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Opinion: What the Inflation Reduction Act means for health care coverage

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The IRA extends for three years only (through 2025) the extra government subsidies for ACA coverage. The subsidies were due to sunset at the end of this year. At the same time, the Families First Medicaid provision hangs by a thread. It exists only as long as COVID-19 remains an official public health emergency, as designated by the president. If Biden, in 2023 or 2024, or a future president thereafter, terminates the COVID-19 public health emergency, the Congressional Budget Office estimates that Medicaid enrollment will decline by 12 million people over three years.

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