Economic and Political Insights

Economic and Political Insights

Economic Policy

Health Reform in Transition: From Biden’s Expansion to Trump’s Revisions

Tracking how Biden-era marketplace reforms, Medicaid initiatives, and tax provisions reshaped coverage gains — and what early Trump-era policies mean for 2026 and beyond

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David Bernstein
Sep 04, 2025
∙ Paid

Abstract

This paper evaluates both the Biden administration’s health care reforms and the Trump Administration’s unraveling of these reforms. The focus is on changes in marketplace, Medicaid, and tax rules impacting the number of people with access to comprehensive health insurance.

Introduction:

The Biden administration entered office in 2021 pledging to …

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