Jenny Haley
@jh4.bsky.social
Health policy researcher at the Urban Institute
Reposted by Jenny Haley
A new Urban analysis finds as many as 2.3 million young adults ages 19 to 24 could lose Medicaid expansion coverage in 2028 under new work requirements and more frequent eligibility checks in the One Big Beautiful Bill Act.
Access the key takeaways.
#Medicaid #Research #Healthcare
Access the key takeaways.
#Medicaid #Research #Healthcare
Up to 2.3 Million Young Adults Ages 19 to 24 Could Lose Medicaid Under OBBBA’s Work Requirements and More-Frequent Redeterminations
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…
urbn.is
September 16, 2026 at 8:03 PM
A new Urban analysis finds as many as 2.3 million young adults ages 19 to 24 could lose Medicaid expansion coverage in 2028 under new work requirements and more frequent eligibility checks in the One Big Beautiful Bill Act.
Access the key takeaways.
#Medicaid #Research #Healthcare
Access the key takeaways.
#Medicaid #Research #Healthcare
Reposted by Jenny Haley
According to new Urban #research on healthcare #affordability in the US, nearly half of working-age adults (46%) struggled to afford #healthcare in 2025, and over a third (35%) reported unmet care needs due to costs.
Explore the findings. https://urbn.is/3QqzPWn
Explore the findings. https://urbn.is/3QqzPWn
June 16, 2026 at 9:23 PM
According to new Urban #research on healthcare #affordability in the US, nearly half of working-age adults (46%) struggled to afford #healthcare in 2025, and over a third (35%) reported unmet care needs due to costs.
Explore the findings. https://urbn.is/3QqzPWn
Explore the findings. https://urbn.is/3QqzPWn
New analysis: over 100,000 pregnant & postpartum women have Medicaid expansion coverage. If states subject them to work requirements and more frequent redeterminations, they could be at risk of losing coverage under OBBBA. We propose actions policymakers can consider to avoid this potential harm.
www.urban.org
April 2, 2026 at 11:11 AM
New analysis: over 100,000 pregnant & postpartum women have Medicaid expansion coverage. If states subject them to work requirements and more frequent redeterminations, they could be at risk of losing coverage under OBBBA. We propose actions policymakers can consider to avoid this potential harm.
Reposted by Jenny Haley
According to a new Urban Institute analysis, #Medicaid expansion enrollment will decline by 4.9 to 10.1 million people in 2028 under new #work requirements and more frequent eligibility checks outlined in the One Big Beautiful Bill Act.
Learn more about the impacts. https://urbn.is/4bRPTr6
Learn more about the impacts. https://urbn.is/4bRPTr6
March 26, 2026 at 6:06 PM
According to a new Urban Institute analysis, #Medicaid expansion enrollment will decline by 4.9 to 10.1 million people in 2028 under new #work requirements and more frequent eligibility checks outlined in the One Big Beautiful Bill Act.
Learn more about the impacts. https://urbn.is/4bRPTr6
Learn more about the impacts. https://urbn.is/4bRPTr6
Our research projects that millions will go without Medicaid under the reconciliation law's work requirements and more-frequent redeterminations, even with robust efforts to mitigate coverage losses - incl. among workers and those who should be exempt from work req.'s. www.urban.org/research/pub...
Projected Reductions in Medicaid Expansion Enrollment Under OBBBA’s Work Requirements and Six-Month Redeterminations
The One Big Beautiful Bill Act (OBBBA) established new work requirements and increased the frequency of eligibility redeterminations for adults covered by th…
www.urban.org
March 26, 2026 at 12:44 PM
Our research projects that millions will go without Medicaid under the reconciliation law's work requirements and more-frequent redeterminations, even with robust efforts to mitigate coverage losses - incl. among workers and those who should be exempt from work req.'s. www.urban.org/research/pub...
Reposted by Jenny Haley
While Medicaid is by far the biggest player for children's coverage, the Marketplace has become increasingly important.
New brief from @urbaninstitute.bsky.social finds that 453,000 children will become uninsured if subsidies expire.
ccf.georgetown.edu/2025/11/14/n...
New brief from @urbaninstitute.bsky.social finds that 453,000 children will become uninsured if subsidies expire.
ccf.georgetown.edu/2025/11/14/n...
New Data Highlight Risks to Children and Parents if Enhanced Marketplace Subsidies Expire
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)…
ccf.georgetown.edu
November 18, 2025 at 4:40 PM
While Medicaid is by far the biggest player for children's coverage, the Marketplace has become increasingly important.
New brief from @urbaninstitute.bsky.social finds that 453,000 children will become uninsured if subsidies expire.
ccf.georgetown.edu/2025/11/14/n...
New brief from @urbaninstitute.bsky.social finds that 453,000 children will become uninsured if subsidies expire.
ccf.georgetown.edu/2025/11/14/n...
Reposted by Jenny Haley
New analysis estimates that over 600K nonelderly #veterans would have subsidized Marketplace coverage in 2026 under enhanced premium #tax credits (PTCs). Urban Institute’s recent #research brief explores the impact on coverage if PTCs expire. https://urbn.is/421tt2B
October 9, 2025 at 3:51 PM
New analysis estimates that over 600K nonelderly #veterans would have subsidized Marketplace coverage in 2026 under enhanced premium #tax credits (PTCs). Urban Institute’s recent #research brief explores the impact on coverage if PTCs expire. https://urbn.is/421tt2B
Reposted by Jenny Haley
As Congress debates the future of enhanced Marketplace premium #tax credits (PTCs), a new Urban Institute analysis finds that 4.8 million people will lose #health coverage in 2026 if they allow PTCs to expire.
Discover more in the latest #research brief.
Discover more in the latest #research brief.
4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire
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…
urbn.is
September 19, 2025 at 8:24 PM
Reposted by Jenny Haley
Evidence shows that work requirements in the House-passed reconciliation bill would deny many adults with health needs and other #employment barriers who rely on #Medicaid coverage to pay for essential #healthcare. Learn more in a new Urban Wire post.
The Reconciliation Bill Would Deny Medicaid Coverage to Many People with Health Needs and Other Work Barriers
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 ...
www.urban.org
June 27, 2025 at 2:34 PM
Evidence shows that work requirements in the House-passed reconciliation bill would deny many adults with health needs and other #employment barriers who rely on #Medicaid coverage to pay for essential #healthcare. Learn more in a new Urban Wire post.
Reposted by Jenny Haley
Of the 22.6 million #families who would end up with less resources under the reconciliation bill, more than half are at or below the #poverty level. New #research shows losses will far outweigh gains for the lowest income families. urbn.is/4l9JXwA
June 17, 2025 at 6:15 PM
Of the 22.6 million #families who would end up with less resources under the reconciliation bill, more than half are at or below the #poverty level. New #research shows losses will far outweigh gains for the lowest income families. urbn.is/4l9JXwA
Reposted by Jenny Haley
Urban #research experts find that many people would lose or be denied #Medicaid coverage and access to needed #healthcare under the reconciliation bill's imposed federal work requirements.
Learn more in a new Urban Wire piece.
Learn more in a new Urban Wire piece.
The Reconciliation Bill Would Deny Medicaid Coverage to Many Working People
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...
www.urban.org
June 16, 2025 at 2:40 PM
Urban #research experts find that many people would lose or be denied #Medicaid coverage and access to needed #healthcare under the reconciliation bill's imposed federal work requirements.
Learn more in a new Urban Wire piece.
Learn more in a new Urban Wire piece.
Reposted by Jenny Haley
Health care providers would lose $1 trillion in revenues and uncompensated care would increase $278 billion between 2025-34 due to House Republican reconciliation bill and expiration of premium tax credits. (1/3) www.urban.org/research/pub...
Reconciliation Bill and End of Enhanced Subsidies Would Cut Health Care Provider Revenue and Spike Uncompensated Care
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.
www.urban.org
May 29, 2025 at 8:54 PM
Health care providers would lose $1 trillion in revenues and uncompensated care would increase $278 billion between 2025-34 due to House Republican reconciliation bill and expiration of premium tax credits. (1/3) www.urban.org/research/pub...
Reposted by Jenny Haley
Thread: A new Urban Institute analysis demonstrates the widespread prevalence of challenges faced by #immigrant #families with #children, particularly in meeting basic housing, food, and health needs and worries about immigration policies. urbn.is/4mzT0bw
May 29, 2025 at 6:22 PM
Thread: A new Urban Institute analysis demonstrates the widespread prevalence of challenges faced by #immigrant #families with #children, particularly in meeting basic housing, food, and health needs and worries about immigration policies. urbn.is/4mzT0bw
Reposted by Jenny Haley
Guest Georgetown CCF blog from @urbaninstitute.bsky.social researchers on how #Medicaid work requirements in the House GOP reconciliation bill would threaten parents' and their children's coverage and well-being: ccf.georgetown.edu/2025/05/19/m...
Medicaid Work Requirements Could Threaten Parents’ and Children’s Coverage and Well-Being
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 …
ccf.georgetown.edu
May 19, 2025 at 8:32 PM
Guest Georgetown CCF blog from @urbaninstitute.bsky.social researchers on how #Medicaid work requirements in the House GOP reconciliation bill would threaten parents' and their children's coverage and well-being: ccf.georgetown.edu/2025/05/19/m...
Reposted by Jenny Haley
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...
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.
www.urban.org
May 9, 2025 at 4:46 PM
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...
Reposted by Jenny Haley
As Congress advances major #tax cut and homeland security legislation through the reconciliation process, Urban has published a resource page for analyses relevant to the legislative proposals.
Explore the latest insights related to the major tax, safety net, #health, and #housing proposals.
Explore the latest insights related to the major tax, safety net, #health, and #housing proposals.
Research to Inform 2025 Reconciliation: Taxes, Safety Net, and Beyond
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...
www.urban.org
April 28, 2025 at 4:55 PM
Reposted by Jenny Haley
A new analysis from Urban Institute researchers shows that a #Medicaid work requirement program implemented in Arkansas in 2018-2019 reduced the number of adults with #health insurance coverage and had no effect on #employment.
Learn more in an Urban Wire post.
Learn more in an Urban Wire post.
New Evidence Confirms Arkansas’s Medicaid Work Requirement Did Not Boost Employment
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.
www.urban.org
April 23, 2025 at 2:33 PM
A new analysis from Urban Institute researchers shows that a #Medicaid work requirement program implemented in Arkansas in 2018-2019 reduced the number of adults with #health insurance coverage and had no effect on #employment.
Learn more in an Urban Wire post.
Learn more in an Urban Wire post.
Reposted by Jenny Haley
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...
Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box
georgetown.app.box.com
April 17, 2025 at 12:33 PM
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...
Our new @urbaninstitute.bsky.social analysis: About 5 million Medicaid expansion enrollees ages 19-55 could lose coverage in 2026 under federal work requirements. Nearly all who would be subject to work requirements already work/participate in related activities or could meet exemption criteria.
Assessing Potential Coverage Losses among Medicaid Expansion Enrollees under a Federal Medicaid Work Requirement
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.
www.urban.org
March 18, 2025 at 1:41 AM
Our new @urbaninstitute.bsky.social analysis: About 5 million Medicaid expansion enrollees ages 19-55 could lose coverage in 2026 under federal work requirements. Nearly all who would be subject to work requirements already work/participate in related activities or could meet exemption criteria.
Reposted by Jenny Haley
Proposed cuts to #Medicaid could endanger #health insurance for low-income Americans.
Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban
Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban
Downsizing Medicaid: How Proposed Cuts Could Endanger Health Insurance for Low-Income Americans
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...
www.urban.org
March 3, 2025 at 8:00 PM
Proposed cuts to #Medicaid could endanger #health insurance for low-income Americans.
Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban
Join Urban on 3/10 @ 2:00 p.m. ET for a virtual event that will explore these cuts’ potential effects on the program and its more than 70 million beneficiaries. #LiveatUrban
Reposted by Jenny Haley
New urbaninstitute.bsky.social study shows how eliminating the 90 percent FMAP for the Medicaid expansion could affect states. Either they’d have to come up with $44.3B in 2026 to maintain coverage or eliminate the expansion and cut 15.9M Medicaid or CHIP enrollees. www.urban.org/sites/defaul...
Urban Institute (@urbaninstitute.bsky.social)
Data and evidence to advance upward mobility and equity.
urbaninstitute.bsky.social
February 25, 2025 at 3:55 PM
New urbaninstitute.bsky.social study shows how eliminating the 90 percent FMAP for the Medicaid expansion could affect states. Either they’d have to come up with $44.3B in 2026 to maintain coverage or eliminate the expansion and cut 15.9M Medicaid or CHIP enrollees. www.urban.org/sites/defaul...
Reposted by Jenny Haley
Urban Institute and @rwjf.bsky.social recently launched the Local Data for Equitable Communities grant program. If you're a nonprofit looking to leverage funding for data projects to catalyze action to improve conditions where you live, apply now!
February 5, 2025 at 3:39 PM
Urban Institute and @rwjf.bsky.social recently launched the Local Data for Equitable Communities grant program. If you're a nonprofit looking to leverage funding for data projects to catalyze action to improve conditions where you live, apply now!
Nearly every state has newly extended pregnancy-related Medicaid to a full year postpartum. But our new @urbaninstitute.bsky.social research finds limited communication to enrollees, providers, and other stakeholders could dampen extensions’ potential positive effects. www.urban.org/research/pub...
Improving Maternal Health and Well-Being through Medicaid/CHIP Postpartum Coverage Extensions
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...
www.urban.org
December 17, 2024 at 4:05 PM
Nearly every state has newly extended pregnancy-related Medicaid to a full year postpartum. But our new @urbaninstitute.bsky.social research finds limited communication to enrollees, providers, and other stakeholders could dampen extensions’ potential positive effects. www.urban.org/research/pub...
In their next session, TX lawmakers may again consider leaving the federal Marketplace and transitioning to a state-based Marketplace. Our new report finds that stakeholders who would be most directly affected uniformly worried that risks outweighed potential benefits. www.urban.org/research/pub...
Considerations for a Potential State-Based Marketplace in Texas
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...
www.urban.org
December 14, 2024 at 3:10 AM
In their next session, TX lawmakers may again consider leaving the federal Marketplace and transitioning to a state-based Marketplace. Our new report finds that stakeholders who would be most directly affected uniformly worried that risks outweighed potential benefits. www.urban.org/research/pub...
Reposted by Jenny Haley
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...
December 6, 2024 at 10:44 PM
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...