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louisenorris.bsky.social
Health policy analyst. Health insurance, Medicare, Medicaid, health care reform. I write for healthinsurance.org, medicareresources.org, Verywell.com, and healthinsurancecolorado.net. She/Her
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The expert who kept eye drops from blinding you was fired yesterday: www.vanityfair.com/news/story/t...

To be absolutely clear: FMAP reductions ARE cuts to Medicaid

A note on states using NCOA to update Medicaid enrollee addresses (good!): almost 75% requested waivers during unwinding to do this (which are set to sunset 6/30) A 2024 Medicaid reg offers more permanent flexibility, but rescinding that rule is widely understood to be likely during reconciliation

There are now more than 8,000 comments on the proposed rule. Here's where you can add yours if you haven't already: www.federalregister.gov/documents/20... (You can see my summary below, if you aren't sure what's been proposed).

Nine state-run health insurance exchanges already offer a special enrollment period triggered by pregnancy, and at least two more (Illinois and Virginia) will join them next year: www.healthinsurance.org/special-enro... The legislation in Virginia was just enacted this week.

Nine state-run health insurance exchanges already offer a special enrollment period triggered by pregnancy, and at least two more (Illinois and Virginia) will join them next year: www.healthinsurance.org/special-enro... The legislation in Virginia was just enacted this week.

Almost 7,000 public comments have already been submitted regarding the proposed Marketplace rule. Here's my summary of some of the most important changes they're proposing: www.healthinsurance.org/blog/propose... And here's where you can submit a comment: www.federalregister.gov/documents/20...

This is not just a reorganization of HHS. It's also a slashing of the federal workforce, which will ultimately affect government services and lead to delays in getting help for both the pubic and health care providers. www.hhs.gov/about/news/h...

Almost 7,000 public comments have already been submitted regarding the proposed Marketplace rule. Here's my summary of some of the most important changes they're proposing: www.healthinsurance.org/blog/propose... And here's where you can submit a comment: www.federalregister.gov/documents/20...

Our new piece examines a CMS proposal that would change how ACA plans cover gender affirming care, likely making these services harder to access and/or more expensive. www.kff.org/private-insu... with @mattrae.bsky.social and Kaye Pestaina

On the 15th anniversary of the ACA being signed into law, I'm remembering the clients I helped obtain health ins. pre-ACA. The times I had to explain that NO insurer would accept someone due to pre-existing conditions. And the fact that NO plans included maternity coverage. We've come a long way.

The ACA eliminated lifetime limits, eliminated denials for pre-existing conditions, created an out of pocket maximum, created essential health benefits, made preventative care free, doubled community health center funds, expanded Medicaid, and created a subsidized market not tied to your job.

In the other 9 states that haven't expanded Medicaid, doing so would result in a lot more federal funding but also some increased state costs. But in Wisconsin, expanding Medicaid would immediately result in lower costs for the state.

A good summary from @xpostfactoid.bsky.social about why it's important to defend low-income adult access to Medicaid (the expansion population) xpostfactoid.blogspot.com/2025/03/demo... Note: Most Medicaid expansion enrollees are working, or are caregivers, students, in poor health or disabled.

More than 1/4 of American seniors have no income other than Social Security. www.nrmlaonline.org/2024/11/08/t... For those whose only or primary income is Social Security, not getting a check would be catastrophic. It's only not a big deal for those with other income (including, presumably, his MIL)

This is a great visual. Lower numbers indicate a more competitive market, with more even spread of enrollment across the available carriers.

After much searching, I found the information I needed in this article: www.liebertpub.com/doi/10.1089/... Not at all surprised to see that the primary author is @bradwrightphd.bsky.social Always an excellent source!

Here's my overview of some of the most important rule changes that CMS has proposed for the health insurance Marketplaces: www.healthinsurance.org/blog/propose... Lots of changes that will result in fewer people enrolled in Marketplace plans. Plus higher out-of-pocket limits.

Lots of bills in state legislatures right now related to fertility coverage on health various health plans: www.healthinsurance.org/faqs/does-he... (State benefit mandates don't apply to self-insured plans, which cover the majority of people with employer coverage.)

You should read @xpostfactoid.bsky.social op-ed, explaining why Medicaid expansion is a target for funding cuts, how lawmakers use buzzwords to justify taking health coverage away from low-income people, and why Medicaid expansion should be protected. www.nj.com/opinion/2025...

Here's my overview of some of the most important rule changes that CMS has proposed for the health insurance Marketplaces: www.healthinsurance.org/blog/propose... Lots of changes that will result in fewer people enrolled in Marketplace plans. Plus higher out-of-pocket limits.

Just saw a Reddit thread where someone was talking about their screening colonoscopy being turned into a diagnostic colonoscopy because polyps were found. So here's my routine PSA: Fight back if your doctor or health plan does this. www.healthinsurance.org/faqs/what-is... (see 7th FAQ for details)

Under current rules, the maximum out-of-pocket limit for 2026 health plans is slated to be $10,150 for a single person. Under the new rules proposed this week by the Trump admin, the maximum out-of-pocket limit will be $10,600 instead.

Under current rules, the maximum out-of-pocket limit for 2026 health plans is slated to be $10,150 for a single person. Under the new rules proposed this week by the Trump admin, the maximum out-of-pocket limit will be $10,600 instead.

Will there be a government shutdown in the United States on Saturday March 15th? The House could vote as soon as today. Here's how the process works for Congress to pass a budget extension and avoid a shutdown.

CMS projects 750k-2 million people will "lose coverage as a result of this rule" in 2026 but notes this may be an underestimate due to administrative burdens imposed by the rule (pp. 271-2). This is on top of millions CMS expects to lose coverage if enhanced tax credits expire this year (p. 260).

There's a 30-day public comment period during which people can submit comments on the newly proposed rules that are designed to make it harder to get Marketplace coverage: www.cms.gov/newsroom/fac...

Took a quick peek and what I see is cruelty and intent to choke off functioning ACA marketplaces. Prohibiting coverage of "sex-trait modifications," eliminating the Special Enrollment Period for...incomes below 150% FPL; removing DACA recipients from the definition of “lawfully present,” $5/mo fees

The new proposed rules relating to the health insurance Marketplace for 2026: www.cms.gov/newsroom/fac... If finalized, these rules would result in a lot fewer people enrolled in Marketplace coverage, more hurdles to enrollment, higher out-of-pocket limits, etc.

A periodic reminder that Medicaid is the largest health coverage system in America. It covers more than a third of all kids, and it covers almost two-thirds of seniors who live in nursing homes. Medicaid funding cuts will harm you or people you know.

Here is a CCF interactive map on number of hospitals and nursing homes and number of employees by county (if info is available for that county). Based on BLS data. ccf.georgetown.edu/2025/02/14/n...

New #CareTalk with @laurapackard.com of @healthcarevoices.org #MSWMedia Guests: @bbkogan.bsky.social & @louisenorris.bsky.social Listen: podcasts.apple.com/us/podcast/w...

I got laid off today, with the rest of 18F. 18F was an elite federal software shop. We made gov't websites work better, more efficiently for the American people. We saved taxpayers from getting screwed over by contractors. And were fired for it. We made this website to tell our story: 18f.org