Politics

The ACA Premium Tax Credit Expiration: A Return to Baseline Policy

Executive Summary: Declining in the Affordable Care Act Marketplace cannot be reduced to a single cause – it reflects a convergence of designed legislative sunsets, a crackdown on improper enrollment, and a fiscal choice to limit spending. The expiration of the enhanced premium tax credits reverts the Affordable Care Act subsidy to its initial statutory … Continue reading →

Politics

The Medicaid Work Requirement Debate Isn’t Just About Work

Executive Summary The One Big Beautiful Bill Act (OBBBA) has introduced work requirements for Medicaid expansion enrollees, expected to reduce federal spending while decreasing enrollment. Evidence from prior implementation of work requirements in Arkansas found no clear increase in employment, though they were short lived and administratively flawed. The empirical evidence for work requirements reflects … Continue reading →