Profile avatar
aorris.bsky.social
Senior Fellow @centeronbudget focusing on Medicaid and the Affordable Care Act. Previously CMS and OMB/OIRA. She/her
52 posts 1,415 followers 235 following
Prolific Poster

HHS makes decisions that affect the health & wellbeing of every one of us. This allows the Administration to make sweeping, reckless changes to policies at a moment’s notice w/out input from people who should have a voice: patients, parents, doctors, caregivers, and others.

1/ Why should the American public care about mass layoffs at NOAA, Forest Service, EPA, DOE, and FEMA? Because their health and safety depends on these agencies’ lifesaving work. Let’s get into it.

Helpful tips from my colleague @jenniferlsullivan.bsky.social for federal workers and contractors who've lost their jobs in recent weeks and may need to explore health insurance options, including healthcare.gov plans.

No one had died of measles in America for ten years, until yesterday. That 2015 death in WA was preceded by a 12y period of no US deaths. www.nbcnews.com/health/healt... HHS Secretary RFK Jr. says it’s “not unusual.” apnews.com/article/meas... It is unusual. www.cdc.gov/measles/data...

Wondering what's in the budget bill that just passed? @aliciaparlap.bsky.social and I have a breakdown, with helpful charts. www.nytimes.com/interactive/...

As the U.S. House advances a budget bill that would cut nearly a trillion dollars from Medicaid, here's what Medicaid is all about. Watch the full #CareTalk ep w/ @aorris.bsky.social @centeronbudget.bsky.social youtube.com/live/PyFUp43...

Budgets are statements of values. And what we're seeing is that House Republicans value ripping food and health care away from millions of Americans in order to partly pay for tax cuts for the rich.

With House passage of its budget resolution and its requirement of at least $880b in #Medicaid cuts, here again is my writeup from January of all of the deeply damaging Medicaid proposals under consideration to meet that target amount of cuts: ccf.georgetown.edu/2025/01/20/h...

Want to increase efficiency in Medicaid? What about improving program integrity and accuracy while reducing administrative costs? Maximizing ex parte renewals is a proven way to accomplish those goals: www.cbpp.org/blog/medicai...

@kff.org conducted focus groups with Medicaid enrollees who voted for Pres Trump and VP Harris. Despite differences in who they voted for in Nov 2024, participants had consistently favorable experiences with Medicaid and concerns with potential cuts to the program. www.kff.org/medicaid/rep...

Letter to Congress from National Conference of State Legislatures, National Association of Counties, U.S. Conference of Mayors and others raising concerns about cost-shifts and impacts on budgets & beneficiaries resulting from proposed #Medicaid cuts in Congress: www.ncsl.org/resources/de...

The resolution may not say "Medicaid," but it assigns a staggering $880b in cuts to the House committee with power over Medicaid. Make no mistake: This bill guts a program that provides health care to 72m people.

My colleague @gidlukens.bsky.social highlights key points from @urbaninstitute.bsky.social's new report on the impact of cutting the #Medicaid expansion matching rate 👇👇

Happy Monday! With Congress expected to consider large funding cuts to Medicaid, it’s important to understand that critics of Medicaid often incorrectly label paperwork errors measured by the government as waste, fraud, and abuse. ICYMI last week: www.cbpp.org/blog/underst...

"Congress [plans] to use #Medicaid as a piggy bank to pay for tax cuts for the ultra-wealthy...In 2017, disability rights groups like #LittleLobbyists and @thearcus.bsky.social built a powerful coalition of organizations...to successfully protect Medicaid"–Anna Wadia, CARE Fund ow.ly/Ux3m50V4OIT

@sharonparrott.bsky.social on last night's Senate vote on its budget plan, which lays a path for taking health care aware people, plus more and how #Medicaid remains at risk as we look ahead to potential House vote next week.

Pres. Trump issued another Executive Order that will create even more fear and uncertainty among people who are immigrants and their families.

Rep. Bacon and other House Republicans are asking the right question: How can you cut $880 billion or more and still spare people who get their health coverage from #Medicaid? You can't! punchbowl.news/archive/2212...

Republican proposals that Congress could consider this year would harm people living in rural areas and #Medicaid cuts would put many rural hospitals at serious risk of closure: bit.ly/4hDBBMl

The House budget plan calls for deep cuts to #Medicaid and other funding that helps people live healthy lives. A vote for the House budget plan is NOT a vote to move the process toward a good outcome... once the budget resolution sets the “rules of the road” it's very hard to change course. 👇

Debates in DC about affordable health coverage are too often detached from people's real-life challenges. Please take a listen as people explain the impact on their pocketbooks and their lives if Congress doesn't extend expiring marketplace tax credits. www.cbpp.org/blog/in-thei...

House Republicans want to take away food and health care to give tax cuts to the rich

Clarifying contrast for the “Party of the Working-Class” 1) Sen Thune: make inheritances from Billionaires completely TAX-FREEE 2) Steve Bannon: "A lot of MAGAs on Medicaid. If you don't think so, you're dead wrong ... You can't just take a meat axe to it." (h/t @jsteinwapo)

I’m new to Bluesky(👋), but I’ve been paying attention to ACA marketplace enrollment since the very beginning. Here’s what I’m seeing as we wait for the first marketplace regulation from this Trump administration (currently at OMB).

House Republican budget could impact millions: 36M+ may lose Medicaid, 40M+ could see reduced food aid through SNAP, and student loan costs may rise for millions of borrowers—offsetting the cost of extending expiring 2017 tax cuts for high-income people. www.cbpp.org/press/statem...

@sarahl202.bsky.social putting the deep #Medicaid cuts that are under consideration in the House in context. These proposed cuts mean people will lose coverage.

New article from me and Alan Cohen on the House & Senate budget resolutions. This is very, very real, and we need to organize against it immediately. It sets up a filibuster-proof process that would allow the GOP trifecta to enact it w/out any Dem support. www.americanprogress.org/article/budg...

In service of financing a $4.5 trillion tax cut that will disproportionately benefit the wealthy, House Budget Ctte has targeted Medicaid for $880 billion in cuts. That's approximately an 11% cut to Medicaid that will have devastating impacts on 70 million + Americans.

Speaker Johnson and House Majority Leader Scalise tried to "downplay" the #Medicaid cuts in reconciliation to mollify growing moderate oppposition. But today the draft House budget resolution includes at least $880 BILLION/10 years for E&C Committee in cuts. That will be almost all Medicaid & CHIP.

The House GOP's priorities for budget reconciliation in a nutshell: $4.5 trillion in tax cuts for the wealthy vs. $880 billion in #Medicaid cuts and $230 billion in SNAP cuts

We have #Medicaid snapshots for every state including state-specific data such as Medicaid funding as % of all federal funds in a state's budget: ccf.georgetown.edu/2025/02/11/m...

It's not just #Medicaid that is on the chopping block in the House budget resolution being debated tomorrow. #SNAP too.

The House Republican budget released today by Budget Committee Chair Jodey Arrington is an extreme giveaway to the wealthy at the expense of families who already have a hard time making ends meet.

People WILL lose health coverage if Congress adds work requirements to #Medicaid. 👇

Everyone facing #homelessness should have quick access to safe, dignified shelter and permanent housing no matter their gender. HUD issued a transphobic statement that it will stop enforcing anti-discrimination protections for transgender and nonbinary people.

Big federal funding cuts for the ACA's #Medicaid expansion that shift large costs to states would effectively repeal expansion in most states over time including immediately in "trigger" states. In fact some of the 2017 repeal bills didn't outright repeal expansion but took this exact approach.

As Congress considers cutting #Medicaid, my colleague explains why capping federal funding with a Medicaid per capita cap is a bad idea: www.cbpp.org/blog/4-reaso...

👀 Something for people who care about Social Security to watch for: the Trump Admin is looking to drastically reduce federal building space. Social Security Administration (SSA) offices across the nation may be affected, harming retirees, people w/ disabilities & survivors. Details ⬇️

We have a new statement from CBPP President @sharonparrott.bsky.social on Senate Budget Committee Chairman Lindsey Graham’s proposed budget resolution, which presents an opaque and troubling plan with policy trade-offs that are purposely unclear: www.cbpp.org/press/statem...

👇 As @sarahl202.bsky.social says, policymakers SHOULD protect, “love and cherish” #Medicaid but as Congress advances its budget resolution and sets up policy debates for the rest of the year, we need to what policymakers do, not just what they say about #Medicaid.

Taking away $200B worth of health coverage and $50B in groceries from people who struggle to afford the basics is substantial and harmful. www.washingtonpost.com/politics/202...

OPM’s “deferred resignation” email to federal employees this week triggered more chaos & uncertainty. If it hollows out the civil service, it will harm ppl’s ability to access benefits & services-even those the Trump Admin purports to protect. Case in point: the Social Security Administration. 1/

New report: about $1 in every $3 of state spending comes from federal funds, & that longstanding support is vital to families, communities, & state economies nationwide. Emerging Trump & congressional GOP proposals could threaten broad swaths of it very soon. Here’s how (🧵):

Emerging Republican federal budget proposals could cut funding for essential services, forcing states to pay more or reduce health care, education, and food aid—harming millions and straining local budgets. www.cbpp.org/research/sta...

Many millions could face greater difficulty affording and accessing care under proposals Congress may consider this year. www.cbpp.org/research/hea...

Proposals from the Trump Admin & congressional Republicans - including deep #Medicaid cuts - would reduce federal funding by shifting greater costs onto states, leaving millions of people worse off through lost health coverage, less money for groceries & more. www.cbpp.org/research/sta...

Another example of this administration's priorities: subsidizing wealthy families who already send their children to private school at the expense of the 90% of students who attend public schools. www.usatoday.com/story/news/e...

Taking health care & food away from people who don’t meet red-tape laden work requirements will hurt workers, won’t increase employment, and will push millions into hardship. That’s a terrible price to pay for tax cuts for the wealthy. x.com/meredithllee...