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Charles Gaba<p>🚨 Oh yeah...Musk/Trump Regime's CMS plans to reverse Biden-era <a href="https://mastodon.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> rules, throw <a href="https://mastodon.social/tags/DACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>DACA</span></a> &amp; <a href="https://mastodon.social/tags/Transgender" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Transgender</span></a> folks under the bus, shorten Open Enrollment Period &amp; much more...</p><p><a href="https://acasignups.net/25/03/27/oh-yeahmusktrump-cms-plans-reverse-biden-era-aca-rules-throw-daca-transgender-folks-under" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">acasignups.net/25/03/27/oh-yea</span><span class="invisible">hmusktrump-cms-plans-reverse-biden-era-aca-rules-throw-daca-transgender-folks-under</span></a></p>
Charles Gaba ✡️<p>🚨 Oh yeah...Musk/Trump Regime's CMS plans to reverse Biden-era <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> rules, throw <a class="hashtag" href="https://bsky.app/search?q=%23DACA" rel="nofollow noopener noreferrer" target="_blank">#DACA</a> &amp; <a class="hashtag" href="https://bsky.app/search?q=%23Transgender" rel="nofollow noopener noreferrer" target="_blank">#Transgender</a> folks under the bus, shorten Open Enrollment Period &amp; much more... <a href="https://acasignups.net/25/03/27/oh-yeahmusktrump-cms-plans-reverse-biden-era-aca-rules-throw-daca-transgender-folks-under" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/03/27/oh-...</a><br><br><a href="https://acasignups.net/25/03/27/oh-yeahmusktrump-cms-plans-reverse-biden-era-aca-rules-throw-daca-transgender-folks-under" rel="nofollow noopener noreferrer" target="_blank">Oh yeah...Musk/Trump CMS plans...</a></p>
(((Cindy Weinstein)))<p><a href="https://zirk.us/tags/Harris" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Harris</span></a> had a plan for <a href="https://zirk.us/tags/caregivers" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>caregivers</span></a>: "The intensity of caregiving would require her to stop work as a teacher, but if she stopped that paid work, she’d be unable to buy food &amp; pay for housing. W/o a job, she could receive Medicaid, but @ 48 &amp; willing &amp; able to work, she’d be among those called out as not fit for Medicaid. Currently, she receives health insurance through the expansion of <a href="https://zirk.us/tags/Medicaid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Medicaid</span></a> via the <a href="https://zirk.us/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> — which some propose cutting."</p><p><a href="https://www.statnews.com/2025/03/25/alzheimers-demetia-medicaid-services-support-pace-budget-cuts-caregivers/" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">statnews.com/2025/03/25/alzhei</span><span class="invisible">mers-demetia-medicaid-services-support-pace-budget-cuts-caregivers/</span></a></p><p><span class="h-card" translate="no"><a href="https://progressivecafe.social/@TonyStark" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>TonyStark</span></a></span> </p><p><a href="https://zirk.us/tags/Dementia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Dementia</span></a> <br><a href="https://zirk.us/tags/USPol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USPol</span></a></p>
(((Cindy Weinstein)))<p>Harris had a plan for <a href="https://mastodon.world/tags/caregivers" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>caregivers</span></a>: "The intensity of caregiving would require her to stop work as a teacher, but if she stopped that paid work, she’d be unable to buy food &amp; pay for housing. W/o a job, she could receive Medicaid, but @ 48 &amp; willing &amp; able to work, she’d be among those called out as not fit for Medicaid. Currently, she receives health insurance through the expansion of <a href="https://mastodon.world/tags/Medicaid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Medicaid</span></a> via the <a href="https://mastodon.world/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> — which some propose cutting."</p><p><a href="https://www.statnews.com/2025/03/25/alzheimers-demetia-medicaid-services-support-pace-budget-cuts-caregivers/" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">statnews.com/2025/03/25/alzhei</span><span class="invisible">mers-demetia-medicaid-services-support-pace-budget-cuts-caregivers/</span></a></p><p><span class="h-card" translate="no"><a href="https://progressivecafe.social/@TonyStark" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>TonyStark</span></a></span> </p><p><a href="https://mastodon.world/tags/Dementia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Dementia</span></a> <br><a href="https://mastodon.world/tags/USPol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USPol</span></a></p>
Steve Dustcircle 🌹<p>15 Years On: How The <a href="https://masto.ai/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> Shaped <a href="https://masto.ai/tags/ReproductiveCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ReproductiveCare</span></a> Access </p><p><a href="https://wordinblack.com/2025/03/15-years-on-how-the-aca-shaped-reproductive-care-access/" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">wordinblack.com/2025/03/15-yea</span><span class="invisible">rs-on-how-the-aca-shaped-reproductive-care-access/</span></a></p>
Sheldon<p><span class="h-card" translate="no"><a href="https://kolektiva.social/@violetmadder" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>violetmadder</span></a></span> how exactly do you suppose Obama would have gotten more with the razor thin margins he had in Congress against lock-step opposition?</p><p>Our system is still terrible, but it was even more terrible before the ACA. I'm self employed and used to work in various levels of healthcare from provider to facilities to purchasing so I'm intimately familiar with how bad it was before the ACA.</p><p>Self employed, I couldn't buy insurance before the ACA until I wiggled into a special major risk program that covered less and cost me more at age 29 than my off-exchange plan did at age 49 (without adjusting for inflation).</p><p>The <a href="https://sfba.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> broke a decades long impasse in healthcare reform. That's pretty strong to me. </p><p>I'd have loved for it to go further too and Obama himself has said it was meant to be a first step. </p><p><span class="h-card" translate="no"><a href="https://mastodon.online/@davidsirota" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>davidsirota</span></a></span></p>
A Sweet Gentleman<p>You have until April 11 to leave a comment on Republicans' project to make the Affordable Care Act as useless as possible.</p><p>And prohibit coverage for trans care while they're at it.</p><p>Please go leave a comment and share around you!🙏 </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><a href="https://mstdn.social/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://mstdn.social/tags/Obamacare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Obamacare</span></a> <a href="https://mstdn.social/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthcare</span></a> <a href="https://mstdn.social/tags/health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>health</span></a> <a href="https://mstdn.social/tags/lgbtq" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>lgbtq</span></a> <a href="https://mstdn.social/tags/transgender" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>transgender</span></a> <a href="https://mstdn.social/tags/trans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>trans</span></a> <a href="https://mstdn.social/tags/transcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>transcare</span></a> <a href="https://mstdn.social/tags/trump" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>trump</span></a> <a href="https://mstdn.social/tags/maga" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>maga</span></a> <a href="https://mstdn.social/tags/republicans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>republicans</span></a> <a href="https://mstdn.social/tags/Project2025" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Project2025</span></a> <a href="https://mstdn.social/tags/USpol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USpol</span></a> <a href="https://mstdn.social/tags/racism" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>racism</span></a> <a href="https://mstdn.social/tags/blackMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>blackMastodon</span></a> <a href="https://mstdn.social/tags/abortion" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>abortion</span></a> <a href="https://mstdn.social/tags/vaccine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>vaccine</span></a></p>
Nathaniel Gregory<p><span class="h-card" translate="no"><a href="https://bsky.brid.gy/r/https://bsky.app/profile/thejenniwren.teamlh.social" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>thejenniwren.teamlh.social</span></a></span> </p><p>The <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/Obamacare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Obamacare</span></a> is a popular but not overwhelmingly popular system (60% popularity). It left a lot of the problems with the <a href="https://mastodon.social/tags/private" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>private</span></a>, <a href="https://mastodon.social/tags/forprofit" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>forprofit</span></a> <a href="https://mastodon.social/tags/US" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>US</span></a> <a href="https://mastodon.social/tags/medical" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medical</span></a> system intact and is vulnerable to <a href="https://mastodon.social/tags/farright" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>farright</span></a> attacks.</p><p>Only 8% of <a href="https://mastodon.social/tags/Democrats" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Democrats</span></a> oppose <a href="https://mastodon.social/tags/MedicareForAll" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedicareForAll</span></a>, yet no Dem politicians pursue it. Ask why.</p><p>Reminder: This was the <a href="https://mastodon.social/tags/RonaldReagan" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>RonaldReagan</span></a> <a href="https://mastodon.social/tags/Healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Healthcare</span></a> Plan made by the <a href="https://mastodon.social/tags/Heritage" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Heritage</span></a> Foundation who would then make <a href="https://mastodon.social/tags/Project2025" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Project2025</span></a>!</p><p><a href="https://mastodon.social/tags/Politics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Politics</span></a></p>
Charles Gaba ✡️<p>📣 REMINDER: I've completed my district-by-district visual breakout of total enrollment in <a class="hashtag" href="https://bsky.app/search?q=%23Medicaid" rel="nofollow noopener noreferrer" target="_blank">#Medicaid</a>, <a class="hashtag" href="https://bsky.app/search?q=%23CHIP" rel="nofollow noopener noreferrer" target="_blank">#CHIP</a>, <a class="hashtag" href="https://bsky.app/search?q=%23Medicare" rel="nofollow noopener noreferrer" target="_blank">#Medicare</a> &amp; <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> healthcare coverage for all 435 House districts and all 50 states (+DC). PLEASE SHARE THESE GRAPHICS WIDELY. Find your district/state here: <a href="https://acasignups.net/program-enrollment-by-cd" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/program-enro...</a><br><br><a href="https://acasignups.net/program-enrollment-by-cd" rel="nofollow noopener noreferrer" target="_blank">Pie Charts Galore! Medicaid, C...</a></p>
Skeets "Houthi PC small group" McGee<p>This is true. There were horror stories of people getting cancer and health insurance companies just being like "I don't feel like covering you right now" <a class="hashtag" href="https://bsky.app/search?q=%23aca" rel="nofollow noopener noreferrer" target="_blank">#aca</a> <a class="hashtag" href="https://bsky.app/search?q=%23healthcare" rel="nofollow noopener noreferrer" target="_blank">#healthcare</a> <a class="hashtag" href="https://bsky.app/search?q=%23health" rel="nofollow noopener noreferrer" target="_blank">#health</a><br><br>RE: <a href="https://bsky.app/profile/did:plc:w6gch2fmjeqggeiq6k6ei4dd/post/3ll2pdxcdsk2m" rel="nofollow noopener noreferrer" target="_blank">https://bsky.app/profile/did:plc:w6gch2fmjeqggeiq6k6ei4dd/post/3ll2pdxcdsk2m</a></p>
Charles Gaba ✡️<p>Combined (and with off-exchange ACA QHPs added in), that's over 47 million Americans who receive healthcare coverage specifically via the <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> (the blue labels in the Psychedelic Donut® below). That's nearly 14% of the total U.S. population. <a href="https://acasignups.net/25/01/30/psychedelic-donut-returns-healthcare-coverage-breakout-entire-us-population-1-chart" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/01/30/psy...</a></p>
Charles Gaba ✡️<p>AS of June 2024, ~20 million Americans were enrolled in Medicaid thanks to <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> expansion across 40 states +DC. That's 5.9% of the total U.S. population. This is down somewhat from an all-time high of nearly 24M during the COVID pandemic. <a href="https://acasignups.net/25/01/24/twelve-years-aca-medicaid-expansion-one-image" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/01/24/twe...</a></p>
Charles Gaba ✡️<p>As of February 2025, ~26 million Americans are enrolled in <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a> exchange Qualified Health Plans or Basic Health Plans nationally. That's 7.6% of the total U.S. population. <a href="https://acasignups.net/25/01/24/twelve-years-aca-open-enrollment-one-image" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/01/24/twe...</a></p>
Charles Gaba ✡️<p>📣 Today is the 15th Anniversary of the Patient Protection &amp; Affordable Care Act, aka the <a class="hashtag" href="https://bsky.app/search?q=%23ACA" rel="nofollow noopener noreferrer" target="_blank">#ACA</a>. CMS usually posts the official Open Enrollment Period enrollment report on or around the ACA's anniversary. This year I don't expect that, so here's the unofficial tally: <a href="https://acasignups.net/25/02/10/boom-aca-open-enrollment-hits-nearly-242m-qhps-nearly-26m-wbhps-included" rel="nofollow noopener noreferrer" target="_blank">acasignups.net/25/02/10/boo...</a><br><br><a href="https://acasignups.net/25/02/10/boom-aca-open-enrollment-hits-nearly-242m-qhps-nearly-26m-wbhps-included" rel="nofollow noopener noreferrer" target="_blank">BOOM: ACA Open Enrollment hits...</a></p>
Oriol Piera<p>Interrogat perquè el riu <a href="https://mastodon.economiasocial.org/tags/Gai%C3%A0" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Gaià</span></a> és l'únic <a href="https://mastodon.economiasocial.org/tags/embassament" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>embassament</span></a> que no s'està omplint, he trobat aquest article que explica la història d'aquesta presa.</p><p>El embalse del Catllar: Tontería hasta la última gota - Paperblog<br><a href="https://es.paperblog.com/el-embalse-del-catllar-tonteria-hasta-la-ultima-gota-8392757/" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="ellipsis">es.paperblog.com/el-embalse-de</span><span class="invisible">l-catllar-tonteria-hasta-la-ultima-gota-8392757/</span></a></p><p><a href="https://mastodon.economiasocial.org/tags/embassaments" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>embassaments</span></a> <a href="https://mastodon.economiasocial.org/tags/Catllar" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Catllar</span></a> <a href="https://mastodon.economiasocial.org/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://mastodon.economiasocial.org/tags/Repsol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Repsol</span></a> <a href="https://mastodon.economiasocial.org/tags/franquisme" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>franquisme</span></a> <a href="https://mastodon.economiasocial.org/tags/riu" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>riu</span></a> <a href="https://mastodon.economiasocial.org/tags/aigua" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>aigua</span></a> <br>cc <span class="h-card"><a href="https://mastodont.cat/@embassamentsaca" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>embassamentsaca</span></a></span></p>
azteclady<p>URGENT <a href="https://romancelandia.club/tags/CallToAction" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CallToAction</span></a> </p><p>Here's a simple way to support trans people in the U.S.: leave a comment on the rule below. The proposed change would limit or eliminate gender care for trans people under ACA plans. Leave a comment before April 11.</p><p>Please share widely; remember that if they get away with this with little public reaction, they'll come for YOUR care next. Make noise, protect others now, you are protecting yourself in the future.</p><p><a href="https://romancelandia.club/tags/TransRightsAreHumanRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>TransRightsAreHumanRights</span></a> <a href="https://romancelandia.club/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> </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" 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>
I Forget<p>HHS has published a planned change to stop requiring gender-affirming care in ACA plans. It also makes DACA recipients ineligible for ACA plans, as well as a number of other changes I don't understand. Comments open until 11 Apr.</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><a href="https://signs.codes/tags/trans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>trans</span></a> <a href="https://signs.codes/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthcare</span></a> <a href="https://signs.codes/tags/hhs" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>hhs</span></a> <a href="https://signs.codes/tags/aca" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>aca</span></a> <a href="https://signs.codes/tags/daca" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>daca</span></a></p>
Spin D'Accord<p>This is what I submitted. Don't copy it verbatim. It doesn't deliver the same punch if all people see are verbatim comments.</p><p>Remember, the deadline is April 11. Submit your comments to the proposed HHS/CMS rule change here: <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><a href="https://mas.to/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://mas.to/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthcare</span></a> <a href="https://mas.to/tags/USPol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USPol</span></a> <a href="https://mas.to/tags/Trump" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Trump</span></a></p>
Spin D'Accord<p>This proposed HHS rule change to ACA is bad across the board. These are just 3 issues:</p><p>1 - It blocks DACA people from accessing and receiving subsidies from the ACA.</p><p>2 - It *prohibits* ACA plans from covering transgender affirming care.</p><p>3 - Creates new hurdles to maintain coverage. One of them is an algorithm that assesses what HHS thinks your income *should* be, which then requires you to prove your income.</p><p><a href="https://mas.to/tags/HHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HHS</span></a> <a href="https://mas.to/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://mas.to/tags/USPol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USPol</span></a> <a href="https://mas.to/tags/Healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Healthcare</span></a><br><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>
Lisa Kalayji<p>Public comment is open on a proposed US federal policy change that would strip trans people on ACA (health insurance exchange) plans of their gender-affirming care and exclude DACA recipients (undocumented immigrants who have been in the US since they were kids and who have government permission to continue living and working here) from getting insurance at all. </p><p>It also shortens the open enrollment period, which is currently only 2.5 frantic months, to just a month and a half, which will make it impossible for many people to get insurance, and would almost certainly be compounded by a mass exodus of insurance brokers from their jobs (they already work 12 hour days during open enrollment). And that's not even everything that's in here.</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><a href="https://infosec.exchange/tags/Healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Healthcare</span></a> <a href="https://infosec.exchange/tags/HealthInsurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthInsurance</span></a> <a href="https://infosec.exchange/tags/ACA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ACA</span></a> <a href="https://infosec.exchange/tags/HHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HHS</span></a> <a href="https://infosec.exchange/tags/TransHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>TransHealth</span></a> <a href="https://infosec.exchange/tags/TransRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>TransRights</span></a> <a href="https://infosec.exchange/tags/Immigration" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Immigration</span></a> <a href="https://infosec.exchange/tags/ImmigrantRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ImmigrantRights</span></a> <a href="https://infosec.exchange/tags/PublicHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PublicHealth</span></a> <a href="https://infosec.exchange/tags/Capitalism" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Capitalism</span></a> <a href="https://infosec.exchange/tags/HumanRights" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HumanRights</span></a></p>