In just minutes, the Congressional Budget Office will release its updated report on President Trump's signature spending law. The CBO's final word on who Trump's so-called big, beautiful bill benefits and who it hurts. It will reflect the changes made before the bill was signed into law on July 4th.The CBO previously estimated it would add $3.4% trillion to the national debt, but that number is expected to rise in this final report. Joining us now, Pennsylvania Democratic Congressman and ranking member of t ...

Welcome back to the exchange. It's been rough and rougher for the health care sector lately. It's down 11% over the past year, while the S&P has gained 14.That's 25 points of underperformance. And my next guest says this is the worst the sector has traded ever. And it's time to joining me now is Jared Holtz.He's the healthc care sector strategist at Missou. I love the honesty, Jared, because you must be frustrated more than anyone. What has been the latest in this cascade of bad news.For sure. Um, very frus ...

Obamacare Marketplace - Insurers are seeking substantial rate increases for 2026 Affordable Care Act marketplace plans, also known as Obamacare [1]

Democratic Congressman Brennan Bole of Pennsylvania. He is the ranking member on the House Budget Committee. Congressman, thank you so much for joining us.Uh I remember that just a couple of months ago, this was a major story um that Trump was planning on or had been unilaterally anyway trying to defund uh public broadcasting, foreign aid. You've seen some um opposition from some Republican senators like Susan Collins, Lisa Marowski. What do you think the likelihood is that this actually gets through with l ...

It is 165 days. Yes, it's day 165 of the second Trump administration. And President Donald Trump has gotten his wish. After plenty of infighting, Republicans in Congress passed his gargantuan budget bill full of tax breaks, spending that will supercharge the debt, and cuts that will kick millions of Americans off of their health insurance. My colleague Ryan Nobles gets us started tonight. Tonight, a major victory for the Donald Trump agenda. The motion is adopted. The House passing his multi-trillion dollar ...

Centene's Financial Performance and Forecast - Centene's stock plunged over 40%, marking its worst single-day performance, after withdrawing its full-year forecast [1] - The company expects a $18 billion (18,000 million) reduction in expected risk adjustment revenue transfers from the federal government [4] - Management anticipates a 275% hit to earnings per share (EPS) this year, a significant downturn from the initial expectation of earning more than $725% per share for 2025 [5] - The assessment is based on data from a firm that only covered 22 of the 29 states where they offer exchange plans, and they're assuming that those states will be just as bad [6] Healthcare Exchange and Medicaid Challenges - Overall market growth in the 22 states is lower than expected, indicating fewer people signed up for plans from the state healthcare exchanges [3] - Individuals who enrolled in Obamacare exchange plans are less healthy than anticipated, leading to higher costs for Centene [4] - Centene's Medicaid business has experienced a step up in medical cost trend, particularly in behavioral health, home health, and high-cost drugs, especially in New York and Florida [7][8] - The second quarter Medicaid health benefits ratio should be higher than it was in the first quarter [8] Industry-Wide Concerns and Potential Impacts - The government is cracking down on inappropriate or fraudulent enrollments in healthcare plans sold on exchanges [10] - The population remaining in Obamacare exchanges is less healthy, requiring more healthcare and making them less lucrative customers [12] - Analysts suggest that Centene will likely have to raise its premiums, potentially leading to fewer people enrolling, creating an "insurance spiral" [14] - Negative trends in Obamacare exchanges and higher costs for Medicaid plans are hurting the managed care industry [17]

Well, today the vacancy where Donald Trump's mind is supposed to be was on grim display once again. And this is an important day to consider the workings of Donald Trump's mind because this is the day that he and Marco Rubio are celebrating starving children to death in the middle of a famine in Africa. This is the day Donald Trump and Marco Rubio are celebrating the removal of previously paid for lifesaving AIDS medication for patients in Africa where a program started by Republican President George W.Bush ...

We could call out each of the 50 Republicans who voted yes, but we want to focus on some special attention, if you will, Lisa Marowski, because she expressed genuine reservations about the bill and voted for it anyway. Even after she voted yes, she claimed to reporters that she didn't like the legislation she just voted for. Folks, where's the courage. Where is the backbone on the legislation.Heads to back to the house and speaker Johnson has promised to get it to the president's desk by Friday. Joining us ...

Legislative Process & Key Amendments - Senate is in the midst of a "vote-a-rama" process on a budget bill critical to Donald Trump's vision [1][2] - Democrats are offering amendments to send the bill back to committee to change provisions related to Medicaid and SNAP, but Republicans are voting them down [3] - Senator Susan Collins and Lisa Murkowski voted with Democrats on an amendment shielding rural hospitals, highlighting their potential influence on the bill's outcome [4] - Republican Senators Rand Paul and Thom Tillis have expressed concerns about the bill's debt impact and Medicaid cuts, respectively [5] - Clean energy credits are also under debate, with some Republican senators noting their states benefit from these credits [11] Republican Divisions & Concerns - Republicans have 53 senators and can only afford to lose three votes to pass the bill [4] - Some Senate conservatives, including Ron Johnson, Rick Scott, and Mike Lee, reluctantly voted to begin debate but want more deficit reduction provisions [7] - Concerns exist among moderate Republicans like Collins and Murkowski regarding the bill's impact on healthcare coverage in their states [6] - Fear of Trump's retribution is influencing Republican senators' decisions, potentially overriding concerns about the bill's negative impacts [14] Democratic Opposition & Key Issues - Democrats believe the bill will negatively impact healthcare, potentially causing 16 million Americans to lose coverage [11] - Rural hospitals are expected to be significantly impacted by the bill, potentially leading to closures [10][19][20] - The bill is seen as disproportionately benefiting those at the top, with potential cost increases for those earning minimum wage by about 53% [24] - Democrats argue the bill will revert the country to pre-Obamacare levels of uninsurance [18]