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Jennifer Sullivan

@jenniferlsullivan.bsky.social
290 followers 133 following 135 posts

Senior Policy Advisor, Insurance Markets & Regulation @familiesusa. Long-time ACA enrollment enthusiast. Aspiring Bake Off champion. Views expressed are my own.

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Jennifer Sullivan @jenniferlsullivan.bsky.social · 23/09/2026
The Trump administration removing 750k+ from coverage is part of a larger pattern. Allowing premium subsidy enhancements to expire, putting up new administrative barriers to enrollment, and eliminating subsidy eligibility for many all amount to fewer Americans with affordable health coverage.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 10/09/2026
This giveaway gimmick wouldn’t help the people it’s aimed at, and it *really* wouldn’t help the millions of marketplace enrollees who qualify for subsidies but are still struggling, nor the growing number of people who have dropped coverage because it’s no longer affordable and are now uninsured.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 05/08/2026
This. Is. Only. Going. To. Get. Worse. The coverage losses have only just begun. Unless the H.R. 1 Medicaid and ACA cuts are reversed and the PTC enhancements are restored, we are unfortunately going to be reading more headlines like this for a very long time. www.nytimes.com/2026/07/30/b...
nytimes.com
Uninsured Patients Rise Sharply, Hospitals Report, Citing Obamacare Cuts
More people who lost coverage after congressional Republicans ended enhanced federal subsidies are now seeking care in emergency rooms and unable to pay bills.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 03/08/2026
Name one other product where anyone would suggest with a straight face that a decline in sales following a 58% price increase *isn't* due to the prices. kffhealthnews.org/medicaid/aca...
kffhealthnews.org
Kennedy, Oz Contend Fraud Crackdown, Not Skyrocketing Prices, Led Millions To Leave Obamacare - KFF Health News
Rising premiums forced many people in Affordable Care Act plans to give up their coverage. But the Trump administration claims a huge drop in enrollment is almost entirely due to its fraud crackdown.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 29/07/2026
Affordability matters. Just ask New Mexico. www.kff.org/affordable-c...
kff.org
How Has ACA Marketplace Enrollment Changed Across States in 2026? | KFF
Following several years of rapid enrollment growth in the Affordable Care Act (ACA) Marketplaces that corresponded with temporary enhanced premium tax credits, enrollment fell for the first time in se...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 28/07/2026
Having trouble keeping track of all the news on the ACA marketplace litigation front this summer? My new blog unpacks some of the recent victories that help protect people from the administration’s harmful agenda: familiesusa.org/resources/re...
familiesusa.org
Recent Court Rulings Offer Critical Protections for ACA Marketplace Enrollees - Families USA
Enrollment is down in 2026 largely because Congress let enhanced premium tax credits expire — a decision that more than doubled 2026 premiums.
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Reposted by Jennifer Sullivan
Gideon Lukens @gidlukens.bsky.social · 20/07/2026
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 17/07/2026
[527536-sharp-kitchen-knife]. (This is an account access post for Bluesky; followers please ignore!)
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 17/07/2026
Such good news (couldn’t we all use a little of that?)! 👏🏻
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 12/06/2026
Republicans have identified yet *another* way to increase ACA marketplace premiums and make hundreds of thousands more people uninsured. "Funding CSRs" actually equates to higher premiums for many people *plus* more people becoming uninsured. My colleague @gidlukens.bsky.social explains. ⬇️
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Gideon Lukens @gidlukens.bsky.social · 03/06/2026
Yesterday, @DrOzCMS falsely claimed that the ACA marketplace is full of “phantom” enrollees, referencing a number presumably pulled from Paragon paper that repeats the same flawed and thoroughly debunked analysis as its previous iterations. tinyurl.com/5n6cz7da
tinyurl.com
Setting the Record Straight on Premium Tax Credit Enhancements
Enhancements to premium tax credits (PTCs) cut out-of-pocket premiums by more than half, on average, for over 20 million Affordable Care Act (ACA) marketplace enrollees, making health care more...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 26/05/2026
My colleague @nicolerapfogel.bsky.social and have a new blog on the final ACA marketplace rule for 2027, which weakens consumer protections and pushes people towards lower-quality plans that put them at risk of higher out-of-pocket costs. www.cbpp.org/blog/new-fin...
cbpp.org
New Final Rule Pushes Marketplace Enrollees Toward Lower-Quality, More Expensive Coverage
A new Affordable Care Act marketplace rule finalized by the Centers for Medicare & Medicaid Services adds to the burdens of millions of people in the United States who are already struggling to afford...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 01/05/2026
My colleague @claireheyison.bsky.social asks some smart questions about Oklahoma's transition--today--from a federally-run ACA marketplace to a state-based marketplace (still operating on HealthCare.gov). ⬇️
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Claire Heyison @claireheyison.bsky.social · 27/04/2026
When Marketplace enrollees filed their taxes this spring, they may not have realized it’d be the last year with key financial protections in place. Starting next year, they’ll face higher taxes due to the Republican megabill. www.cbpp.org/blog/marketp...
cbpp.org
Marketplace Enrollees Could Face Surprise Tax Increases Next Year Thanks to the Republican Megabill
Eliminating the APTC repayment caps is expected not only to reduce marketplace enrollment over time but also to raise premium costs for those who remain enrolled.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 22/04/2026
This report on 17 state-based ACA marketplaces confirms what we've been expecting: loss of PTC enhancements and higher premiums in 2026 is driving disenrollment and shifts to plans w/lower premiums but higher deductibles and cost sharing. statemarketplacenetwork.org/state-market...
statemarketplacenetwork.org
State Marketplace Network: Enrollment Snapshot - State Marketplace Network
State-based Marketplaces (SBMs) are closely monitoring enrollment patterns this year as markets shift alongside significant policy changes over the past year, including the expiration of federal enhan...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 15/04/2026
My colleague @claireheyison.bsky.social unpacks a new analysis showing that marketplace enrollees are paying more and getting less following the expiration of PTC enhancements and implementation of parts of the republican megabill.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/04/2026
I was out last week. Maybe you were, too? ICYMI, great recap from my colleague @nicolerapfogel.bsky.social of what we learned from the recent CMS #ACA marketplace open enrollment data published the week before last. 👇
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Sarah Lueck @sarahl202.bsky.social · 27/03/2026
#ACA marketplace signups are down, and many people are paying higher costs and getting skimpier coverage, according to new federal data. A major reason: Republicans in Congress and the Trump Administration let premium tax credit enhancements expire. www.cms.gov/files/docume...
cms.gov
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
Since the ACA was enacted, tens of millions of people have gained coverage through the marketplaces. Instead of building on this progress, federal policy changes by Republicans and the Administration are making it harder and more expensive for people to get the health care they need.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
And at a time when the enrollment process is getting more complicated, the Administration has slashed funding for enrollment assistance in states that use HealthCare.gov by 90%, making it harder for people to get free, unbiased help. tradeoffs.org/2025/11/06/t...
tradeoffs.org
The Quiet Cuts Making ACA Enrollment Harder
Higher premiums and penalties have made shopping for Obamacare plans more confusing this year. Navigator programs, a resource for consumers, lost about 90% of federal funding across more than two doze...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
Last year’s Republican megabill + federal rule changes are increasing red tape this year and will even more in the next 2 years, making it harder for people to enroll and likely driving healthier folks away from the marketplace (which leads to higher overall premiums). www.cbpp.org/research/hea...
cbpp.org
Five Key Changes to ACA Marketplaces Amid Uncertainty Over Premium Tax Credit Enhancements
Recent policy changes, most notably enhancements to premium tax credits to reduce enrollees’ health insurance premiums, have driven record-breaking enrollment gains and delivered reduced costs, simpli...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
Meanwhile the Trump Administration is considering rule changes that would allow plans with even higher deductibles and reduced protection from high out-of-pocket costs. Some marketplace plans wouldn’t even have a provider network under a proposed change. chir.georgetown.edu/whats-worse-...
chir.georgetown.edu
What’s Worse than a Ghost Network Plan? A No-Network Plan | Center on Health Insurance Reforms
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
Congress and the Administration failed to extend critical financial help in 2025, so most enrollees are paying far higher premiums in 2026. Enrollment is down by >1 M in early data & higher premiums are driving ppl to plans that will require them to pay more for care. www.kff.org/public-opini...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 27/03/2026
This week’s 16th anniversary of the #ACA marks an unfortunate turning point for ACA marketplaces: More people are likely to go uninsured because of affordability concerns and many will face higher health costs, as federal policy decisions that increase premiums and red tape take hold.
A horizontal bar graph from KFF showing that 80% of returning marketplace enrollees report higher health care costs and that many enrollees are not confident they can afford premiums all year.
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Sarah Lueck @sarahl202.bsky.social · 23/03/2026
Today marks the 16th anniversary of the #ACA. The law covers record numbers of people in #Medicaid and the marketplaces, bans insurer discrimination against people with health conditions, and helps millions afford their health costs. Unfortunately this is all now at risk.
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Peggy Bailey @peggybaileydc.bsky.social · 25/02/2026
Real talk - the first year of the Trump Administration has made it HARDER for families to afford the basics. #CBPPSOTU
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Sarah Lueck @sarahl202.bsky.social · 25/02/2026
Even as President Trump talks up his health proposals, key decisions he has already made are making care unaffordable for millions. Federal policies he backed will leave some 15M uninsured. If they stood in a line, it would reach from Chicago to Buenos Aires. #CBPPSOTU
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 23/02/2026
New piece from my colleague @nicolerapfogel.bsky.social on why HSAs are more that just a bad deal for people with low incomes -- they can actually be harmful.
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Nicole Rapfogel @nicolerapfogel.bsky.social · 13/02/2026
On the heels of expired PTC enhancements that resulted in 1 million—and counting—fewer people enrolling in #ACA marketplace plans for 2026, CMS released a proposed rule for 2027 that would reduce marketplace enrollment by 2 million people in 2027 alone. @claireheyison.bsky.social explains:
cbpp.org
CMS Proposed Rule Would Reduce ACA Marketplace Enrollment by 2 Million People
February 09, 2026: A new proposed rule from the Centers for Medicare and Medicaid Services (CMS) to make broad changes to the Affordable Care Act (ACA) marketplaces would reduce marketplace enrollment...
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Shelby Gonzales @shelbytgonzales.bsky.social · 12/02/2026
Dear Mom and Dad: on this Valentine’s Day, I want to thank you with all my heart for all the love and support you have given to me and the confidence you instilled in me as you shared your dreams of what is possible in this great nation. #ToImmigrantsWithLove
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 05/02/2026
#ACA marketplace plan selections are down by more than a million people as of late January, but coverage losses will almost certainly be higher. And the harm stemming from Congressional Republicans' failure to extend PTC enhancements goes much deeper than coverage loss. More in my blog post below.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 29/01/2026
New KFF poll results: Health care is a top affordability worry, and two-thirds of those surveyed say Congress did the wrong thing not extending the ACA marketplace premium tax credit enhancements. www.kff.org/public-opini...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 26/01/2026
Excellent thread from my colleague @zoeneuberger.bsky.social on why WIC is so critical for the health of new and expecting parents and young children. Check out the full paper for all the details!
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Gideon Lukens @gidlukens.bsky.social · 15/01/2026
President Trump’s one-page health care plan not only fails to extend enhanced premium tax credits (PTCs), more than doubling out-of-pocket premiums on the ACA marketplace. It also cuts PTCs even further by changing how existing cost-sharing reductions are funded. (1/3) tinyurl.com/37x7wbcz
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Brendan Duke @brendanvduke.bsky.social · 13/01/2026
This “affordability” framework for a second reconciliation bill (i.e. a “Second Big Beautiful Bill”) follows the same structure as its predecessor: 1.)Making it harder for Americans to afford health care, food & groceries. 2.)Tax cuts for rich people. 🧵
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 08/01/2026
Speed and simplicity are paramount. Premiums are due this month. Given the delay in addressing this problem, there is no time for complicated changes. Extending the PTC enhancements is a common-sense solution with bipartisan support and should be enacted without delay. www.cbpp.org/blog/how-to-...
cbpp.org
How to Evaluate Proposals to Address Expiring Premium Tax Credit Enhancements
As proposals claiming to address expiring PTC enhancements continue to surface, they should be evaluated based on the extent to which they: 1) preserve existing coverage levels and avoid leaving more ...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 08/01/2026
The Senate has an opportunity now to address affordability in a meaningful way that will help millions of families, small business owners, young adults, and workers who can’t afford (or aren’t offered) employer coverage.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 08/01/2026
Extending PTC enhancements would help millions of people who otherwise would face massive premium spikes afford marketplace coverage as well as other essentials like groceries and rent that working families are struggling to pay. www.cbpp.org/research/hea...
cbpp.org
Marketplace Enrollees In Every Congressional District Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended
Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 08/01/2026
In December, although a nearly identical bill did not meet the 60-vote threshold to overcome the filibuster in the Senate, a majority of Senators supported it, and pressure to enact an extension has grown in recent weeks as people have received January invoices for skyrocketing premiums.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 08/01/2026
The House passed a measure today to extend the Premium Tax Credit enhancements for three years. The bipartisan vote shows there’s strong support for immediate action to make millions of people’s health care more affordable. All eyes are now on the Senate. x.com/JakeSherman/...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/01/2026
Passing a clean extension ASAP is the simplest and best way to protect health coverage affordability for people who get their coverage from the ACA marketplaces. www.cbpp.org/blog/how-to-...
cbpp.org
How to Evaluate Proposals to Address Expiring Premium Tax Credit Enhancements
As proposals claiming to address expiring PTC enhancements continue to surface, they should be evaluated based on the extent to which they: 1) preserve existing coverage levels and avoid leaving more ...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/01/2026
The House bill would extend the enhancements for 3 years, ensuring the 20 million+ ppl who rely on PTCs can maintain access to affordable coverage that allows them to get the care they need and shields them from medical debt.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/01/2026
Other people are choosing not to enroll at all, because without the PTC enhancements, there simply isn’t an affordable option. It will be months before final enrollment data are available, but millions of people are projected to lose coverage. www.cbo.gov/publication/...
cbo.gov
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/01/2026
#OpenEnrollment is still underway in every state (except ID). People are deciding now about what they can afford w/o the enhancements. Some are choosing less generous plans than last year, with higher deductibles and other costs b/c it’s now all they can afford. www.nbcnews.com/health/healt...
nbcnews.com
With Obamacare premium hikes, more people opting for no coverage or cheaper plans
Early state data reflects signs of financial strain for people who can’t afford to pay hundreds of dollars more in monthly premiums once enhanced federal subsidies expire at the end of the year.
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 06/01/2026
This week, the House is expected to vote on a bill to extend the Premium Tax Credit enhancements. This would reduce 2026 premiums for the average #ACA marketplace enrollee by more than half, improving affordability for millions of people struggling with health costs. www.cbpp.org/research/hea...
cbpp.org
Marketplace Enrollees In Every Congressional District Face Steep Premium Increases Unless Tax Credit Enhancements Are Extended
Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...
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Center on Budget and Policy Priorities @centeronbudget.bsky.social · 18/12/2025
"As more than 20M people face imminent spikes in their health care premiums, House Republicans passed a bill today that does nothing to address this health care affordability crisis." - @sharonparrott.bsky.social Full statement on House Republican health care bill: www.cbpp.org/press/statem...
cbpp.org
Congressional Republicans Fail to Help Millions Afford Health Care
Congressional Republicans could have followed through on their promises to help families afford the basics by extending the premium tax credit enhancements to help them enroll in affordable, comprehen...
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 16/12/2025
While they are very different bills, the points below also apply to the health bill the House Republicans will offer for a vote tomorrow. In the meantime, 20 million people face skyrocketing premiums in less than three weeks if the premium tax credit enhancements are allowed to expire.
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Nicole Rapfogel @nicolerapfogel.bsky.social · 16/12/2025
The House Republicans’ response to expiring premium tax credit enhancements simply doesn’t respond to expiring PTC enhancements. Instead, they recycle old Republican policy priorities and do nothing to address the impending marketplace affordability crisis.
cbpp.org
House Republican Health Care Bill Fails to Address Marketplace Affordability
The health bill House Republicans are preparing to bring to the floor this week not only fails to prevent imminent premium spikes for more than 20 million people in marketplace plans, but would raise....
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Center on Budget and Policy Priorities @centeronbudget.bsky.social · 11/12/2025
This week is critical for health coverage affordability. CBPP’s @jenniferlsullivan.bsky.social breaks down what’s at stake as Congress votes on extending premium tax credit enhancements & the 3 key dates marketplace enrollees need to know when choosing 2026 coverage: www.youtube.com/watch?v=6QY5...
youtube.com
3 Key Dates to Keep in Mind When Choosing Your Health Coverage Plan for 2026
YouTube video by Center on Budget and Policy Priorities
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Jennifer Sullivan @jenniferlsullivan.bsky.social · 10/12/2025
21 days stand between real people and devastating premium increases for the ACA marketplace coverage. People like Tracy are facing impossible choices. Congress still has time to pass a clean extension that would solve this problem.
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