
The Gist Healthcare Podcast Wednesday, December 10, 2025
Dec 10, 2025
The discussion highlights plans from Senate Republicans to replace ACA credits with tax-free HSAs, which may lead to significant premium increases. An advisory committee votes on narrowing the hepatitis B vaccine recommendation for newborns, stirring reactions from public health groups. Additionally, a survey reveals a link between clinician turnover and negative EHR experiences, with financial implications costing healthcare providers thousands. Lastly, there's a warning about a critical security flaw in React software.
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Republican Plans For ACA Credits
- Senate Republicans propose replacing expiring ACA enhanced tax credits with direct HSA deposits targeted by income and age tiers.
- If credits lapse, KFF estimates marketplace premiums could rise ~114%, risking coverage loss for many.
Bipartisan Disagreement Could Raise Premiums
- Republicans remain divided with some backing a two-year extension while Democrats push a clean three-year extension.
- Analysts and surveys warn a lapse would sharply raise premiums and force many to drop coverage or face financial strain.
Advisory Panel Recommends Narrowing Birth Dose
- ACIP voted 8-3 to remove the universal hepatitis B birth dose recommendation and limit birth doses to infants of infected mothers.
- The CDC may accept or reject ACIP's advice, and had not decided as of Tuesday afternoon.
