Health Coverage and Access

Health coverage is key to accessing health care and preventive services. The Center for American Progress has long researched, developed, and advocated for policies that expand health coverage, strengthen access to care, and improve affordability. The following research and analyses illustrate gaps in health coverage and propose ways to improve access to care.

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Resumen ejecutivo: Una Declaración de Derechos del Paciente para reducir los costos de la atención médica Hoja informativa
Two prescription pill bottles on table, one standing and one on its side with pills spilling out

Resumen ejecutivo: Una Declaración de Derechos del Paciente para reducir los costos de la atención médica

El plan de CAP limitaría los aumentos injustificados de las primas, reduciría los deducibles al frenar los precios hospitalarios atípicos, y sustituiría la autorización previa por una revisión clínica independiente y basada en la evidencia, con el fin de reducir los costos de atención médica y ampliar el acceso oportuno a la atención.

Executive Summary: A Patients’ Bill of Rights To Lower Health Care Costs Fact Sheet
Two prescription pill bottles on table, one standing and one on its side with pills spilling out

Executive Summary: A Patients’ Bill of Rights To Lower Health Care Costs

CAP’s plan would limit unjustified premium increases; reduce deductibles by reining in outlier hospital prices; and replace prior authorization with independent, evidence-based clinical review to lower health care costs and increase access to timely care.

Updated: TrumpRx Discounts 0.13 Percent of Prescription Drugs While 22 Million Americans See Costs Rise Article
Shelves at a pharmacy are stacked with bottles of prescription medication.

Updated: TrumpRx Discounts 0.13 Percent of Prescription Drugs While 22 Million Americans See Costs Rise

Premiums have more than doubled for millions of Americans since enhanced Affordable Care Act tax credits expired, and millions more are projected to lose coverage over the next decade. The administration’s response: a coupon portal covering 80 out of more than 24,000 FDA-approved drugs, with new savings on at most 31.

CAP Calls on CMS To Hold Medicare Advantage Plans Accountable for Upcoding, Predatory Marketing, Prior Authorization Practices, and AI Use in Coverage Decisions Article

CAP Calls on CMS To Hold Medicare Advantage Plans Accountable for Upcoding, Predatory Marketing, Prior Authorization Practices, and AI Use in Coverage Decisions

The Center for American Progress submitted comments to the Centers for Medicare and Medicaid Services (CMS) urging reforms to rein in Medicare Advantage overpayments, strengthen accountability for providing equitable care, and protect beneficiaries from predatory marketing practices and prior authorization-related harms.

Neda Ashtari

Why Democrats Won the Shutdown In the News

Why Democrats Won the Shutdown

In an op-ed published by The Wall Street Journal, Neera Tanden discusses why Democrats were right to fight for health care subsidies during the government shutdown.

The Wall Street Journal

Neera Tanden

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

Growing Market Power Among Catholic Hospitals Restrains Access to Reproductive Health Care Report
A hospital bed sits in the birthing room of a catholic hospital.

Growing Market Power Among Catholic Hospitals Restrains Access to Reproductive Health Care

Stronger antitrust enforcement is necessary to prevent reduced access to reproductive health care, including abortion, birth control, and fertility treatments, while safeguarding market competition.

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

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

The Trump Administration’s War on Disability Report
U.S. President Donald Trump signs an executive order.

The Trump Administration’s War on Disability

Executive actions, budget cuts, layoffs, and legislation—all enacted in the Trump administration’s first six months—have curtailed disability rights and services, including access to Medicaid and the right to free, appropriate public education.

Plans to test prior authorization in traditional Medicare are deeply troubling In the News

Plans to test prior authorization in traditional Medicare are deeply troubling

In an op-ed published by STAT, Don Berwick and Andrea Ducas discuss a new program from the Centers for Medicare and Medicaid Services called “WISeR” and how it would result in countless eligible seniors being denied coverage.

STAT

Donald Berwick, Andrea Ducas

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