Allison Orris
@aorris.bsky.social
1.7K followers 250 following 140 posts
Senior Fellow @centeronbudget focusing on Medicaid and the Affordable Care Act. Previously CMS and OMB/OIRA. She/her
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Reposted by Allison Orris
gidlukens.bsky.social
California’s opened their 2026 ACA marketplace window shopping today, meaning people are seeing their premiums spike because of expiring tax credit enhancements. Premium costs in CA are roughly doubling on average, with larger increases for people in rural areas. tinyurl.com/2uewkpr6
Reposted by Allison Orris
sarahl202.bsky.social
Republican leaders in Congress say they will address marketplace health care premium increases once the government is re-opened. But it’s hard to square that commitment with some of their recent comments.
Reposted by Allison Orris
brendanvduke.bsky.social
This past Friday, the Trump Administration made a choice to cut support for vital services people depend on like education funding for children with special needs, financial services in underserved communities, and public health readiness.

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Reposted by Allison Orris
gidlukens.bsky.social
Minnesota and Maryland also opened window shopping for 2026 ACA marketplace plans, and people are seeing their premiums spike due to expiring tax credit enhancements. A typical 60-year-old Minnesotan couple making $85,000 will face a $15,500 increase in annual premiums. (1/4)
Reposted by Allison Orris
gidlukens.bsky.social
Nevada’s 2026 ACA marketplace window shopping is in full swing, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Nevada will face a $18,100 increase in annual premiums. (1/4)
Reposted by Allison Orris
gidlukens.bsky.social
New York’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in New York will face a $12,700 increase in annual premiums. (1/4)
Reposted by Allison Orris
gidlukens.bsky.social
Virginia’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Virginia will face a $18,000 increase in annual premiums. (1/4)
Reposted by Allison Orris
gidlukens.bsky.social
Idaho’s 2026 ACA marketplace open enrollment begins Oct 15. People are already window shopping, seeing next year’s premiums spike due to expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Idaho will face a $17,900 increase in annual premiums. (1/4)
Reposted by Allison Orris
gidlukens.bsky.social
Georgia’s 2026 ACA marketplace window shopping began October 1, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Georgia will face a $24,900 increase in annual premiums. (1/4)
Reposted by Allison Orris
jenniferlsullivan.bsky.social
Some policymakers say that that Congress can delay extending the Premium Tax Credit (PTC) enhancements until later this year but the problem is more urgent than that. thehill.com/policy/healt...
thehill.com
Reposted by Allison Orris
gidlukens.bsky.social
Premium tax credit enhancements help tipped workers, veterans, small business workers, farmers, and older people afford health coverage. Their premiums will soon spike and millions of them will lose coverage if the enhancements expire. (1/5)
Reposted by Allison Orris
Reposted by Allison Orris
zoeneuberger.bsky.social
NEW: Despite White House statements implying that #WIC benefits for low-income families would be immediately disrupted if the government partially shuts down this week, the Trump Administration & state officials have several steps they could & should take to keep WIC running.
Reposted by Allison Orris
sharonparrott.bsky.social
The Trump Administration’s threat to illegally fire more workers if the President doesn’t get his way is blatant extortion: using working people and their families as pawns in a power play with no concern for who gets hurt.
Reposted by Allison Orris
sharonparrott.bsky.social
The Administration acknowledged that it will stop the survey that measures food insecurity, just as tariffs push up food prices and the deep cuts to food assistance enacted in July start to take effect. Congress must intervene to save these vital data. www.wsj.com/economy/trum...
Exclusive | Trump Administration Cancels Annual Hunger Survey
The government has been measuring food insecurity since the mid-1990s but now says the report has become “overly politicized.”
www.wsj.com
Reposted by Allison Orris
sarahl202.bsky.social
Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)
Reposted by Allison Orris
gidlukens.bsky.social
Today’s ACS data show health coverage inequities increased in 2024 for Black & Latino ppl, and ppl with low and moderate incomes. These trends were likely driven by the drop in Medicaid enrollment. tinyurl.com/yttxmmp5
Reposted by Allison Orris
gidlukens.bsky.social
NC uninsured rate dropped by 0.7 ppt in 2024, opposite the natl increase of 0.3 ppt. Why? Because NC expanded Medicaid! Medicaid enrollment rose by 14% in NC, while falling in every other state (down 12% nationally). SD expanded in 2023 and saw a drop, but not stat sig. tinyurl.com/yc7pjf96
aorris.bsky.social
My colleague @gidlukens.bsky.social on today's American Community Survey release: data shows the uninsured rate increasing from its record low of 7.9 percent in 2023 to 8.2 percent in 2024. More 👇
gidlukens.bsky.social
Census’ American Community Survey: the 2024 uninsured rate increased to 8.2%, up from its 7.9% low in 2023. ACA marketplace policies like enhanced premium tax credits partly cushioned Medicaid enrollment declines due to unwinding of a COVID-era provision. More here: tinyurl.com/3mc8hhm9