The Trump Administration Comes for Title VI of the 1964 Civil Rights Act
In this Milbank Quarterly opinion piece, Sara Rosenbaum writes about recent changes to Title VI enforcement and the implications of this change on health systems.
Other Reports and Research
In addition to the Program’s signature policy briefs and data notes, the Geiger Gibson Program faculty and staff author peer-reviewed publications, reports and blogs for prestigious health policy outlets such as The Commonwealth Fund, Health Affairs, Kaiser Family Foundation, and The Milbank Quarterly. Additionally, the program’s legal research and impact analyses is presented in amicus scholars briefs designed to provide the courts with expert analyses of the implications of legal actions under review.
Search our Other Reports and Research Archive
Implementing Medicaid Work Reporting Requirements: Defining A ‘Serious Or Complex Medical Condition’
A new blog in Health Affairs Forefront looks closely at the “medically frail” exemption category in the statute, focusing on the subcategory “serious or complex medical condition.”
What’s In a Name? Challenges Facing Community Health Centers After HR 1
A new blog in Health Affairs Forefront explores the identify of community health centers and how health centers are adapting to address policy changes affecting their patients and financing. Authored by Sara Rosenbaum, Feygele Jacobs, and Marsha Regenstein.
Millions of Community Health Center Patients to Lose Coverage When Tax Credits Expire
A new Commonwealth Fund blog finds nearly 2 million community health center patients are likely to lose their coverage due to reduced ACA marketplace subsidies and rising premiums, with even greater losses likely in coming years.
Expiring ACA Premium Tax Credits Could Lead to Nearly 340,000 Jobs Lost Across the U.S. in 2026
A new policy brief examines the financial and economic impacts of the expiring ACA premium tax credits. Authored by Leighton Ku, Taylor Gorak, Kendal Orgera, Kristine Namhee Kwon, Maddie Krips, and Joseph Cordes.
A new policy brief e analyzes the financial and economic impacts of proposed cuts to the CDC FY 26 budget. Authored by Leighton Ku, Taylor Gorak, Maddie Krips, Anne Morris Reid, and Jeffrey Levi.
How Medicaid Built Community Health Centers And Health Centers Returned The Favor
In this Health Affairs Forefront piece, Sara Rosenbaum and Feygele Jacobs reflect on the 60 year relationship between Medicaid and community health centers to form the backbone of health care for the underserved today in the United States.
In The Commonwealth Fund’s Issue Brief, Leighton Ku, Kristine Namhee Kwon, Maddie Krips, Taylor Gorak, and Joseph J. Cordes estimate the impact of the bill on the economies, employment, and state and local tax revenues for every state and the District of Columbia in 2029, when the policies are fully implemented, finding gross domestic products to fall by $154 billion and the loss of 1.22 million jobs nationwide.
In a blog post for The Commonwealth Fund’s to the Point, Sara Rosenbaum and colleagues consider the implications of the mandatory Medicaid work requirements in the budget reconciliation bill passed in the U.S. House of Representatives on May 22, 2025. Mandatory work requirements could cause nearly 5.6 million community health center patients nationally to lose coverage over 5 years. Health center revenue losses could reach up to $32 Billion.
Deep Medicaid Spending Cuts Put Health Care Coverage at Risk for One of Five Enrolled Children
In this analysis in the Commonwealth Fund's To the Point, the Geiger Gibson Program shows that in 2020, 21 percent of children who were enrolled in Medicaid and generally counted in a "child" category - one in five - fell into an optional eligibility group. As Congress considers unprecedented cuts to Medicaid funding, children whose eligibility is not required by federal law are at risk of losing their health care coverage.