The One Big Beautiful Bill Act (OBBBA) includes several provisions that will make it harder for adults to enroll in and maintain coverage through the Afforda…

The One Big Beautiful Bill Act (OBBBA) established new work requirements and increased the frequency of eligibility redeterminations for adults covered by th…

Marketplace subsidy enhancements which have been in place since 2021 are set to expire at the end of December 2025, and their fate is currently uncertain. Since 2014, when Affordable Care Act (ACA)…

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…

Though the reconciliation bill exempts people in poor health or who have caregiving responsibilities from Medicaid work requirements, in practice, many people facing barriers to work would be at high ...

Medicaid coverage helps people access the health care they need to work and go to school. Enacting proposed work requirements would make it more difficult for working people and students to obtain and...

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.

By Jennifer M. Haley, Genevieve M. Kenney, Eva H. Allen, and Michael Karpman Work requirements in Medicaid are on the agenda at the federal level and in multiple states, despite evidence that they …

In this brief, we estimate the combined impact of three major proposals on taxpayers’ after-tax, after-transfer incomes to show who would benefit and who would lose.

In 2025, Congress will consider legislation to extend the expiring provisions in the 2017 Tax Cuts and Jobs Act, as well as address other tax and policy areas, utilizing the partisan reconciliation pr...

Arkansas’s 2018–19 Medicaid work requirement program reduced the number of adults with health insurance and had no effect on employment. A similar national policy could have the same result.

We assess potential coverage losses under federal Medicaid work requirements for adults ages 19 to 55 enrolled in the Affordable Care Act’s Medicaid expansion.

The Urban Institute–Georgetown Law Series on Health Justice features conversations with researchers and legal professionals about how we can reduce widespread disparities in medical care and health in...

Data and evidence to advance upward mobility and equity.

This brief examines the implementation of postpartum coverage extensions in five states (New Jersey, New Mexico, Ohio, South Carolina, and Virginia) and identifies key considerations for ensuring exte...

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...

The expiration of the pandemic-era enhanced premium tax credits risks leaving 4 million people without health insurance.

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...