Gideon Lukens
banner
gidlukens.bsky.social
Gideon Lukens
@gidlukens.bsky.social
Senior Fellow and Director of Research, Health Policy @centeronbudget. Former Dep. Director for Economic Policy at OMB. Music lover. Views expressed are my own.
The context is that HSAs are currently being touted by some as an alternative to extending the premium tax credit enhancements.
November 11, 2025 at 6:03 PM
HSAs are projected to cost $181B over 10 yrs. That amount would cover - and be better spent - extending the enhanced premium tax credits for ~6 yrs or closing the Medicaid coverage gap for ~9 years. Govt resources are limited, and HSAs have very little bang for the buck in improving affordability.
November 11, 2025 at 6:00 PM
A better way would be to extend ACA marketplace premium tax credit enhancements. See table 2 for estimates for every state: www.cbpp.org/research/hea...
November 11, 2025 at 4:48 PM
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
October 28, 2025 at 12:46 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 28, 2025 at 12:46 PM
A typical family of 4 making $130,000 in Connecticut will have to pay an additional $22,300 annually. (2/4)
October 28, 2025 at 12:45 PM
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
October 27, 2025 at 5:13 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
October 27, 2025 at 5:13 PM
A typical family of 4 making $130,000 in Illinois will have to pay an additional $12,200 annually. (2/4)
October 27, 2025 at 5:12 PM
This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc
9/16/25 ☀️ AM:
PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent
tinyurl.com
October 27, 2025 at 1:38 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 27, 2025 at 1:38 PM