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Health Care Costs

The Center for American Progress researches and supports policies to lower health care costs and prices across the health care system and to make care more affordable for people when they need it. The following research and analyses outline opportunities to lower health care costs and improve affordability.

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How Congress can still get health care subsidies in place for 2026 In the News

How Congress can still get health care subsidies in place for 2026

In an op-ed published by STAT, Emily urges Congress to extend the enhanced tax credits into 2026 while also outlining several other concrete actions the federal government could take to make health care more affordable.

STAT

Emily Gee

How Private Equity and the Financialization of Health Services Can Undermine Access to Sexual and Reproductive Care Report

How Private Equity and the Financialization of Health Services Can Undermine Access to Sexual and Reproductive Care

As firms increasingly invest in OB-GYN practices, fertility clinics, maternity care services, and other health care facilities, policymakers must regulate private equity activity and strengthen oversight of corporate control of health care to preserve Americans’ access to care.

Kierra B. Jones

Open Enrollment, Closed Doors Article
Capitol building reflected in a red ambulance

Open Enrollment, Closed Doors

As Affordable Care Act marketplace open enrollment for 2026 begins on November 1, Republican health policies are reducing access to affordable and comprehensive coverage for low-income Americans, young adults, and the self-employed.

Natasha Murphy

The Trump Administration Is Quietly Gutting Minimum Wage Protections for Millions of Workers Article
A group of workers is seen walking along a brick pathway.

The Trump Administration Is Quietly Gutting Minimum Wage Protections for Millions of Workers

The administration has already cut minimum wage protections for hundreds of thousands of federal contract workers and halted plans to require companies to pay disabled workers at least $7.25 per hour; this Labor Day, it will advance plans to eliminate federal minimum wage protections for millions of child care and home care providers.

Aurelia Glass

State Fact Sheets: How the Trump Administration and Congressional Republicans Are Increasing Costs for American Families Fact Sheet
The Capitol dome reflected in water on pavement

State Fact Sheets: How the Trump Administration and Congressional Republicans Are Increasing Costs for American Families

This series of fact sheets provides insights into how the OBBBA and the administration’s policies will increase the costs of health care, food, energy, and borrowing in each state in the near future.

Amina Khalique, Kennedy Andara, Natalie Baker, 2 More Sara Partridge, Kyle Ross

Politicians Don’t Understand Disability In the News

Politicians Don’t Understand Disability

In an op-ed published by Inside Sources, Mia Ives-Rublee argues that Congress should use the inclusive framing provided by the Americans with Disability Act to boost support for this growing community of Americans.

Inside Sources

Mia Ives-Rublee

On Its 60th Anniversary, Medicaid Is Under Attack Article
Demonstrators gather in protest of Medicaid cuts outside of the U.S. Capitol.

On Its 60th Anniversary, Medicaid Is Under Attack

Historic program cuts enacted by congressional Republicans and the Trump administration threaten the health and financial security of millions of Americans.

Andrea Ducas

What Trump’s Anti-Environment One Big Beautiful Bill Act Means for Your Wallet, Health, and Safety Article

What Trump’s Anti-Environment One Big Beautiful Bill Act Means for Your Wallet, Health, and Safety

In addition to cutting health care and food assistance programs, the act’s energy and environmental provisions would raise energy costs, increase pollution affecting Americans’ health, and increase safety risks in a worsening climate.

Lucero Marquez, Jasia Smith

10 Egregious Things You May Not Know About the One Big Beautiful Bill Act Article
Members of the House walk up the steps of the U.S. Capitol.

10 Egregious Things You May Not Know About the One Big Beautiful Bill Act

Congressional Republicans’ radical budget and tax bill includes several less-known provisions that will increase costs, fuel the Trump administration’s overreach, and waste taxpayer dollars.

Colin Seeberger, Andrea Ducas, Natasha Murphy, 9 More Kierra B. Jones, Andrés Argüello, Lily Roberts, Kyle Ross, Michael Sozan, Silva Mathema, Sara Partridge, Paige Shoemaker DeMio, Corey Husak

$1 Trillion in Medicaid Cuts—$1 Trillion in Tax Giveaways for the Richest 1 Percent: The One Big ‘Beautiful’ Bill’s Budget Math Article
A view of the U.S. Capitol during the procedural vote on the One Big Beautiful Bill Act, Washington, D.C., July 3, 2025.

$1 Trillion in Medicaid Cuts—$1 Trillion in Tax Giveaways for the Richest 1 Percent: The One Big ‘Beautiful’ Bill’s Budget Math

The congressional Republican bill will cause millions of low-income Americans to lose Medicaid coverage in order to fund tax giveaways for the top 1 percent of households.

Micah Johnson, Andrea Ducas

You Thought Medicare Was Safe? Think Again. In the News

You Thought Medicare Was Safe? Think Again.

In an op-ed published by The Contrarian, Donald Berwick explains how congressional Republicans’ budget reconciliation bill threatens to cut more than $535 billion from Medicaid over the next nine years.

The Contrarian

Donald Berwick

The Top 5 Ways the Congressional Republicans’ Budget Reconciliation Bill Will Harm Disabled Students Report
Students are seen eating lunch.

The Top 5 Ways the Congressional Republicans’ Budget Reconciliation Bill Will Harm Disabled Students

Disabled students will be disproportionately hurt by the Republican budget reconciliation bill, losing access to essential services and resources that support their education and help them become contributing members of their communities.

Mia Ives-Rublee, Weadé James

How To Make America Sick Article
A patient waits for radiation treatment.

How To Make America Sick

The Trump administration’s plan to “Make America Healthy Again” will make Americans’ health worse.

Donald Berwick

The One Big Beautiful Bill Act Would Ravage Regions Won by Donald Trump While Giving Tax Breaks to the Rich Article
The U.S. Capitol is seen at sunset.

The One Big Beautiful Bill Act Would Ravage Regions Won by Donald Trump While Giving Tax Breaks to the Rich

Cuts to Medicaid, SNAP, and clean energy tax credits would devastate people in communities that voted for President Donald Trump.

Kierra B. Jones, Andrea Ducas, Kyle Ross, 6 More Lily Roberts, Lucero Marquez, Jamie Friedman, Colin Seeberger, Kennedy Andara, Andrés Argüello

House Republicans’ Big, ‘Beautiful’ Bill Would Make Health Care More Expensive for Americans With Medicare and Other Insurance Article
The sun sets behind the U.S. Capitol building.

House Republicans’ Big, ‘Beautiful’ Bill Would Make Health Care More Expensive for Americans With Medicare and Other Insurance

A new Center for American Progress analysis shows how House Republican health care cuts would cost many families with Medicaid, Medicare, ACA marketplace plans, and job-based coverage up to thousands of dollars per year in additional premiums, deductibles, and other out-of-pocket expenses.

Andrés Argüello, Andrea Ducas

New CBO Estimates Confirm Massive Rise in Uncompensated Care Costs Under One Big Beautiful Bill Act Article
A patient has their blood pressure checked at a medical clinic in Grundy, Virginia.

New CBO Estimates Confirm Massive Rise in Uncompensated Care Costs Under One Big Beautiful Bill Act

New projections from the Congressional Budget Office indicate the House-passed tax and budget bill would lead to 16 million people becoming uninsured, resulting in hospitals and other health care providers shouldering an estimated $36 billion in additional uncompensated care costs by 2034.

Andrés Argüello, Andrea Ducas

The Trump Administration’s Assault on Environmental Protections Will Give Polluters a Free Pass While Causing Millions of Asthma Attacks Report
Cars sit in traffic as the sun sets behind a veil of smog.

The Trump Administration’s Assault on Environmental Protections Will Give Polluters a Free Pass While Causing Millions of Asthma Attacks

The Trump administration’s plan to weaken clean air protections could cause more than 10,000 asthma attacks per day while cutting lifesaving asthma prevention programs and as House Republicans seek to slash pollution reduction efforts, clean technology investments, and essential health care coverage—all to give tax breaks to billionaires.

Cathleen Kelly, Jill Rosenthal, Leo Banks

The Big, ‘Beautiful’ Bill’s Health Care Cuts Would Drive Up Uncompensated Care and Threaten Vulnerable Hospitals Article
Staff members remove a sign following a press conference after House passage of the tax and spending bill.

The Big, ‘Beautiful’ Bill’s Health Care Cuts Would Drive Up Uncompensated Care and Threaten Vulnerable Hospitals

House Republicans’ proposals would lead to 14 million people becoming uninsured, forcing hospitals and other health care providers to foot the bill of $31 billion in additional uncompensated care costs by 2034.

Andrés Argüello, Andrea Ducas

CAP Testimony Before the House Subcommittee on Economic Growth, Energy Policy, and Regulatory Affairs and Subcommittee on Health Care and Financial Services In the News

CAP Testimony Before the House Subcommittee on Economic Growth, Energy Policy, and Regulatory Affairs and Subcommittee on Health Care and Financial Services

Emily Gee testified before subcommittees of the U.S. House of Representatives Oversight Committee on how the Inflation Reduction Act has lowered health care and energy costs for American families while investing in a future powered by clean energy.

U.S. House of Representatives Oversight Committee

Emily Gee

The Collateral Damage of Medicaid Work Requirements Article

The Collateral Damage of Medicaid Work Requirements

Congressional Republicans’ proposed Medicaid work reporting requirements could strip coverage from hundreds of thousands of children, cost up to 449,000 jobs, and lead to more than 15,400 avoidable deaths each year.

Natasha Murphy, Andrea Ducas

Opinion: How Trump’s push to privatize Medicare would be a disaster for seniors In the News

Opinion: How Trump’s push to privatize Medicare would be a disaster for seniors

In an op-ed published by MarketWatch, Andrea Ducas and David Lipschutz explain why the Trump administration wants to make Medicare Advantage the default enrollment for all Medicare recipients and how doing so would devastate Americans' wallets.

MarketWatch

Andrea Ducas, David Lipschutz

How Congressional Republicans’ Health Care Plans Will Spike Health Insurance Premiums for Older Adults Article
The rising sun flares through the windows of the U.S. Capitol Dome.

How Congressional Republicans’ Health Care Plans Will Spike Health Insurance Premiums for Older Adults

Congressional Republican plans to slash Medicaid funding and allow the enhanced Affordable Care Act premium tax credits to expire will significantly raise insurance costs for older Americans with marketplace coverage.

Natasha Murphy, Andrea Ducas, Kennedy Andara, 1 More Brian Keyser

CAP Comments on Proposed Marketplace Integrity and Affordability Rule Article

CAP Comments on Proposed Marketplace Integrity and Affordability Rule

The Center for American Progress submitted comments to the Centers for Medicare and Medicaid Services opposing proposals that would raise health care costs, restrict eligibility, and limit enrollment for Affordable Care Act coverage.

Natasha Murphy

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