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Medicare & Medicaid

Medicare & Medicaid

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ACA open enrollment: what’s new for 2025
Open enrollment for 2025 ACA (Affordable Care Act)-compliant health insurance is just around the corner. Let’s take a look at the various changes that consumers should be aware of this fall.

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How does a health savings account (HSA) work?
A health savings account is a tax-advantaged savings account combined with a high-deductible health insurance policy to provide an investment and health coverage. Deposits to the HSA are tax-deductible and grow tax-free. Withdrawals are always tax-free if they're used for qualifying medical expenses, although they account can be used like a traditional IRA after age 65, with withdrawals subject to regular income tax.

What ‘ramming through’ a health bill looks like

Is what Senate Republicans have done anything at all like what Senate Dems did to pass their version of the ACA? We wish.

Contrasting GOP and Democrat health reform processes

“I know you are but what am I?”

It was a pretty pathetic retort when we were kids hurling insults at each other on a playground, but it’s an even more pathetic retort from supposedly grown-up Senate Republicans, who continue to act as though their unprecedented efforts to ram through their healthcare repeal legislation is – well – precedented.

what ramming through a health bill looks likeAs Democrats hammer the GOP for literally hiding their legislation until the last possible moment and then severely limiting debate on the bill, Senate Republicans’ defense is simply to claim that  it’s OK because Senate Democrats did the same thing between 2009 and 2010. Excuse my French, but C’est de conneries! (That’s right. I used actual French.)

Is what Senate Republicans have done anything at all like what Senate Democrats did to pass the Senate version of the Affordable Care Act? We wish.

Why? Because a quick look at what happened on the Senate side of the 2009-2010 health reform battle reveals that Senate Democrats didn’t hide their bill in the shadows – and their legislation wasn’t “jammed down people’s throat,” as claimed by Trump spokesman Sean Spicer.

Thirty-five weeks of opportunities – hearings, summits, bipartisan roundtables, negotations – allowing Republicans to thoroughly review and offer their proposals and amendments before a Senate vote on Obamacare? That’s hardly ramming.

Keeping legislation in “a bunkered-down part of Capitol Hill where even some Republicans were not able to access it” and then racing to get the bill on the Senate floor within a week and voted on with debate limited to 20 hours? That’s textbook ramming, folks.


Sources for Affordable Care Act statistics in the accompanying infographic include: Responsible Reform For The Middle Class, the Congressional Record, CNN.


Steve Anderson is editor and content manager for healthinsurance.org, where he’s been writing about health insurance and health reform since 2008. He’s been fortunate to have worked with a talented team of health policy writers.

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