Edwin Park
Health policy especially Medicaid, CHIP and the Affordable Care Act. Research Professor at the Center for Children and Families (CCF) at Georgetown University’s McCourt School of Public Policy.
ccf.georgetown.edu
- This week CMS issued guidance on how it will implement H.R. 1's cuts to #Medicaid state-directed payments to hospitals and other providers. My new blog takes a look. Key takeaways include CMS is planning a proposed rule that may include additional SDP restrictions: ccf.georgetown.edu/2026/02/04/n...
- Reposted by Edwin ParkNew 25-page @centeronbudget.bsky.social paper from me summarizing the distributional, fiscal, and economic effects of One Big Beautiful Bill's tax cuts and cuts to health care, food assistance, student loans, and climate investments. 🧵 www.cbpp.org/research/fed...
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- My new blog analyzing a new CMS final regulation implementing H.R. 1's prohibition against certain "uniformity waiver" provider taxes that states use to help finance their #Medicaid programs: ccf.georgetown.edu/2026/02/02/c...
- My colleague Andy Schneider takes a look at the latest #Medicaid improper payment rate data (which are *not* measures of fraud). Despite the Trump Admin’s partisan attacks on Minnesota, MN’s improper payment rates are actually low: ccf.georgetown.edu/2026/01/30/c...
- From my colleague Leo Cuello: #Medicaid Data Sharing Crisis: Will HHS Break the Law to Help ICE? ccf.georgetown.edu/2026/01/29/m...
- Reposted by Edwin ParkThe Trump administration now wants states to consider drastically raising sales taxes in order to eliminate corporate and personal income taxes. Working-class families would face dramatic tax increases while the wealthiest families would see their state tax bills plummet. itep.org/trump-counci...
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- Here is my blog on the #Medicaid cut proposals in the Republican Study Committee plan for a second budget reconciliation bill: ccf.georgetown.edu/2026/01/22/h...
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- Important read from @centeronbudget.bsky.social on the latest blatant and illegal actions by the Trump Administration to block federal funding to states considered political enemies. This includes but is not limited to federal funding for state #Medicaid programs: www.cbpp.org/blog/the-tru...
- From @kff.org a discussion of how #Medicaid will fit within this year's state budget debates, including how Medicaid and SNAP cost-shifts in H.R. 1 will worsen budget deficits and how Medicaid could be on the chopping block: www.kff.org/medicaid/med...
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- The Republican Study Committee (RSC) in the House is pushing for a *second* budget reconciliation bill & released a plan with more damaging #Medicaid cuts beyond the draconian cuts enacted last year in H.R. 1. My new blog explains and analyzes these proposed cuts: ccf.georgetown.edu/2026/01/22/h...
- Was inevitable Trump Admin's illegal/unconstitutional impoundments in the past year would lead to trying to withhold federal #Medicaid $ from MN and child care/other mandatory $ from 5 states. Now starting a process to broadly block federal $ from just Democratic states: www.cnn.com/2026/01/22/p...
- As promised, here's why the Trump Administration effort to withhold federal #Medicaid funding from Minnesota is so radical and unprecedented, as explained in this must-read blog by my Georgetown CCF colleague Andy Schneider: ccf.georgetown.edu/2026/01/16/c...
- My Georgetown CCF colleague Tanesha Mondestin on the tragic passing of maternal health leader Dr. Janell Green Smith: ccf.georgetown.edu/2026/01/16/m...
- My Georgetown CCF colleague Anne Dwyer blogs on how federal legislative and administrative policy changes harming immigrant families are dramatically worsening the student mental health crisis: ccf.georgetown.edu/2026/01/06/t...
- From my Georgetown CCF colleagues Kelly Whitener & Hannah Green: HHS Announces Changes to Recommended Vaccine Schedule for Children ccf.georgetown.edu/2026/01/15/h...
- Moreover no more than 15% can be spent on patient care to backfill #Medicaid cuts. If you scan state fund applications, much of the $ is about benefiting tech vendors who will be providing new systems/upgrades to rural providers. Similar vendor feeding frenzy with work reporting requirements (1/2)
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- Evergreen: there has never been and never will be a credible Trump/Congressional GOP plan to replace the Affordable Care Act.
- Thread: House Republican Study Committee pushing for 2nd reconciliation bill with more harsh #Medicaid cuts on top of H.R. 1's draconian cuts. Some proposals were dropped from the final law due to Senate Byrd Rule proposals, some deepen H.R. 1 cuts, and some were omitted early in the process (1/x)
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- Reposted by Edwin ParkThe federal government has announced that 22.8 million people have signed up for ACA marketplace coverage for this year, down 1.5 million from last year with enhanced tax credits expiring. The coverage loss will likely grow as people don’t actually make their premium payments.
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- Thread: The Trump Admin tried to inappropriately withhold federal funds to 5 states with Democratic governors (including Minnesota) under block grants like TANF. While that was temporarily stopped through litigation, the Trump Admin is now threatening to withhold #Medicaid funding from MN (1/x)
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- Reminder that there are a lot of unanswered questions about how these Most Favored Nation pricing deals will actually work in #Medicaid: ccf.georgetown.edu/2025/11/18/s...
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- The driving GOP leadership motivation for draconian #Medicaid cuts in H.R. 1 was always this: Medicaid is too big in their view and must be drastically cut back (even though that will make millions uninsured). All the false claims about fraud, undocumented immigrants, etc are just cover for that.
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- So only provision directly related to ACA Marketplaces is one appropriating cost sharing reductions which would effectively reduce underlying subsidies for those with lower incomes and make even more people uninsured. Like Crapo-Cassidy nothing at all on extending the expiring enhanced credits.
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- Reposted by Edwin ParkGet ready to learn a very wonky term: "effectuated enrollment." It's the number of people who sign up for ACA coverage or get auto-renewed and then pay their premiums. It's going to matter a lot if enhanced tax credits expire and people face an average increase in premium payments of 114%.
- Reminder GOP Congress/Trump could have easily extended enhanced Marketplace credits as part of H.R. 1. They ignored budget rules barring adding to deficits in future decades by asserting that "current policy" extensions of expiring tax cuts wouldn't count. Could have done the same with the credits.
- Like the Senate Crapo/Cassidy plan House GOP "ideas" don't include extending enhanced Marketplace credits at all. Proposals like appropriating cost-sharing reductions and codifying Trump Admin rules would further hike premium costs for those with lower incomes and further deter participation.
- This plan doesn't extend the expiring enhanced Marketplace credits at all & instead contributes $ to HSAs for enrollees who may not even have HSAs & can't use that $ for premiums. By appropriating cost-sharing reductions, it further lowers underlying credit amounts & raises premium costs even more.
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- Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...
