In part 1 of this article, we discussed the history of and legal issues regarding the interstate sale of insurance and sec. 1333 of the ACA. In part 2 below, we outline our view of what sec. 1333 can ...

In his testimony, entitled "The 2026 Health Care Affordability Cliff and the Costs of Health Care Complexity," Levitis discussed how the Marketplace pr…

A key sticking point in ongoing negotiations to fund the government is upcoming reductions in the premium tax credit (PTC). While some claim that negotiation…

With consumers already seeing higher premiums from imminently expiring enhanced premium tax credits, federal policymakers will need to ensure that any plan c…

In his testimony, entitled "The 2026 Health Care Affordability Cliff and the Costs of Health Care Complexity," Levitis discussed how the Marketplace pr…

Amid the urgent debate over whether Congress will act to prevent cost increases for millions of people in 2026 marketplace plans, some Republicans are promoting expansions of health savings accounts.....

This piece highlights a striking example of pointless complexity in the US health care system: the 24 (or more) separate tax-preferred, account-based health spending arrangements. Part 1 surveys the l...

A key sticking point in the government shutdown debate is the upcoming reductions in the premium tax credit (PTC), particularly how the credit declines as in…

A key sticking point in the government shutdown debate is the upcoming reductions in the premium tax credit (PTC), particularly how the credit declines as in…

In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…

The US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect; the resulting increase would erase almost ...

The House of Representatives passed, and the Senate is now negotiating, a budget reconciliation bill that would impose federal funding cuts on Medicaid and the ACA Marketplaces.

An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...

Recent Federal Marketplace Proposal Imposes New Requirements for States and Consumers

Three key House moderates told The Hill on Wednesday that they are still not on board with the chamber’s budget resolution, even after President Trump endorsed it earlier in the day. Reps. David Va…

This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...

This study summarizes and analyzes perspectives on a potential Texas transition to an SBM, including risks and benefits, best practices to mitigate risks to coverage if Texas elects to establish an SB...

In this summary, we examine the expected distribution of enhanced PTCs among nonelderly people with incomes over 400 percent of FPL by age, income, and state. We use projected 2025 subsidized Marketpl...

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