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Lisa Dubay

@ldubay.bsky.social
984 followers 1.6K following 19 posts

Senior Fellow by day for Urban Institute's Health Policy Center. Opinions my own!

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Lisa Dubay @ldubay.bsky.social · 27/03/2026
Important work from my @urbaninstitute.bsky.social colleagues on the impact of HR1's Medicaid six month redetermination and work requirements on Medicaid enrollment. States have options to mitigate the potential loss of coverage which could range from 4.9 to 10.1 million people losing Medicaid.
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Chanda Prescod-Weinstein 🌌 @chanda.blacksky.app · 20/10/2025
"researchers have estimated that the end of enhanced tax credits will lead to 7.3 mill people losing their ACA coverage in 2026, of whom 4.8 mill would become uninsured. The loss of the additional subsidies are projected to increase how much...enrollees must pay...from an avg of $888 to $1,904/year"
commonwealthfund.org
Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
Unless Congress acts quickly to extend the enhanced ACA marketplace premium tax credits, nearly 5 million people could lose health insurance coverage in 2026.
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Lisa Dubay @ldubay.bsky.social · 18/09/2025
New estimates from my @urbaninstitute.bsky.social ky.social colleagues showing that 4.8 million people will become uninsured if the enhanced premium tax credits are not extended. www.urban.org/research/pub...
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Sarah Lueck @sarahl202.bsky.social · 17/09/2025
Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)
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Edwin Park @edwincpark.bsky.social · 28/06/2025
One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)
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Edwin Park @edwincpark.bsky.social · 20/05/2025
New CBO estimates of reconciliation bill reported by Budget Committee Sunday: gross #Medicaid cuts of $792B before interactions with ACA changes. Total of $803B in net health care cuts. Estimates don't account for Rules Committee changes with even harsher Medicaid cuts. www.cbo.gov/publication/...?
cbo.gov
Estimated Budgetary Effects of a Bill to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14, the One Big Beautiful Bill Act
As ordered reported by the House Committee on the Budget on May 18, 2025
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Samantha Artiga @sartiga.bsky.social · 13/05/2025
My new @kff.org quick take discusses the House's proposed penalty to reduce Medicaid financing for states covering undocumented immigrants with their own funds and identifies which states would be affected: www.kff.org/quick-take/w...
kff.org
Which States Would Be Affected by a House Proposal to Cut Federal Medicaid Funding for States That Cover Undocumented Immigrants?
KFF data show that as of April 2025, 14 states plus DC use state-only dollars to provide health coverage to children regardless of immigration status, including 7 states that also do so for at least s...
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Lisa Dubay @ldubay.bsky.social · 09/05/2025
Excellent piece by @urbaninstitute.bsky.social on the distributional effects of tax cut extensions paid for by cuts to #Medicaid and #SNAP. Lowest income families would face losses in income after taxes and benefits and highest income familes would see large gains. www.urban.org/research/pub...
urban.org
Who Gains and Who Loses under a Tax Cut Extension with Medicaid and SNAP Spending Reductions
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.
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Edwin Park @edwincpark.bsky.social · 01/05/2025
Thread on my new blog on how taking a step back and looking at the combined effect of several #Medicaid cuts under consideration by House GOP yields a clear conclusion: they would together end the #Medicaid expansion and terminate coverage for 21 million people: ccf.georgetown.edu/2025/05/01/c...
ccf.georgetown.edu
Combined Impact of Medicaid Cuts Under Consideration Would End Expansion and Take Away Coverage for Nearly 21 Million Low-Income People
In analyzing the draconian Medicaid cuts under consideration by House Republicans for inclusion in budget reconciliation legislation, it is often easier to examine each specific proposal in isolati…
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Sabrina Corlette @sabrinacorlette.bsky.social · 17/04/2025
Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...
georgetown.app.box.com
Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box
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Lisa Dubay @ldubay.bsky.social · 25/03/2025
Latest estimates on economic impact on states of proposed cuts to Medicaid and SNAP
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Urban Institute @urbaninstitute.bsky.social · 21/03/2025
What are the effects of dismantling the Department of #Education on students with #disabilities? An Urban Wire post examines the potential impacts of disrupting the Department of Education’s key functions of enforcing critical civil rights laws and distributing IDEA #funding to the states.
urban.org
How Dismantling the Education Department Could Affect Disabled Students across the US
Though states and local governments are primarily responsible for K–12 education, the US Department of Education is critical to ensuring disabled children in every community have access to a free, app...
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Lisa Dubay @ldubay.bsky.social · 21/03/2025
Interested in promoting upward mobility? Come hear about how to shape policy making and create change in your community with my @urbaninstitute.bsky.social colleagues.
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Lisa Dubay @ldubay.bsky.social · 18/03/2025
Important new research on the impact of federal work requirements for Medicaid beneficiares on coverage from my @urbaninstitute.bsky.social colleagues @jh4.bsky.social, Genevieve Kenney, and Michael Karpman.
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Lisa Dubay @ldubay.bsky.social · 07/03/2025
Dont' miss this timely virtual event ! Featuring @edwincpark.bsky.social, Genevieve Kenney, Sara Rosenbaum @milkeninstitute.org , and @greggbloche.bsky.social
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Edwin Park @edwincpark.bsky.social · 25/02/2025
Reupping my blog from yesterday. The major #Medicaid cuts under consideration to meet the budget resolution target of at least $880b in cuts are the same Medicaid cuts from failed 2017 repeal bills. House GOP leaders are just trying to disguise them as anti-fraud. ccf.georgetown.edu/2025/02/24/s...
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Lisa Dubay @ldubay.bsky.social · 25/02/2025
E&C committee was asked to cut $880 billion to make way for tax cuts. Latest paper from my @urbaninstitute.bsky.social colleagues on what would happen to insurance coverage if the 90 percent FMAP for the Medicaid expansion was eliminated. www.urban.org/research/pub...
urban.org
Reducing Federal Support for Medicaid Expansion Would Shift Costs to States and Likely Result in Coverage Losses
Leadership in the House of Representatives has proposed substantial federal funding cuts to the Medicaid program over the next 10 years. This report focuses on the proposal to reduce the 90 percent fe...
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Yonah Freemark @yonahfreemark.com · 10/02/2025
The US DOT says it's planning to prioritize areas with high marriage & high birth rates for funding. Our new analysis @urbaninstitute.bsky.social shows this would disproportionately fund: —Communities with a higher white resident share —Low-density areas —High-income areas —Car-dependent areas
urban.org
DOT’s Plan to Distribute Funding by Birth and Marriage Rates Would Leave Communities Most In Need Behind
If enacted, the new US Department of Transportation memo would prioritize funding to whiter, higher-income, more car-dependent areas over communities of color and people who walk, bike, or take public...
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Lisa Dubay @ldubay.bsky.social · 04/01/2025
Very excited about this new collaboration between @urbaninstitute.bsky.social and Georgetown Law! Keep your eyes on this space!
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Lisa Dubay @ldubay.bsky.social · 09/12/2024
Congress is considering extending the enhanced premium tax credits. According to my @urbaninstitute.bsky.social colleagues, households' spending on insurance premiums would surge if the EPTCs are not extended. www.urban.org/research/pub...
urban.org
Household Spending on Premiums Would Surge if Enhanced Premium Tax Credits Expire
In this brief, we estimate household premiums for people with Marketplace coverage in 2025 with and without enhanced PTCs by income and state to gauge the impact on families if the more generous credi...
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Lisa Dubay @ldubay.bsky.social · 06/12/2024
Thanks @ddiamond.bsky.social ! If you want to see how many people would lose coverage in your state check out this map from my @urbaninstitute.bsky.social colleagues: www.urban.org/data-tools/h...
urban.org
Who Would Lose Coverage If Enhanced Premium Tax Credits Expire?
The expiration of the pandemic-era enhanced premium tax credits risks leaving 4 million people without health insurance.
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Matthew Rae @mattrae.bsky.social · 25/11/2024
The big three public health programs, Medicaid, Medicare and the Marketplace ACA subsidies are lifting about 39 million people out of poverty.
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Lisa Dubay @ldubay.bsky.social · 25/11/2024
What the new administration could mean for health related lawsuits including preventive services, MTALA, medication abortion, family planning and more...https://www.kff.org/medicare/issue-brief/how-pending-health-related-lawsuits-could-be-impacted-by-the-incoming-trump-administration/
kff.org
How Pending Health-Related Lawsuits Could be Impacted by the Incoming Trump Administration | KFF
This brief provides an overview of current lawsuits in health policy including preventive services, abortion care, gender affirming care, Medicare drug price negotiations, nursing home staffing rules,...
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Lisa Dubay @ldubay.bsky.social · 21/11/2024
Enhanced premium tax credits are set to expire at the end of 2025. See my @urbaninstitute.bsky.social @urbaninstitute.bsky.social colleagues' great interative map of who would lose coverage. www.urban.org/data-tools/h...
urban.org
Who Would Lose Coverage If Enhanced Premium Tax Credits Expire?
The expiration of the pandemic-era enhanced premium tax credits risks leaving 4 million people without health insurance.
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Lisa Dubay @ldubay.bsky.social · 19/11/2024
In case you are interested in what the public thinks about the importance of the Medicaid program, look here:
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Dan Diamond @ddiamond.bsky.social · 19/11/2024
Advocates and experts are working to rally support for Medicaid, citing its coverage for kids, rural Americans and the disabled. “Medicaid is the backbone of many aspects of our health system,” @joanalker1.bsky.social told me, noting that about 1 in 4 Americans are covered through the program.
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Edwin Park @edwincpark.bsky.social · 18/11/2024
With Medicaid facing severe threats next year, I will be periodically posting facts about the program which demonstrate the many critical roles that Medicaid plays. Medicaid covers 62% of all nursing home residents. #healthpolicy www.kff.org/medicaid/iss...
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Larry Levitt @larrylevitt.bsky.social · 18/11/2024
Most Medicaid enrollees who are not elderly or disabled are already working. The vast majority of those who aren't are not working due to illness, caregiving responsibilities, or school. www.kff.org/medicaid/iss...
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Sarah Miller @smiller.bsky.social · 02/10/2023
SSI provides cash payments to over a million families who have children w disabilities. Do these substantial payments—which make up ~half of total income for recipients—improve kids’ outcomes? We use a cutoff in SSI eligibility for infants based on birthweight to investigate.
Abstract of the long-term effects of income for at risk infants:evidence from SSI
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Michelle Ko @michelleko2d.bsky.social · 20/09/2023
With the COVID-19 pandemic “patients speaking less-represented languages or experiencing intersecting literacy barriers were underserved with telemedicine.” #healthpolicy
pubmed.ncbi.nlm.nih.gov
Language-Specific Challenges and Solutions for Equitable Telemedicine Implementation in the Primary ...
Safety-net sites relied on existing resources to accommodate patients with LEP, but struggled providing access for the most marginalized. Proactive, data-driven strategies to address patient and commu...
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Edwin Park @edwincpark.bsky.social · 21/09/2023
Whistleblowers within Texas' Medicaid agency send third letter raising serious concerns about the state's handling of #Medicaid unwinding. #healthpolicy
kxan.com
Whistleblowers beg Abbott to ‘take action’ over Medicaid errors, food assistance delays
Whistleblowers reached out directly to Texas Gov. Greg Abbott this week, escalating their continued concerns about denials and delays in getting Texans critical medical support and food assistance.
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Sabrina Corlette @sabrinacorlette.bsky.social · 21/09/2023
Join @SenatorHassan, @sarahkliff of the New York Times @GtownCHIR and more for a policy briefing on the future of employer-sponsored insurance, Tuesday, Oct. 3. #healthpolicy Register here to save your spot: bit.ly/3Et7NQB
bit.ly
Can Employer-Sponsored Health Insurance Be Saved?
The first in a series of briefings hosted by the Georgetown University Center on Health Insurance Reforms examining the future of ESI
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Edwin Park @edwincpark.bsky.social · 21/09/2023
CMS announces today that 30 states were incorrectly conducting ex parte renewals as part of #Medicaid unwinding. 500K children are to have their Medicaid coverage reinstated. But this isn’t the only serious problem leading to high rates of procedural disenrollments. #healthpolicy
nytimes.com
Following State Errors, Nearly 500,000 Americans Will Regain Health Insurance
Low-income people who wrongly lost Medicaid or Children’s Health Insurance Program coverage will keep their insurance, federal officials said.
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