Charles GetCovered-ba ✡️
@charlesgaba.com
Healthcare data analysis, advocacy & snark.
(Formerly @charles_gaba on 🐤)
🏥 https://ACASignups.net
🔵 https://Blue26.org
(Formerly @charles_gaba on 🐤)
🏥 https://ACASignups.net
🔵 https://Blue26.org
Pinned
Charles GetCovered-ba ✡️
@charlesgaba.com
· Nov 12
ACA Signups
Healthcare policy data, analysis & snark.
ACASignups.net
Welcome new followers!
I'm a healthcare policy analyst, advocate & blogger who focuses primarily on the ACA. I’ve also gained some attention for my COVID19 data analysis.
I also raise money online for Democratic candidates.
You can follow my work (& even support it!) at ACASignups.net.
I'm a healthcare policy analyst, advocate & blogger who focuses primarily on the ACA. I’ve also gained some attention for my COVID19 data analysis.
I also raise money online for Democratic candidates.
You can follow my work (& even support it!) at ACASignups.net.
This would absolutely explain why NEW enrollment is only down slightly year over year so far.
I don't know if this could be a possible fourth reason but people only need to use the ACA when they are working a job that doesn't offer health insurance or don't have work. If more people are getting laid off then they will need to use the ACA to find health coverage.
December 6, 2025 at 5:24 AM
This would absolutely explain why NEW enrollment is only down slightly year over year so far.
Reposted by Charles GetCovered-ba ✡️
To offer another perspective, if you're a US citizen, you should fear all the things they're doing to US citizens. You should also fear the things they're doing to your noncitizen friends and family members. You should also fear the things they're doing to complete stranger noncitizens in your name.
“You’ve got nothing to fear if you’re an American citizen. If you’re not an American citizen, then look out,” Greg Bovino tells reporters while patrolling a neighborhood in Kenner today.
December 6, 2025 at 1:41 AM
To offer another perspective, if you're a US citizen, you should fear all the things they're doing to US citizens. You should also fear the things they're doing to your noncitizen friends and family members. You should also fear the things they're doing to complete stranger noncitizens in your name.
Reposted by Charles GetCovered-ba ✡️
⚕️🚨 ‘We Are Looking at a
Massive Crisis’
Health-care costs are about to spike in a way that Americans can't afford.
archive.md/2025.12.05-2...
Massive Crisis’
Health-care costs are about to spike in a way that Americans can't afford.
archive.md/2025.12.05-2...
December 6, 2025 at 4:32 AM
⚕️🚨 ‘We Are Looking at a
Massive Crisis’
Health-care costs are about to spike in a way that Americans can't afford.
archive.md/2025.12.05-2...
Massive Crisis’
Health-care costs are about to spike in a way that Americans can't afford.
archive.md/2025.12.05-2...
Reposted by Charles GetCovered-ba ✡️
There’s no telling how many similar stories are not being told for fear of retaliation.
By now, everyone should realize Trump is not going after violent criminals or the worst of the worst—he is terrorizing everyone, including U.S. citizens, and their loved ones.
By now, everyone should realize Trump is not going after violent criminals or the worst of the worst—he is terrorizing everyone, including U.S. citizens, and their loved ones.
Senator Murray Condemns Egregious Use of Force by ICE as Constituent is Mauled by Attack Dog, Demands Release from NWIPC to Receive Appropriate Medical Care - Senator Patty Murray
***(WARNING: Graphic Content) Photos of Wilmer’s injuries, photos of Wilmer and his children, and partial video of his detainment are available to the press HERE*** Washington, D.C. – Today, U.S. Sen...
www.murray.senate.gov
December 6, 2025 at 2:41 AM
There’s no telling how many similar stories are not being told for fear of retaliation.
By now, everyone should realize Trump is not going after violent criminals or the worst of the worst—he is terrorizing everyone, including U.S. citizens, and their loved ones.
By now, everyone should realize Trump is not going after violent criminals or the worst of the worst—he is terrorizing everyone, including U.S. citizens, and their loved ones.
Reposted by Charles GetCovered-ba ✡️
I am calling for Wilmer’s immediate release from NWIPC—he has NO criminal convictions, he poses no threat to the community, and he urgently needs appropriate medical care since ICE is denying him the treatment he requires.
I am grateful for Wilmer’s willingness to let me share his story.
I am grateful for Wilmer’s willingness to let me share his story.
December 6, 2025 at 2:41 AM
I am calling for Wilmer’s immediate release from NWIPC—he has NO criminal convictions, he poses no threat to the community, and he urgently needs appropriate medical care since ICE is denying him the treatment he requires.
I am grateful for Wilmer’s willingness to let me share his story.
I am grateful for Wilmer’s willingness to let me share his story.
Reposted by Charles GetCovered-ba ✡️
My constituent, Wilmer, was mauled by an ICE attack dog despite the fact that, as he has consistently explained, he was not resisting arrest or trying to flee—his wife and young children, all U.S. citizens, were forced to watch helplessly as Wilmer was violently attacked and dragged away.
December 6, 2025 at 2:41 AM
My constituent, Wilmer, was mauled by an ICE attack dog despite the fact that, as he has consistently explained, he was not resisting arrest or trying to flee—his wife and young children, all U.S. citizens, were forced to watch helplessly as Wilmer was violently attacked and dragged away.
Reposted by Charles GetCovered-ba ✡️
Laws aren't real. They exist solely on account of buy-in from society's participants. Once one side disengages, you no longer reside in a society based on laws. You live in a society based on power and armed force. I am begging folks to accept this so we can get moving.
Just legal Calvinball. Obviously lawless.
December 6, 2025 at 4:19 AM
Laws aren't real. They exist solely on account of buy-in from society's participants. Once one side disengages, you no longer reside in a society based on laws. You live in a society based on power and armed force. I am begging folks to accept this so we can get moving.
Reposted by Charles GetCovered-ba ✡️
As long as Americans see their vote as a REWARD and not a CHOICE OF AN AGENDA, things will continue to not improve in this country.
Withholding your vote never punishes a Candidate.
It punishes you.
All y'all who wanted to "punish" Kamala over Gaza, how's that working out for you now?
Withholding your vote never punishes a Candidate.
It punishes you.
All y'all who wanted to "punish" Kamala over Gaza, how's that working out for you now?
December 5, 2025 at 4:29 PM
As long as Americans see their vote as a REWARD and not a CHOICE OF AN AGENDA, things will continue to not improve in this country.
Withholding your vote never punishes a Candidate.
It punishes you.
All y'all who wanted to "punish" Kamala over Gaza, how's that working out for you now?
Withholding your vote never punishes a Candidate.
It punishes you.
All y'all who wanted to "punish" Kamala over Gaza, how's that working out for you now?
Reposted by Charles GetCovered-ba ✡️
If new proposals detailed in an FDA memo are put into place, experts told me it would mean the end of annual flu shots. And end of most vaccines for pregnant people. And maybe the end of updates to pneumonia vaccines. And more.
www.cidrap.umn.edu/childhood-va...
www.cidrap.umn.edu/childhood-va...
FDA official proposes ‘impossible’ standards for vaccine testing that could curtail access to immunizations
www.cidrap.umn.edu
December 3, 2025 at 1:43 PM
If new proposals detailed in an FDA memo are put into place, experts told me it would mean the end of annual flu shots. And end of most vaccines for pregnant people. And maybe the end of updates to pneumonia vaccines. And more.
www.cidrap.umn.edu/childhood-va...
www.cidrap.umn.edu/childhood-va...
Reposted by Charles GetCovered-ba ✡️
Reposted by Charles GetCovered-ba ✡️
Reposted by Charles GetCovered-ba ✡️
P.S. As always, if you find my healthcare wonkery useful you can support it here...
secure.actblue.com/donate/acasi...
secure.actblue.com/donate/acasi...
I just supported Charles Gaba's healthcare wonkery!
Show your support with a contribution.
secure.actblue.com
December 6, 2025 at 3:46 AM
P.S. As always, if you find my healthcare wonkery useful you can support it here...
secure.actblue.com/donate/acasi...
secure.actblue.com/donate/acasi...
Reposted by Charles GetCovered-ba ✡️
In any event, here's what The Graph® looks like so far for the 2026 Open Enrollment Period.
The real question is what the ~10.8M people who let themselves be auto-renewed last year do (or don't do). Ideally, ALL of them will ACTIVELY log in & select a plan BEFORE December 15th.
The real question is what the ~10.8M people who let themselves be auto-renewed last year do (or don't do). Ideally, ALL of them will ACTIVELY log in & select a plan BEFORE December 15th.
December 6, 2025 at 3:43 AM
In any event, here's what The Graph® looks like so far for the 2026 Open Enrollment Period.
The real question is what the ~10.8M people who let themselves be auto-renewed last year do (or don't do). Ideally, ALL of them will ACTIVELY log in & select a plan BEFORE December 15th.
The real question is what the ~10.8M people who let themselves be auto-renewed last year do (or don't do). Ideally, ALL of them will ACTIVELY log in & select a plan BEFORE December 15th.
Reposted by Charles GetCovered-ba ✡️
I don't know exactly when they published the report, but it seems to have been after 4pm today, suggesting that CMS was actually trying to bury it.
The fact that there's also no accompanying press release crowing about how successful OEP is going adds to this suspicion...but we'll see what happens.
The fact that there's also no accompanying press release crowing about how successful OEP is going adds to this suspicion...but we'll see what happens.
December 6, 2025 at 2:42 AM
I don't know exactly when they published the report, but it seems to have been after 4pm today, suggesting that CMS was actually trying to bury it.
The fact that there's also no accompanying press release crowing about how successful OEP is going adds to this suspicion...but we'll see what happens.
The fact that there's also no accompanying press release crowing about how successful OEP is going adds to this suspicion...but we'll see what happens.
Reposted by Charles GetCovered-ba ✡️
Remember, too, that all of this would be happening right as the Continuing Resolution agreed to last month once again expires, putting the federal government at risk of shutting down *again.*
December 6, 2025 at 2:37 AM
Remember, too, that all of this would be happening right as the Continuing Resolution agreed to last month once again expires, putting the federal government at risk of shutting down *again.*
Reposted by Charles GetCovered-ba ✡️
--Most freak the fuck out; some manage to switch to a cheaper plan starting in February (most states will have until 1/15 to do this), but perhaps half of them (4M or so?) find they can't afford ANY policy & drop coverage altogether.
However, that would all happen AFTER Trump got his big headlines.
However, that would all happen AFTER Trump got his big headlines.
December 6, 2025 at 2:35 AM
--Most freak the fuck out; some manage to switch to a cheaper plan starting in February (most states will have until 1/15 to do this), but perhaps half of them (4M or so?) find they can't afford ANY policy & drop coverage altogether.
However, that would all happen AFTER Trump got his big headlines.
However, that would all happen AFTER Trump got his big headlines.
Reposted by Charles GetCovered-ba ✡️
Last year nearly 11 MILLION #ACA enrollees let themselves be PASSIVELY AUTO-RENEWED.
The timeline would look like so:
--Just before Christmas, Trump's CMS crows about HUGE enrollment; "See? Dems made a fuss over nothing!"
--Millions of people get hit w/their first premium invoice at the same time
The timeline would look like so:
--Just before Christmas, Trump's CMS crows about HUGE enrollment; "See? Dems made a fuss over nothing!"
--Millions of people get hit w/their first premium invoice at the same time
December 6, 2025 at 2:32 AM
Last year nearly 11 MILLION #ACA enrollees let themselves be PASSIVELY AUTO-RENEWED.
The timeline would look like so:
--Just before Christmas, Trump's CMS crows about HUGE enrollment; "See? Dems made a fuss over nothing!"
--Millions of people get hit w/their first premium invoice at the same time
The timeline would look like so:
--Just before Christmas, Trump's CMS crows about HUGE enrollment; "See? Dems made a fuss over nothing!"
--Millions of people get hit w/their first premium invoice at the same time
Reposted by Charles GetCovered-ba ✡️
Speaking of auto-renewals: I just realized that the 2026 Open Enrollment Period COULD actually end up BREAKING last year's enrollment record EVEN IF SEVERAL MILLION PEOPLE ARE PRICED OUT OF COVERAGE ENTIRELY.
How could this be? 1/
How could this be? 1/
December 6, 2025 at 2:28 AM
Speaking of auto-renewals: I just realized that the 2026 Open Enrollment Period COULD actually end up BREAKING last year's enrollment record EVEN IF SEVERAL MILLION PEOPLE ARE PRICED OUT OF COVERAGE ENTIRELY.
How could this be? 1/
How could this be? 1/
Reposted by Charles GetCovered-ba ✡️
IF YOU'RE A CURRENT #ACA ENROLLEE AND YOU HAVEN'T SIGNED UP FOR 2026 COVERAGE YET, **PLEASE** read my Open Enrollment Guide and make sure to ACTIVELY renew: Do *NOT* let yourself be passively auto-renewed:
acasignups.net/25/11/28/gro...
acasignups.net/25/11/28/gro...
Grouching towards Enrollment: My 2026 ACA OEP Guide (Updated w/2 more tips!)
Almost exactly a year ago I began my 2025 ACA Open Enrollment Period guide with the following words: This is the best OEP ever for the ACA for several reasons: The expanded/enhanced premium subsidies ...
acasignups.net
December 6, 2025 at 2:09 AM
IF YOU'RE A CURRENT #ACA ENROLLEE AND YOU HAVEN'T SIGNED UP FOR 2026 COVERAGE YET, **PLEASE** read my Open Enrollment Guide and make sure to ACTIVELY renew: Do *NOT* let yourself be passively auto-renewed:
acasignups.net/25/11/28/gro...
acasignups.net/25/11/28/gro...
Reposted by Charles GetCovered-ba ✡️
3. What I *HOPE* is the main reason: People are LISTENING TO ME WHEN I URGE THEM *NOT* TO LET THEMSELVES BE PASSIVELY RENEWED!!
I *hope* that a TON of current enrollees are ACTIVELY LOGGING INTO THEIR ACCOUNTS, COMPARING THEIR OPTIONS AND SHOPPING AROUND this year.
EVERYONE should be doing that.
I *hope* that a TON of current enrollees are ACTIVELY LOGGING INTO THEIR ACCOUNTS, COMPARING THEIR OPTIONS AND SHOPPING AROUND this year.
EVERYONE should be doing that.
December 6, 2025 at 2:04 AM
3. What I *HOPE* is the main reason: People are LISTENING TO ME WHEN I URGE THEM *NOT* TO LET THEMSELVES BE PASSIVELY RENEWED!!
I *hope* that a TON of current enrollees are ACTIVELY LOGGING INTO THEIR ACCOUNTS, COMPARING THEIR OPTIONS AND SHOPPING AROUND this year.
EVERYONE should be doing that.
I *hope* that a TON of current enrollees are ACTIVELY LOGGING INTO THEIR ACCOUNTS, COMPARING THEIR OPTIONS AND SHOPPING AROUND this year.
EVERYONE should be doing that.
Reposted by Charles GetCovered-ba ✡️
2. The headlines about the expiring subsidies along with the 43-day government shutdown meant a TON of extra attention being paid to the ACA, the exchanges, & Open Enrollment this fall.
December 6, 2025 at 2:03 AM
2. The headlines about the expiring subsidies along with the 43-day government shutdown meant a TON of extra attention being paid to the ACA, the exchanges, & Open Enrollment this fall.
Reposted by Charles GetCovered-ba ✡️
It may seem surprising that enrollment is actually *up* so far, but I can think of three reasons for this:
1. Total 2025 enrollment was up 13% y/y from 2024, meaning there's ~13% more current enrollees available to actively re-enroll for 2026.
1. Total 2025 enrollment was up 13% y/y from 2024, meaning there's ~13% more current enrollees available to actively re-enroll for 2026.
December 6, 2025 at 2:02 AM
It may seem surprising that enrollment is actually *up* so far, but I can think of three reasons for this:
1. Total 2025 enrollment was up 13% y/y from 2024, meaning there's ~13% more current enrollees available to actively re-enroll for 2026.
1. Total 2025 enrollment was up 13% y/y from 2024, meaning there's ~13% more current enrollees available to actively re-enroll for 2026.
Reposted by Charles GetCovered-ba ✡️
Technically enrollment is only up ~7% y/y so far, but the data from last year included an extra day. When I adjust for that, active 2026 enrollment is up over 11% y/y nationally.
This ranges from being down ~30% in Colorado to being up over 60% in Georgia...both of which are state-based exchanges.
This ranges from being down ~30% in Colorado to being up over 60% in Georgia...both of which are state-based exchanges.
December 6, 2025 at 2:01 AM
Technically enrollment is only up ~7% y/y so far, but the data from last year included an extra day. When I adjust for that, active 2026 enrollment is up over 11% y/y nationally.
This ranges from being down ~30% in Colorado to being up over 60% in Georgia...both of which are state-based exchanges.
This ranges from being down ~30% in Colorado to being up over 60% in Georgia...both of which are state-based exchanges.
📣 BREAKING: (exclusive??) Trump CMS posts claimed 2026 #ACA Open Enrollment report: 5.76M, up ~11% y/y so far:
acasignups.net/25/12/05/bre...
acasignups.net/25/12/05/bre...
Breaking: Trump CMS posts claimed 2026 Open Enrollment Snapshot Report: 5.76M QHP selections, *up* ~11% y/y (adjusted) so far
Just before the close of business for the week, the Centers for Medicare & Medicaid Services (CMS) published the first official 2026 Open Enrollment Period snapshot report: The Centers for Medicare & ...
acasignups.net
December 6, 2025 at 1:54 AM
📣 BREAKING: (exclusive??) Trump CMS posts claimed 2026 #ACA Open Enrollment report: 5.76M, up ~11% y/y so far:
acasignups.net/25/12/05/bre...
acasignups.net/25/12/05/bre...
Reposted by Charles GetCovered-ba ✡️
this sentence alone, my goodness
“She showed up as scheduled, and when she arrived, officers were asking everyone what country they were from, and if they said a certain country, they were told to step out of line and that their oath ceremonies were canceled.”
www.wgbh.org/news/local/2... @gbhnews.bsky.social
www.wgbh.org/news/local/2... @gbhnews.bsky.social
Immigrants kept from Faneuil Hall citizenship ceremony as feds crackdown nationwide
Trump administration is pausing naturalizations for immigrants from 19 countries.
www.wgbh.org
December 5, 2025 at 11:56 PM
this sentence alone, my goodness