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#aca

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Daniel Reeders<p><span class="h-card" translate="no"><a href="https://aus.social/@SeaFury" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>SeaFury</span></a></span> oh my god the <a href="https://beige.party/tags/aca" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>aca</span></a> jobs in particular. Fingers crossed for a fruitful outcome for you!</p>
Jasmine🍁🧡💛 💚💜 💙 🤎 🖤 🤍<p>This is a copy-paste of the highest importance! PLEASE READ AND SHARE! <a href="https://beige.party/tags/UsPoli" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UsPoli</span></a> <a href="https://beige.party/tags/democracy" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>democracy</span></a> <a href="https://beige.party/tags/HHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HHS</span></a> <a href="https://beige.party/tags/Health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Health</span></a> <a href="https://beige.party/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthcare</span></a> <a href="https://beige.party/tags/transrights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>transrights</span></a> <a href="https://beige.party/tags/Trans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Trans</span></a> <a href="https://beige.party/tags/GenderEquality" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>GenderEquality</span></a> </p><p>Comment period ENDS TODAY and has only 22K comments. Holy shit folks!</p><p>The Department of Health and Human Services is considering a rule that would remove gender affirming care from the list of Essential Health Benefits (EHB) from the <a href="https://beige.party/tags/AffordableCareAct" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AffordableCareAct</span></a> provisions, which means any health insurance connected to the <a href="https://beige.party/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> Marketplace (such as <a href="https://beige.party/tags/medicaid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicaid</span></a> cannot cover GAC beginning in 2026.</p><p>Furthermore, it also penalizes states that do mandate GAC as a EHB by forcing them to reimburse health insurance groups that cover GAC.</p><p>All federal agency rule changes must first pass through a public comment and review period, with all public comments being mandated by law to be attached to the documentation of proposed rule changes. This HHS proposal is currently up for public comment, but news media is NOT reporting on it! Please share this with EVERYONE you know who cares and invite them to leave a public comment.</p><p>You can comment anonymously.</p><p><a href="https://www.federalregister.gov/documents/2025/03/19/2025-04083/patient-protection-and-affordable-care-act-marketplace-integrity-and-affordability" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">federalregister.gov/documents/</span><span class="invisible">2025/03/19/2025-04083/patient-protection-and-affordable-care-act-marketplace-integrity-and-affordability</span></a></p><p>From a <a href="https://beige.party/tags/Canadian" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Canadian</span></a> perspective, all the language about "consumers" and "improper" recipients makes me ill. "To preserve the integrity of the Exchanges" - THAT's their focus, ew. Dehumanizing on every front.</p>
Charles Gaba<p>RHODE ISLAND: In the end, 2025 <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> Open Enrollment was still record-breaking:</p><p><a href="https://acasignups.net/25/04/10/rhode-island-end-2025-oep-enrollment-was-still-record-breaking" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">acasignups.net/25/04/10/rhode-</span><span class="invisible">island-end-2025-oep-enrollment-was-still-record-breaking</span></a></p>
Charles Gaba<p>RHODE ISLAND: In the end, 2025 <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> Open Enrollment was still record-breaking: <a href="https://acasignups.net/25/04/10/rhode-island-end-2025-oep-enrollment-was-still-record-breaking" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/04/10/rho...</a><br><br><a href="https://acasignups.net/25/04/10/rhode-island-end-2025-oep-enrollment-was-still-record-breaking" rel="nofollow noopener noreferrer" target="_blank">Rhode Island: In the end, 2025...</a></p>
Charles Gaba<p>As a reminder, here's how much 2026 <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> premiums will increase for various households in VIRGINIA if the IRA subsidies aren't extended: <a href="https://acasignups.net/24/12/09/state-state-how-much-more-will-virginia-residents-pay-if-enhanced-aca-subsidies-arent" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/24/12/09/sta...</a><br><br><a href="https://acasignups.net/24/12/09/state-state-how-much-more-will-virginia-residents-pay-if-enhanced-aca-subsidies-arent" rel="nofollow noopener noreferrer" target="_blank">State by State: How much more ...</a></p>
Charles Gaba<p>VIRGINIA: 2026 <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> filing instructions offer a chilling reminder that premiums are about to get extremely ugly... </p><p><a href="https://acasignups.net/25/04/10/virginia-2026-aca-filing-instructions-offer-chilling-reminder-premiums-are-about-get" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">acasignups.net/25/04/10/virgin</span><span class="invisible">ia-2026-aca-filing-instructions-offer-chilling-reminder-premiums-are-about-get</span></a></p>
Charles Gaba<p>VIRGINIA: 2026 <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> filing instructions offer a chilling reminder that premiums are about to get extremely ugly... <a href="https://acasignups.net/25/04/10/virginia-2026-aca-filing-instructions-offer-chilling-reminder-premiums-are-about-get" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/04/10/vir...</a><br><br><a href="https://acasignups.net/25/04/10/virginia-2026-aca-filing-instructions-offer-chilling-reminder-premiums-are-about-get" rel="nofollow noopener noreferrer" target="_blank">Virginia: 2026 ACA filing inst...</a></p>
Charles Gaba<p>📣 With <a class="mention" href="https://bsky.app/profile/ncgovernor.bsky.social" rel="nofollow noopener noreferrer" target="_blank">@ncgovernor.bsky.social</a> announcing <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> Medicaid expansion has broken 650K, I've *completely updated &amp; overhauled* my <a class="hashtag" href="https://bsky.app/search?q=%23NorthCarolina" rel="nofollow noopener noreferrer" target="_blank">#NorthCarolina</a> healthcare enrollment graphs w/the latest data, including HIGH-RES PDF versions suitable for printing to 24"x36" poster pboard! <a href="https://acasignups.net/cd-pie-charts/nc" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a><br><br><a href="https://acasignups.net/cd-pie-charts/nc" rel="nofollow noopener noreferrer" target="_blank">Congressional District Enrollm...</a></p>
Charles Gaba<p>NORTH CAROLINA: NC Gov. Stein announces <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> Medicaid expansion has broken 650,000 enrollees even as GOP Congress prepares to gut the program:</p><p><a href="https://acasignups.net/25/04/09/north-carolina-medicaid-expansion-breaks-650000-enrollees-even-gop-congress-prepares-gut" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">acasignups.net/25/04/09/north-</span><span class="invisible">carolina-medicaid-expansion-breaks-650000-enrollees-even-gop-congress-prepares-gut</span></a></p>
Charles Gaba<p>NORTH CAROLINA: <a class="mention" href="https://bsky.brid.gy/ap/did:plc:6d5emxj6c3bakop3hpcr4pxq" rel="nofollow noopener noreferrer" target="_blank">@ncgovernor.bsky.social</a> Stein announces <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> Medicaid expansion has broken 650,000 enrollees even as GOP Congress prepares to gut the program: <a href="https://acasignups.net/25/04/09/north-carolina-medicaid-expansion-breaks-650000-enrollees-even-gop-congress-prepares-gut" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/04/09/nor...</a><br><br><a href="https://acasignups.net/25/04/09/north-carolina-medicaid-expansion-breaks-650000-enrollees-even-gop-congress-prepares-gut" rel="nofollow noopener noreferrer" target="_blank">North Carolina: Medicaid expan...</a></p>
CP 🍍<p>Sharing to <span class="h-card" translate="no"><a href="https://a.gup.pe/u/tellcongress" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>tellcongress</span></a></span> </p><p>📢 Tell Congress who protect access to healthcare for immigrants, LGBTQ+ communities, and working-class families!</p><p>👉 <a href="https://mastodon.social/@indivisibleteam/114309537497487613" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">mastodon.social/@indivisiblete</span><span class="invisible">am/114309537497487613</span></a></p><p>h/t <span class="h-card" translate="no"><a href="https://mastodon.social/@indivisibleteam" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>indivisibleteam</span></a></span></p><p><a href="https://mastodon.social/tags/TellCongress" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>TellCongress</span></a> <a href="https://mastodon.social/tags/HealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthCare</span></a> <a href="https://mastodon.social/tags/HealthInsurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthInsurance</span></a> <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://mastodon.social/tags/Medicare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Medicare</span></a> <a href="https://mastodon.social/tags/Medicaid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Medicaid</span></a> <a href="https://mastodon.social/tags/AffordableCareAct" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AffordableCareAct</span></a> <a href="https://mastodon.social/tags/ImmigrantRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ImmigrantRights</span></a> <a href="https://mastodon.social/tags/DACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>DACA</span></a> <a href="https://mastodon.social/tags/LGBTQRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LGBTQRights</span></a> <a href="https://mastodon.social/tags/TransRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>TransRights</span></a> <a href="https://mastodon.social/tags/USPolitics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USPolitics</span></a> <a href="https://mastodon.social/tags/Advocacy" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Advocacy</span></a></p>
Charles Gaba<p>COLORADO: Connect for Health Colorado releases final 2025 Open Enrollment Period report; record 296K <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> exchange enrollees total:</p><p><a href="https://acasignups.net/25/04/08/colorado-c4hco-releases-final-2025-open-enrollment-period-report-record-296k-qhps-total" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">acasignups.net/25/04/08/colora</span><span class="invisible">do-c4hco-releases-final-2025-open-enrollment-period-report-record-296k-qhps-total</span></a></p>
Charles Gaba<p>COLORADO: Connect for Health Colorado releases final 2025 Open Enrollment Period report; record 296K <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange enrollees total: <a href="https://acasignups.net/25/04/08/colorado-c4hco-releases-final-2025-open-enrollment-period-report-record-296k-qhps-total" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/04/08/col...</a><br><br><a href="https://acasignups.net/25/04/08/colorado-c4hco-releases-final-2025-open-enrollment-period-report-record-296k-qhps-total" rel="nofollow noopener noreferrer" target="_blank">Colorado: C4HCO releases final...</a></p>
Charles Gaba<p>Technically it's down to around ~35% this year, but another ~5% are in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange plans, which Johnson is *also* trying to gut, so there you go... <a href="https://acasignups.net/cd-pie-charts/la" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a></p>
June BlueSpruce<p><span class="h-card" translate="no"><a href="https://mastodon.social/@GreenRoc" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>GreenRoc</span></a></span> i’m so sorry to hear that this has messed up your life. And so many others. Remember how outraged <a href="https://mstdn.social/tags/republicans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>republicans</span></a> got when the initial launch of the <a href="https://mstdn.social/tags/aca" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>aca</span></a> website went awry? This is thousands of times worse than that. Not a peep.<br><a href="https://mstdn.social/tags/socialsecurity" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>socialsecurity</span></a> <a href="https://mstdn.social/tags/doge" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doge</span></a></p>
Charles Gaba<p>It's actually down to 35.4% of <a class="hashtag" href="https://bsky.app/search?q=%23LA04" rel="nofollow noopener noreferrer" target="_blank">#LA04</a> now (38% was from a year ago while the post-COVID unwinding process was still going on), but that's still a SHITLOAD of his own constituents who he's screwing over. Then again, another 5% are in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> plans which he's trying to gut as well, so there's your 40%...<br><br>RE: <a href="https://bsky.app/profile/did:plc:dz5f3vjel76gadbwitlu7igz/post/3lmaxzvcrkc25" rel="nofollow noopener noreferrer" target="_blank">https://bsky.app/profile/did:plc:dz5f3vjel76gadbwitlu7igz/post/3lmaxzvcrkc25</a></p>
Charles Gaba<p>AND FINALLY... <a class="hashtag" href="https://bsky.app/search?q=%23OH07" rel="nofollow noopener noreferrer" target="_blank">#OH07</a> Max Miller (won by 15.0%) ~38K in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange plans (4.9% of total pop) ~121K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicaid/CHIP" rel="nofollow noopener noreferrer" target="_blank">#Medicaid/CHIP</a> (15.6% of total pop) ~187K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicare" rel="nofollow noopener noreferrer" target="_blank">#Medicare</a> (24.1% of total pop) <a href="https://acasignups.net/cd-pie-charts/oh" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a></p>
Charles Gaba<p><a class="hashtag" href="https://bsky.app/search?q=%23VA05" rel="nofollow noopener noreferrer" target="_blank">#VA05</a> John McGuire (won by 15.0%) ~35K in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange plans (4.4% of total pop) ~210K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicaid/CHIP" rel="nofollow noopener noreferrer" target="_blank">#Medicaid/CHIP</a> (26.0% of total pop) ~199K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicare" rel="nofollow noopener noreferrer" target="_blank">#Medicare</a> (24.7% of total pop) <a href="https://acasignups.net/cd-pie-charts/va" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a></p>
Charles Gaba<p><a class="hashtag" href="https://bsky.app/search?q=%23FL04" rel="nofollow noopener noreferrer" target="_blank">#FL04</a> Aaron Bean (won by 14.6%) ~122K in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange plans (14.5% of total pop) ~160K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicaid/CHIP" rel="nofollow noopener noreferrer" target="_blank">#Medicaid/CHIP</a> (19% of total pop) ~166K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicare" rel="nofollow noopener noreferrer" target="_blank">#Medicare</a> (19.7% of total pop) <a href="https://acasignups.net/cd-pie-charts/fl" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a></p>
Charles Gaba<p><a class="hashtag" href="https://bsky.app/search?q=%23WI08" rel="nofollow noopener noreferrer" target="_blank">#WI08</a> Tony Wied (won by 14.4%) ~44K in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange plans (5.8% of total pop) ~146K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicaid/CHIP" rel="nofollow noopener noreferrer" target="_blank">#Medicaid/CHIP</a> (19.5% of total pop) ~169K in <a class="hashtag" href="https://bsky.app/search?q=%23Medicare" rel="nofollow noopener noreferrer" target="_blank">#Medicare</a> (22.6% of total pop) <a href="https://acasignups.net/cd-pie-charts/wi" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/cd-pie-chart...</a></p>