From Urban Institute :: Health Policy Update <[email protected]>
Subject Possible ripples of Medina v. Planned Parenthood South Atlantic
Date June 26, 2025 11:32 AM
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Health Policy Center
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Health Policy Update







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A new US Supreme Court decision could threaten access to reproductive health care
If the Supreme Court rules in favor of South Carolina in Medina v. Planned Parenthood South Atlantic, access to reproductive health care for the state&rsquo;s Medicaid beneficiaries will be restricted, and other states could take similar action.

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State-level estimates of health care spending and uncompensated care changes under the reconciliation bill and expiration of enhanced subsidies
Explore our data to understand how health care spending and uncompensated care costs will be affected nationwide and at the state level if the House version of the One Big Beautiful Bill Act is passed and enhanced premium tax credits were to expire.

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Reconciliation bill would cut Marketplace enrollment by over 5 million people
About 3.1 million people might lose eligibility because of provisions advanced by the House Ways and Means Committee, and another 1.9 million could lose coverage because of provisions advanced by the House Energy and Commerce Committee.

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The reconciliation bill would deny Medicaid coverage to many people with health needs and other work barriers
Most Medicaid expansion enrollees who didn&rsquo;t work said health needs, trouble finding jobs, or caregiving responsibilities kept them from working, but many could lose coverage because of difficulty obtaining exemptions from proposed work requirements.

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Many working people would be shut out of Medicaid under proposed work requirements
Though 7 in 10 Medicaid expansion enrollees without dependents worked or attended school, many of them would not have consistently met the reconciliation bill&rsquo;s proposed work requirement because of
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unstable employment .

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CHIRblog: The sleeper provision in the reconciliation bill that could hobble the Affordable Care Act Marketplaces
Section 112201 would eliminate passive reenrollment and eliminate provisional eligibility. On their own, these provisions would cause many people to lose health insurance, but when implemented with other changes, they&rsquo;ll have an even larger effect.

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