This Perspective discusses the underappreciated importance of how the existing Affordable Care Act (ACA) has been implemented and how implementation effects have varied across administrations and across states during its lifespan.
5 ways the ‘big, beautiful bill’ could impact Americans
Congressional Republicans are moving quickly to pass a mammoth tax and spending cuts package that could have a direct impact on millions of Americans and drastic consequences for the economy.
The 1,000-plus-page bill recently passed by the House would extend tax cuts set to expire as part of President Trump’s signature 2017 tax law, provisions aimed at nixing taxes on tips and overtime pay.
It also includes a host of reforms to programs like Medicaid and food ...
Former Rep. Charlie Rangel dies at 94
Former Rep. Charlie Rangel (D-N.Y.), a Harlem native who served nearly five decades in the House of Representatives, died Monday at the age of 94.
Rangel was first elected to Congress in 1970 after defeating the Rev. Adam Clayton Powell Jr. He served in Congress from 1971 to 2017, eventually becoming the chair of the House Ways and Means Committee in 2007.
Rangel was a veteran of the Korean War, earning a Purple Heart and the Bronze Star.
“Rangel ...
Budget bill faces Senate opposition over Medicaid
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These are the changes Senate Republicans are eyeing for the GOP’s ‘big, beautiful bill’
Senate Republicans say they’re going to rewrite the 1,116-page bill the House narrowly passed Thursday to enact President Trump’s agenda.
Speaker Mike Johnson (R-La.) urged GOP senators at a meeting Tuesday to keep their changes to the bill as minimal as possible to avoid wrecking the delicate compromises he cobbled together in the House to muster 215 votes for the legislation.
Senate Majority Leader John Thune (R-S.D.), however, told reporters that the Senate wil...
Trump agenda bill would block Medicaid from covering gender-affirming care
A provision in House Republicans’ “big, beautiful bill” passed Thursday would ban Medicaid from covering gender-affirming health care for transgender people of all ages, a last-minute addition to the measure with the potential to upend care for hundreds of thousands of trans Americans.
An earlier version of the bill would have also barred coverage for transition-related care, but only for minors. House Republican leadership unveiled the change and several others late ...
States should cut the federal cord and end dependency on Washington
In most blue states at least, President Trump’s second term is creating a battle over how the states can use federal money. Many Democratic governors are suddenly defending state control and pushing back against Washington’s influence.
But the reality is that too many states resemble satellites orbiting Washington rather than sovereign governments charting their own course.
In 2022, more than half of Louisiana and Alaska’s budget came from federal funds. Twenty stat...
House passes Trump agenda bill, hitting Medicaid, Affordable Care Act
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Winners and losers as House approves Trump’s ‘big, beautiful bill’
House Republicans on Thursday approved a massive legislative package comprising the major pieces of President Trump's domestic agenda, including tax cuts, an immigration crackdown and sharp cuts in Medicaid.
The vote defied the skeptics who thought it impossible to unite the feuding factions of the House GOP behind so large a bill. And it marked a huge political victory for Trump, whose approval rating is well underwater, and Speaker Mike Johnson (R-La.), who has face...
‘Pro-worker priorities’? Trump’s budget offers the exact opposite | Steven Greenhouse
The ‘big, beautiful’ measure going through Congress would cut health, food and education benefits – and offer a huge boost to the richest
With Donald Trump pushing hard to give big tax cuts to the rich and do huge favors for crypto billionaires, it was jarring to see a photo of a Trump aide carrying a sign that said: “President Trump’s Pro-Worker Priorities”. The aide was about to place the sign on Trump’s lectern; it mentioned such “pro-worker priorities” as ending federal taxes on ...