042
Reposted by Dustin PugelEconomic Policy Institute @epi.org · 11/12/2025😡 The Senate failure to extend ACA premium subsidies today threatens to throw 2 million people - the equivalent of the entire population of Nebraska - into poverty. Unlike the predominantly white population of Nebraska, it's people of color who stand to be hardest hit by this cruel inaction. 0910
Dustin Pugel @dustinpugel.bsky.social · 29/11/2025An investor called $140,000 the new poverty line. “Green wrote that he “felt sick” when he recently learned how HHS calculates the poverty line: three times the cost of food for a family in 1963, adjusted for inflation every year.“ wapo.st/4pySw6bwapo.stAn investor called $140,000 the new poverty line. Experts disagreed but said he had a point.Michael Green’s tally of the costs of raising a family in the U.S. today is going viral, even if some economists scoff at his math. 040
Reposted by Dustin PugelNPR @npr.org · 25/11/2025Immigrants make up a significant proportion of all the country's doctors. New policies are making it harder and less appealing for foreign-born physicians to come to the U.S.n.pr'Nobody wants to come': What if the U.S. can no longer attract immigrant physicians?Immigrants make up a significant proportion of all the country's doctors. New policies are making it harder and less appealing for foreign-born physicians to come to the U.S. 32710246
Reposted by Dustin PugelElina T. Page @elinatpage.bsky.social · 07/11/2025United States, November 2025. 211545
Dustin Pugel @dustinpugel.bsky.social · 06/11/2025New update on November SNAP benefits in Kentucky: 021
Reposted by Dustin PugelScott MacFarlane @macfarlanenews.bsky.social · 31/10/2025The US House of Representatives committee calendar for October 2025 It's .... quite something 931545562
Reposted by Dustin PugelJoe Sonka 😐 @joesonka.lpm.org · 31/10/20252 federal judges ruled nearly simultaneously that Trump must continue to fund SNAP using contingency funds during the government shutdown. One gave them until Monday to tell the court whether it will “authorize at least reduced SNAP benefits for November” and set a timeline for doing so.lpm.orgJudges order the Trump administration to use contingency funds for SNAP payments during the shutdownTwo federal judges ruled nearly simultaneously on Friday that President Donald Trump’s administration must continue to fund SNAP, the nation’s biggest food aid program, using contingency funds during ... 053
Reposted by Dustin PugelGideon Lukens @gidlukens.bsky.social · 29/10/2025Window shopping for 2026 ACA marketplace plans is open for almost all states, and open enrollment is only days away. Millions of marketplace enrollees are seeing 2026 premiums spike due to expiring premium tax credits. See our paper with state-level estimates: tinyurl.com/zndd97k7 21614
Reposted by Dustin PugelChris Geidner @chrisgeidner.bsky.social · 31/10/2025NEWS: The Trump admin's decision to suspend SNAP benefits due to the shutdown has been blocked. In two cases, both judges found the government action is likely illegal. Although a judge in Mass gave the admin until Monday to reverse course, a judge in Rhode Island issued a TRO from the bench today. 151412548
Dustin Pugel @dustinpugel.bsky.social · 30/10/2025Many Kentuckians to pay hundreds or even thousands more for health insurance next year - @lpm.org www.lpm.org/news/2025-10... 010
Dustin Pugel @dustinpugel.bsky.social · 24/10/2025We will be spending 50% more in federal money on a ballroom than we will on the necessary technology for all 50 states + DC to implement the work reporting requirement for Medicaid. The worse that reporting technology is, the more people will lose health coverage. 🤷♂️ 010
Reposted by Dustin PugelGeneral Board of Church and Society @umcjustice.bsky.social · 10/10/2025Our sign today: END THE SHUTDOWN SAVE HEALTHCARE #endtheshutdown #savehealthcare #umc #beumc 072
Dustin Pugel @dustinpugel.bsky.social · 15/10/2025Window shopping for health plans on kynect begins this week. Families and small businesses are in for some congress-made sticker shock. www.axios.com/2025/10/15/p...axios.comPremium increases hit home for millions amid ACA turmoilSticker shock could lead many Americans to conclude health coverage is out of reach. 000
Dustin Pugel @dustinpugel.bsky.social · 09/10/2025Just a quick note on the state of our safety net in KY: -Medicaid cuts will hit hard in coming years -kynect costs are about to spike -SNAP just became far more restrictive -WIC runs out of $ quickly during a shutdown -KTAP benefits were cut by >1/3 Its bleak for the poor rn. 000
Dustin Pugel @dustinpugel.bsky.social · 22/09/2025With enhanced health insurance subsidies coming to an end this year, premium costs are about to explode for Kentuckians who buy insurance on kynect... ...unless Congress acts in the coming weeks to extend them, which they absolutely should. kypolicy.org/aca-marketpl...kypolicy.orgCosts on Kentucky’s Health Insurance Marketplace Will Explode Without Quick Action From Congress - Kentucky Center for Economic PolicyFor the nearly 100,000 Kentuckians who signed up for plans on kynect this year, premium costs are on track to skyrocket. 100
Reposted by Dustin PugelNational Health Law Program @nhelp.bsky.social · 08/09/2025👏 Shoutout to @KyVoices4Health & @kypolicy for pushing back and making sure people know what’s at stake: our health care, our hospitals, and our communities. ✍️ Emily Beauregard @KyVoices4Health & Dustin Pugel @kypolicy.bsky.social Read more ➡️ www.kentucky.com/opinion/op-e...kentucky.comDon’t listen to politicians who say Big Beautiful Bill will save Medicaid | OpinionOpEd: The Big Beautiful Bill weakens Medicaid, straining our healthcare infrastructure, reducing access, and driving up costs for everyone. 085
Reposted by Dustin PugelKentucky Lantern @kentuckylantern.com · 03/09/2025Commentary by @dustinpugel.bsky.social and Emily Beauregard Supporters of Medicaid cuts have worked hard to sell a particular stereotype, painting pictures of young men somehow living high off their health insurance. But that certainly isn’t the case in KY. kentuckylantern.com/2025/09/03/m...kentuckylantern.comMake no mistake, Big Beautiful Bill weakens Medicaid • Kentucky LanternCuts coming to Medicaid will weaken the bedrock of Kentucky’s entire health care system. 1128
Dustin Pugel @dustinpugel.bsky.social · 28/08/2025Sure looks like the workers at Kentucky's largest battery plant is close to having a union. Nothing is certain yet, but the fact that there is this much support for organizing in our current environment is really amazing. kentuckylantern.com/2025/08/28/u...kentuckylantern.comUnion vote uncertain at Kentucky EV battery plant as ballots are challenged in tight election • Kentucky LanternUnited Auto Workers claim victory at EV battery plant in Kentucky, though final vote tally is uncertain with dozens of ballots being challenged. 000
Reposted by Dustin PugelThe Commonwealth Fund @commonwealthfund.org · 11/08/2025In 2025, where you live still matters to your health. Our state scorecard report tracks access, outcomes, and equity in all 50 states. View the 2025 Scorecard to see how your state ranked.bit.ly2025 Scorecard on State Health System PerformanceThe Commonwealth Fund 2025 Scorecard ranks states’ health care systems based on how well they provide high-quality, accessible, and equitable health care. 133
Reposted by Dustin PugelSarah Karlin-Smith @sarahkarlin-smith.bsky.social · 05/08/2025In pre-birthing classes etc. people are often told that labor can take awhile, you don't need to rush to hospital. My labor first went realllllllllly fast. I arrived at hospital about 10 minute drive away almost too far along to get an epidural. An hour earlier I wasn't even sure I was in labor. 173
Reposted by Dustin PugelNick Bednar @nicholasbednar.bsky.social · 01/08/2025As someone who relies heavily on government data for research (not BLS data per se), I am very worried that I am going to have a black box of omitted years in certain data sets. I have concerns with the quality of the data and it's going to take a lot of effort to validate it. 616944