I recently shared how I reversed my Hashimoto’s and naturally healed my thyroid, and many of you were curious how. In this post, I’m sharing a full thyroid update and walking you through my Hashimoto’s healing journey. But before we start, please keep in mind that everyone is different and what works for me may […]
Continue reading How I Got Rid of Hashimoto’s For Good…
Imagine turning your pond into a self-cleaning, crystal-clear oasis—just by letting the right plants do the work.
Crystal-clear pond water doesn’t just magically appear—it needs a balanfced ecosystem where nutrients, oxygen, and waste are all in harmony. A bog filter is one of the coolest, most natural ways to make that happen, using aquatic plants to clean the water like champs.
Unlike clunky mechanical or chemical filters, bog filters vibe with nature instead of fighting it. They lean on wetland vibes to clear out gunk with a living, breathing system.
The plants are the real MVPs here—hardworking, easy to care for, and nice to look at. But you’ve gotta pick the right ones to nail the results.
A bog filter is a natural, eco-friendly filtration system for ponds that uses aquatic plants and a gravel bed to purify water, mimicking the processes of a wetland.
As mentioned above, it’s a low-maintenance, sustainable alternative to mechanical or chemical filters, working in harmony with nature to keep pond water crystal-clear.
Bog filters leverage nature’s own processes—plants and microbes naturally cleanse water in wetlands, and this system replicates that.
It reduces the need for frequent maintenance, cuts down on chemical use, and creates a thriving habitat for both plants and pond life. Choosing the right plants and ensuring proper water flow are key to making it effective.
A bog filter brings a bunch of awesome benefits to your pond, making it healthier, clearer, and easier to maintain. Here’s how:
These aquatic plants are the MVPs of bog filters, naturally cleaning pond water by absorbing excess nutrients and trapping waste, all while adding beauty to your setup. Pick the right ones, and your pond will stay clear and healthy with minimal effort.

With its upright spikes of violet-blue flowers, Pickerelweed is as functional as it is beautiful. Native to North America, this marginal aquatic plant thrives in shallow water up to 6 inches deep and blooms from summer into early fall.
Why It Works: Its roots penetrate deep into the gravel, absorbing excess nitrogen and phosphates that would otherwise feed algae. It also provides shelter for frogs and beneficial insects.
Growing Conditions:


Water irises add striking vertical foliage and spring blooms in shades of yellow, blue, or purple. While Iris pseudacorus (Yellow Flag) is widely used, it’s invasive in many areas—choose Iris versicolor (Blue Flag) instead for a native, safe option.
Why It Works: Irises are nitrate hogs, removing large amounts of nutrients quickly. Their dense, fibrous roots also help prevent erosion and trap debris.
Growing Conditions:


This fast-spreading groundcover has cheerful golden foliage and small yellow blooms. It cascades beautifully over rocks and gravel, creating a lush carpet in the bog filter.
Why It Works: It smothers weeds, covers bare gravel, and absorbs nutrients quickly. It also helps reduce algae growth by shading water and minimizing exposed surfaces.
Growing Conditions:


One of the first pond plants to flower in spring, Marsh Marigold brightens bog filters with its shiny, buttercup-like flowers and glossy foliage. It prefers cool, wet environments and disappears in heat but returns each spring.
Why It Works: Its early-season growth kickstarts the bog’s filtration when other plants are still dormant.
Growing Conditions:


A prehistoric-looking plant with bamboo-like stems, Horsetail Rush is a dramatic vertical accent in bog gardens. It’s durable and spreads by underground rhizomes.
Why It Works: Its roots are efficient at trapping fine sediments and absorbing nutrients. It’s also deer-resistant and thrives in poor soil.
Growing Conditions:
Note: Can be aggressive—contain with edging or containers in the bog.


This North American native features arrow-shaped leaves and tall white flower spikes. It grows in shallow water and is often found along streambanks.
Why It Works: Its broad leaves and strong roots make it a champion at filtering water. It also offers excellent habitat for pollinators and amphibians.
Growing Conditions:


A native iris ideal for bog filters, this species produces showy blue-purple flowers in late spring and is beloved by bees and butterflies.
Why It Works: Like other irises, Blue Flag removes heavy metals and excess nutrients while anchoring gravel with tough root systems.
Growing Conditions:


This native wildflower is famous for its fiery red blooms that attract hummingbirds. It thrives in wet soil but can handle shallow water as well.
Why It Works: Fast-growing and nutrient-hungry, it helps prevent nutrient overload while adding visual drama.
Growing Conditions:


Often confused with ornamental grasses, Sweet Flag has sword-like leaves and a pleasant aroma when crushed. It’s easy to grow in shallow water.
Why It Works: It oxygenates water, absorbs pollutants, and spreads gently. A fantastic filler plant in any bog.
Growing Conditions:


For a bold, tropical look, few plants match the size and impact of Taro. Its massive leaves shade the bog, helping control algae.
Why It Works: Heavy feeder that absorbs vast amounts of nutrients. Excellent at shading shallow areas to reduce evaporation.
Growing Conditions:
1. Use Washed Gravel
Avoid soil—it clogs water flow. Use pea gravel or expanded clay for better drainage and root penetration.
2. Plant Sparingly (at First)
Start with small transplants spaced 12–18 inches apart. Most plants will spread quickly.
3. Prune Regularly
Dead foliage can rot and release nutrients back into the water. Trim back in fall or early spring.
4. Prevent Overgrowth
Fast-spreaders like Horsetail or Creeping Jenny should be contained with edging or root barriers.
5. Balance Plant Types
Include a mix of bloomers, spreaders, and vertical plants for aesthetics and filtration coverage.
How deep should a bog filter be?
Most bogs are 6–12 inches deep. Deeper areas may reduce plant root oxygenation.
How long until the bog filter starts working?
A pump is essential for moving water through the gravel bed. Still water won’t be filtered effectively.
If you’re serious about water clarity and pond health, a bog filter is a game-changer—and the right plants are the key to its success. By choosing water-loving, nutrient-hungry species like Pickerelweed, Iris, and Arrowhead, you create a living, breathing water filter that not only purifies your pond but also adds unmatched beauty and biodiversity.
So go ahead—let plants do the heavy lifting, and watch your pond come alive.


Khaja Moinuddin, a computer science graduate, finds joy in gardening and homesteading. Join him on this blog as he shares his experiences in homesteading, gardening, and composting
A group of medical experts that advise the CDC largely determine which vaccines people should receive, what gets covered by insurance and which shots are made available free of charge to millions of low-income children.
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Until this week, it’s likely many people hadn’t heard much about the Centers for Disease Control and Prevention’s vaccine advisory panel.
But the Advisory Committee on Immunization Practices, or ACIP, plays a key role in determining which vaccines children and adults receive, what gets covered by insurance and which shots are made available free of charge to millions of low-income children. So the panel’s decisions ultimately affect the health of all Americans.
Health Secretary Robert F. Kennedy Jr. took the unprecedented step of dismissing all 17 members of the panel on Monday. Two days later, he announced the names of eight of the people he has chosen to replace them.
Several of Kennedy’s new selections for the panel rose to prominence during the COVID-19 pandemic, when they criticized government policies on school closures and lockdowns, and the mRNA vaccines. One, Vicky Pebsworth, has served on the board of the National Vaccine Information Center — an advocacy group that warns against vaccine risks.
Some immunization and infectious disease specialists worry that the newly constituted committee is skeptical of vaccines and could vote to downgrade the importance of some shots, and ultimately make it more difficult for families to get them.
“I am very concerned,” says Dr. Walter Orenstein, who served as director of the U.S. immunization program at the CDC from 1988 to 2004 and is now professor emeritus of infectious diseases at Emory University School of Medicine. “I have spent a career of more than 50 years in vaccinology, and I have never seen the names of most of those people.”
Dr. Sean O’Leary, chair of the Committee on Infectious Diseases for the American Academy of Pediatrics, calls the changes to ACIP a “disaster.”
“Imagine if you took all the air traffic controllers in the U.S. and just fired them and you replaced them with people that not only didn’t really know how to be air traffic controllers, but several of them didn’t even believe in flying,” he says.
In a statement, HHS defended Kennedy’s choices for the committee, saying they are “highly credentialed doctors, scientists, and public health experts committed to evidence-based medicine, gold standard science, and common sense.”
The statement said that the group “will demand definitive safety and efficacy data for any new vaccine recommendations,” and that they will review the current vaccine schedule.
The members of ACIP meet at least three times a year to sift through the scientific data on vaccines and determine which ones are recommended for different age groups. If the CDC approves ACIP’s recommendations, that can lead to a vaccine becoming part of the official immunization schedule for children and adults.
It also means insurance has to pay for it. Under the Affordable Care Act, health insurers are required to cover all ACIP-recommended vaccines.
ACIP’s recommendations also determine which vaccines get covered by the Vaccines for Children program, a federally funded initiative that provides free access to low-income and underinsured children. Around half of all children in the U.S. are eligible for free vaccines from the program, says Orenstein.
That means any changes to the vaccines recommended by ACIP “would be a major potential barrier to access for vaccines for a substantial proportion of the children in this country if they took it from a vaccine off of the schedule,” Orenstein says.
He helped launch the Vaccines for Children program in the aftermath of a huge measles resurgence from 1989 to 1991 that resulted in tens of thousands of cases and over 120 deaths. Many of the kids who got sick had not been vaccinated because their families couldn’t afford it.
ACIP’s recommendations often help guide which immunizations are required for school entry.
The wording of the committee’s recommendations matters too. A routine recommendation calls for all people within a given age or risk group to get a specific vaccine, unless there is a medical reason not to. But ACIP can also choose to recommend a vaccine under what’s called shared clinical decision-making – which means a doctor and a patient decide together if it makes sense.
“Generally, we don’t really like shared clinical decision-making because it makes it less of a priority for clinicians to talk to their patients about a vaccine,” says Dr. Michelle Fiscus, a pediatrician and chief medical officer for the Association of Immunization Managers.
It also makes it harder to have a clear, direct conversation with families, says O’Leary, of the American Academy of Pediatrics, who is also a professor of pediatrics at the University of Colorado School of Medicine.
“What I’ve heard anecdotally from pediatricians is, what [families will] say is, well, you guys are the experts. If you can’t figure out what the right thing to do is, you know, how do you expect us to do that in a ten-minute office visit?” O’Leary says.
That designation can also make it less likely that a medical provider will keep a vaccine in stock, he says. O’Leary notes that most pediatricians and many other health care providers in the U.S. participate in the Vaccines for Children program and are required to keep routinely recommended vaccines in stock. But that’s not the case when a vaccine is recommended under shared clinical-decision making.
“Already it’s very challenging for a lot of mostly family medicine physicians in rural areas to stock vaccines because it financially is very challenging for them,” O’Leary says.
He says recommending a vaccine under shared clinical decision-making could potentially make it less available, especially in rural areas.
The CDC’s recently changed the recommendations on COVID vaccines for children to shared clinical decision-making, and O’Leary says that has already sown confusion among parents and pediatricians alike. He worries that, if the new ACIP moves more vaccines to that designation, it will “sow distrust in the process.”
“It makes it look like these vaccines aren’t important and these vaccines are very important. They save lives every day,” he says.
With its glossy green foliage, cheerful yellow blossoms, and striking fruit display, the Mickey Mouse plant (Ochna serrulata) is suited to cultivation in Zones 9 to 11.
Native to South Africa, this semi-evergreen shrub is also known as bird’s eye bush, carnival ochna, and small-leaved plane.


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Why the whimsical name?
As the yellow flowers fade, they’re followed by red petal-like sepals and glossy black berries, resembling the classic cartoon character’s yellow shoes, black ears, and red pants.
Read on to learn how to grow and care for Mickey Mouse shrubs in your landscape.
O. serrulata puts on a decorative display from late spring to fall.
The shrubs have a loose, irregular growth habit. Elliptical green leaves alternate along branching stems dotted with respiratory pores called lenticels, giving the bark a spotted appearance.


Five-petaled, fragrant yellow flowers appear briefly in spring.
As the petals fall, the green sepals enlarge and turn bright red, encasing the young green drupes that mature into shiny black berries by late summer.
The shrubs are semi-evergreen and may drop some leaves at season’s end in the cooler parts of their hardiness range.
Mickey Mouse plant is a slow-growing species with the potential to become invasive and has done so in parts of Australia and New Zealand as well as Hawai’i.
The Hawai‘i-Pacific Weed Risk Assessment rates it as “High Risk,” indicating significant potential for ecological disruption.
Note also that it is toxic to people and pets if ingested.
Common name(s): Mickey Mouse plant, bird’s eye bush, carnival ochna, small-leaved plane
Plant type: Semi-evergreen shrub
Hardiness (USDA Zone): 9-11
Native to: South Africa
Bloom time / season: Late spring to fall
Exposure: Full sun to part shade
Soil type: Average, well-draining loam
Soil pH: 5.5-6.5, slightly acidic
Time to maturity: 3 years
Mature size: 4-8 feet tall, 3-4 feet wide
Best uses: Specimen, hedging, container
Order: Malpighiales
Family: Ochnaceae
Genus: Ochna
Species: Serrulata
Other, less commonly cultivated Ochna species include O. natalitia, aka Mickey Mouse bush, and Natal or showy plane.
This species differs from O. serrulata, having larger leaves that emerge red in the spring and slightly larger yellow flowers.
Expect mature heights of four to eight feet with a spread of three to four feet.
Mickey Mouse plants work well as ornamental specimens, naturalize readily, and make attractive informal hedges when multiple are planted together, spaced three to four feet apart.
Mickey Mouse plant is relatively easy to cultivate when its basic requirements are met. It thrives in warm, humid environments that mimic its native subtropical South African habitat.
This shrub flourishes in temperatures ranging between 59 and 97°F during the growing season.


It can tolerate temperatures as low as 28°F in winter but may experience leaf drop or dieback.
In areas prone to frost, consider providing protection or cultivating Mickey Mouse plant in containers that can be moved indoors during colder months.
Choose a location with full sun to partial shade. In the warmest regions, an understory placement with the dappled sunlight penetrating the foliage of taller shrubs and trees can help to avoid leaf scorch.
While Mickey Mouse plant can tolerate some shade, insufficient light may lead to reduced flowering and fruiting.
The soil should be moisture-retentive, well-draining average loam. A slightly acidic to neutral pH between 5.5 and 6.5 is ideal.
Maintain consistent moisture, especially during the growing season. Water Mickey Mouse plants when the top inch of soil feels dry, ensuring the soil remains moist but not waterlogged.
Once established, O. serrulata exhibits moderate drought tolerance but benefits from regular watering during prolonged dry periods.
Mickey Mouse isn’t a heavy feeder, so avoid overfertilizing, which can damage roots and stems.


If your soil is poor, work in a few handfuls of compost at planting time to improve nutrition and drainage.
Each spring, you can top-dress with compost or apply a slow-release granular fertilizer with a 5-10-5 (NPK) ratio to support blooming and fruit development.
Keep the product away from the base of the shrub to avoid stem burn.
Mickey Mouse plant is not commonly available through mainstream nurseries or large online retailers.
You will most likely find it in specialty nurseries in the appropriate growing zones or from plant enthusiasts.
You can find Mickey Mouse plants available from 9EzTropical via Amazon in six-inch pots.
Prune after fruiting to shape the specimen into a compact, multi-branching shrub or single-trunked small tree.
Avoid removing more than one-third of the total volume at any one time to avoid shock.
You can also perform light trimming during the growing season to remove dead, damaged, or diseased branches as needed.
Pluck and dispose of seedlings that pop up in unwanted places in the spring.
You can propagate these shrubs from seeds or via stem cuttings. The easiest way to get started is to transplant a nursery start.
Purchase seeds or collect the fruits from an existing Mickey Mouse plant when they turn black and crinkly.
You can remove the seeds from the fruits or simply scarify them by rubbing them with sandpaper or a nail file to remove some of the tough outer coating.
The seedlings are ready for transplant when they are about four to six inches tall.
To propagate from stem cuttings, wait for a flush of new foliar growth.
When the cutting produces new foliage it’s ready to transplant.
When you have an established seedling, cutting, or nursery start, you can transplant it to the landscape in spring. In warm, frost-free regions, late winter to early spring is ideal.


Begin by watering shrub the day before to help ease transplant shock. Note its depth in the original container.
Choose a site with loamy, well-draining soil, and amend it with compost if necessary to improve texture and drainage.
Work the soil to a depth of eight to 12 inches until it is crumbly and free from debris.
Make a hole twice as wide and the same depth as the current container.
Unpot and place the root ball in the prepared hole at the same depth as in the original container, slightly above ground level.
Backfill, tamp well, and water in well.
Maintain even moisture during the establishment period, watering when the top few inches of soil dry out.
Alternatively, grow in a well-draining container three-quarters full of a moisture-retentive, well-draining potting medium.
Choose a pot that’s two to four inches wider and deeper than the root ball. Water when the top few inches of soil feel dry, and hold off on fertilizing at planting time.
While Mickey Mouse plant is not especially prone to problems with pests or disease, you may encounter them in less than ideal growing conditions.


Scale, mealybugs, and thrips are sapsucking insects that favor hot, dry conditions.
These insects feed on plant juices and can cause yellowing leaves, stunted growth, and overall decline. They may also spread disease.
Keep the soil consistently moist but not soggy to help discourage infestations, and treat outbreaks with organic neem oil.
The lenticels on the branches are open pores that can sometimes become entry points for fungal pathogens, particularly in overly wet or humid conditions.
To reduce the risk of infection, ensure the shrub receives adequate sunlight and avoid overwatering.
If you are – ahem – of a certain age, like me, you are bound to have seen one of the incarnations of the Mickey Mouse Club TV show and know that the theme song spelled out the beloved rodent’s name.


The bright red sepals and black fruits of easy-care, semi-evergreen O. serrulata make a vibrant, whimsical welcome in outdoor living spaces in the classic “Hey, there, hi there, ho there” Mickey Mouse style many gardeners fondly remember.
Do you grow Mickey Mouse plant in your landscape? Please share your tips in the comments section below.
If you enjoyed this guide and would like to read more about growing shrubs in your landscape, we recommend the following:
It’s really common to have a baby shower for new parents. And while baby shower gifts and a new baby are always exciting, let’s not forget about the mom to be either! A postpartum gift basket is a great way to show a new mama (or seasoned mama) some love.
If you don’t have the time/money to do a large new mom gift basket, even just an item or two can show you care. Postpartum recovery can be tough, both physically and emotionally. And if the new mama is breastfeeding or had a C-section, those come with their own challenges. A postpartum care package is a great way for moms to get a little self-care and pampering.
Gifts like a journal to process postpartum emotions, a comfy robe, or nursing-friendly pajamas are all great ideas. Throw a water bottle or even a gift card in there too! I have lots of ideas in this postpartum essentials post.
Some of the most affordable and thoughtful gifts are homemade ones. And if you’ve been a reader for very long, you know I love a good natural DIY recipe! The following DIY postpartum gift basket ideas are simple to make and make a great gift for any new mom and her little one.
Some of the recipes serve double duty and are great for other family members, not just moms.
Note: Be sure to double check before adding essential oils to any of the recipes, like lotion. For example, oils like peppermint can decrease breastmilk supply. Here’s a thorough list of which essential oils breastfeeding moms should avoid.
Pregnancy is an impressive accomplishment, but it can come with stretch marks, C-section scars, and other struggles. Here are some DIY postpartum gift ideas to help mom heal faster and soothe the aches that come with postpartum life.
Building a baby takes a lot out of a mom, so it’s important to focus on good nutrition. And if they’re breastfeeding, they’re burning an extra 500-700 calories a day! Traditional cultures made sure new moms were getting plenty of nutrient dense, warming, and animal-based foods.
Making homemade skincare products is a great way to opt for clean, non-toxic ingredients. Plus, they’re fun to make! Many of these recipes use essential oils, so be sure to opt for breastfeeding safe ones or omit them.
If the new mom is breastfeeding, here are a few recipes to help her out. These are great whether she’s a first-time mom or a seasoned pro.
Any mom with a newborn knows that sleep can be elusive (and sometimes non-existent). Helping baby stay healthy and supporting their nervous system (like through pediatric chiropractic care) can go a long way towards helping baby sleep at night. While a full night’s sleep isn’t always guaranteed, the following can help mom have a little more rest and relaxation.
What are some of your favorite items to have on hand postpartum? Leave a comment and let us know!
Hi GPODers!
Last week we got a springtime update from Lila Johnson in Mill Creek, Wash. (Spring Greens and Purples in the PNW). Her photos focused on the fresh green foliage and pops of purple flowers in her spring garden, but she did mention that some azaleas and rhododendrons add little pockets of pink to the mix as well. Thankfully, she did not leave us to only imagine the fabulous flowering shrubs, and followed her first batch of photos with a submission featuring these bright spring flowers.
Hi again—since I made mention of azaleas and rhododendrons in my previous emails, I thought I should send some pictures. It is past their prime blooming, but they still add color to our spring green garden. I LOVE rosy pink, as you can probably tell.
I have no idea what the names are on these plants! Sorry. The large rhodies are on a berm under several cedar trees. They are not hardy bloomers in this morning-sun-only location, but they give us a natural privacy screen from several homes/yards behind us. They’ve been there for more than 25 years. 🙂
This photo [of Lila’s large rhododendron underneath cedar trees] was taken in early May. The others were taken today, May 24.
A “berm” photo to give you an idea of the size of the rhododendrons. I’m sure they would bloom more if they were in a sunnier location, but they provide lovely foliage and natural privacy.
Lila’s azaleas are much smaller but get absolutely covered in these brilliantly bright blooms.
This photo gives a better sense of their size—also tucked into the shade of Lila’s cedar trees and rhododendron but providing a pop of bright pink among her glorious tapestry of green.
A beautiful green glass flower adds a bit of sparkle and shine to this shady but colorful scene.
A photo from another perspective shows how the bright pink is a fantastic accent to all Lila’s green spring foliage, as well as the purple clematis climbing up her arbor and the shiny blue pot on her patio.
And one final close-up of those beautiful, bright blooms!
Thank you so much for another look at your spring garden, Lila! Your gorgeous sea of green is made sublime with these beautiful pops of bright pink blooms.
What are the boldest blooms in your spring garden? Does a rainbow of bulbs make way for more subtle blooms at the peak of the season, or do irises and other spring stars heat up the garden just before summer displays take over? Consider sharing your spring color palette with Garden Photo of the Day! Follow the directions below to submit photos via email, or send me a DM on Instagram: @agirlherdogandtheroad.
Have photos to share? We’d love to see your garden, a particular collection of plants you love, or a wonderful garden you had the chance to visit!
To submit, send 5–10 photos to [email protected] along with some information about the plants in the pictures and where you took the photos. We’d love to hear where you are located, how long you’ve been gardening, successes you are proud of, failures you learned from, hopes for the future, favorite plants, or funny stories from your garden.
Have a mobile phone? Tag your photos on Facebook, Instagram or Twitter with #FineGardening!
Do you receive the GPOD by email yet? Sign up here
Fine Gardening Recommended Products
Plant Covers Freeze Protection 10 ft x 30 ft Floating Row Cover 0.9oz/yd²
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Lightweight and Breathable MATERIAL Good for protecting Plant: the plant frost cover material is 0.74 oz/sq non-woven polypropylene fabric, which is lightweight, breathable, and durable. The plant blanket frost protection allows sunlight reach the plants, perfect for protecting plants from the damage of freeze or frost. Wide Application In your Garden Work. The plant row cover not only can work as a barrier against frost, but also can be a great tool for germination and good for rapid seedling growth. By using the fabric plant covers over your plant, you can start the plant earlier in the spring and extending the growing season of your plants. How to Use the Plant Covers: you can cover the plant covers for freeze over your the plants loosely directly and then secure the plant frost blanket with soil, stones or staples. You can also support the floating row covers with a hoop, make enough room for plants to breath and grow. You could also cut the plant covers into different sizes for different purposes.
Ho-Mi Digger – Korean Triangle Blade
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Versatile Tool: The Easy Digger Korean Triangle Blade Ho Mi Ho-mi is a versatile gardening tool designed for leveling and digging in home and garden settings. Efficient Design: Its unique triangular blade shape allows for easy soil penetration and efficient leveling of garden beds or landscaping areas. Durable Construction: Crafted with sturdy materials, this tool ensures long-lasting performance and reliability.
Ergonomic Handle: The comfortable handle provides a secure grip, reducing hand fatigue during extended use. Compact Size: Its compact design makes it easy to maneuver in tight spaces and store when not in use.
Gardener’s Log Book from NYBG
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This weatherproof five-year log book includes the following features:
· Sturdy waterproof cover to protect pages from rain and muddy soil
· Lined pages and gridded paper for plotting beds
· Five years of 12-month bloom and harvest grids for recording what you planted and when
· Authoritative appendices on composting, pruning, pest and disease control, and container gardening
· Useful reminders by season on fertilizing, mulching, and transplanting
· Space for listing your favorite sources and suppliers.
Republican Senate leaders met with President Donald Trump to discuss Trump’s “One, Big, Beautiful Bill” on June 4. Majority Leader Sen. John Thune, R-S.D. (center), speaks alongside Sen. John Barrasso, R-Wyo., (left) and Sen. Mike Crapo, R-Idaho, outside of the West Wing of the White House.
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Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay.
A driver behind these changes is the “One Big Beautiful Bill,” the name given to spending and tax legislation designed to advance the policy agenda of President Donald Trump. It passed the House on May 22 and is pending in the Senate.
The changes also would come from regulations the Trump administration proposed in March and the potential expiration of larger premium subsidies put in place during the COVID-19 pandemic.
Millions of people might drop or lose coverage by 2034 as a result, according to the nonpartisan Congressional Budget Office.
Combined, the moves by Trump and his allies could “devastate access” to ACA plans, said Katie Keith, director of the Center for Health Policy and the Law at the O’Neill Institute, a health policy research group at Georgetown University.
States that run their own Obamacare marketplaces and the National Association of Insurance Commissioners have also raised concerns about added costs and reduced access. But House Republicans and some conservative think tanks say the ACA needs revamping to rein in fraud, part of which they pin on certain Biden administration changes the measures would undo.
Senate Republicans must now weigh whether to include the House’s proposals in their own bill, with the aim of getting it through the chamber by July 4.
Here are four key ways Trump’s policies could undermine Obamacare enrollment and coverage.
The House-passed One Big Beautiful Bill Act, which runs more than 1,000 pages, would create paperwork requirements that could delay access to tax credits for some enrollees, potentially raising the cost of their insurance.
More than 90% of ACA enrollees receive tax credits to defray monthly premiums for their coverage. There are two key provisions for them to watch.
One would end automatic reenrollment for most ACA policyholders each year. More than 10 million people were automatically reenrolled in their coverage for the 2025 plan year, with their eligibility for tax credits confirmed via a system that allows ACA marketplaces to check government or other data sources.
The House bill would instead require every new or returning policyholder each year to provide information on income, household size, immigration status, and other factors, starting in 2028. If they don’t, they won’t get a premium tax credit, which could put the price of coverage out of reach.
“Everyone who wants to either purchase or renew a marketplace plan will have to come with a shoebox filled with documents, scan in and upload them or mail them in, and sit and wait while someone reviews and confirms them,” said Sabrina Corlette, a research professor and co-director of the Center on Health Insurance Reforms at Georgetown University.
She and other policy experts fear that many consumers will become uninsured because they don’t understand the requirements or find them burdensome. If too many young and healthy people, for example, decide it’s not worth the hassle, that could leave more older and sicker people for ACA insurers to cover — potentially raising premiums for everyone.
But supporters of the House bill say the current approach needs changing because it is vulnerable to waste, fraud, and abuse.
“This would ensure that enrollees need to return to the exchange to update their information and obtain an updated eligibility determination for a subsidy — best protecting the public against excess subsidies paid to insurers that can never be recovered,” the conservative Paragon Institute wrote in an April letter to top Department of Health and Human Services officials.
Today, people who experience life changes — losing a job, getting married or divorced, or having a baby, for instance — are considered provisionally eligible for tax credits to reduce their premiums if they sign up or change their ACA plans. That means they would be eligible to receive these subsidies for at least 90 days while their applications are checked against government data or other sources, or marketplaces follow up with requests for additional information.
The House bill would end that, requiring documentation before receiving tax credits. That could create particular hardship for new parents, who can’t confirm that babies are eligible for premium subsidies until they receive Social Security numbers weeks after they’re born.
Policy experts following the debate “did not expect the end to provisional eligibility,” Corlette said. “I don’t know what the reaction in the Senate will be, as I’m not sure everyone understands the full implications of these provisions because they are so new.”
It can take up to six weeks for the Social Security Administration to process a number for a newborn, and an additional two weeks for parents to get the card, according to a white paper that analyzed provisions of the House bill and was co-authored by Jason Levitis, a senior fellow at the Urban Institute, and Christen Linke Young, a visiting fellow with Brookings’ Center on Health Policy.
Without a Social Security number, any application to add a newborn to an ACA policy would automatically generate a hold on premium tax credits for that family, they wrote — increasing their out-of-pocket costs, at least temporarily.
“It puts consumers on the hook for any delays the marketplace is taking,” while the Centers for Medicare & Medicaid Services, which administers the ACA marketplaces, “is cutting staff and adding a lot more paperwork to burden the staff they have,” Levitis said.
Provisions in the House bill that would require ACA enrollees to provide information each year that they reenroll — or when seeking to add or change a policy due to a life circumstance — would increase the number of people without health insurance by 700,000 in 2034, according to the latest CBO estimate.
The House bill would turn into law a Trump proposal to shorten the ACA open enrollment period. The start date would continue to be Nov. 1. But the window would be shortened by about a month, with an end date of Dec. 15. This affects people in states that use the federal marketplace as well as the 19 states and the District of Columbia that run their own, most of which offer open enrollment into at least mid-January.
Also, as soon as the end of this year, a special enrollment period the Biden administration created would be done away with. It allowed people with lower incomes — those who earn up to 1.5 times the 2024 federal poverty level, or about $38,730 for a family of three — to sign up anytime during the year.
Critics, including the Paragon Institute, argue that this enrollment opening led to fraud, partly blaming it for a steep increase last year in instances of insurance agents seeking commissions by enrolling or switching consumers into plans without their consent, or fudging their incomes to qualify them for tax credits so large they paid no monthly premiums at all.
But supporters — including some states that run their own ACA exchange — say there are other ways to address fraud.
“We anticipate that much of the improper activity can be prevented by security and integrity upgrades to the federal marketplace, which we understand the Centers for Medicare and Medicaid Services (CMS) is implementing,” the National Association of Insurance Commissioners wrote in a May 29 letter to congressional leaders.
The reason? Enhanced tax credits created during the pandemic expire at the end of the year. The House bill doesn’t extend them. Those more generous payments are credited with helping double ACA enrollment since 2020.
The CBO estimates that extending the subsidies would cost $335 billion over 10 years. The House bill instead funds an extension of Trump’s tax cuts, which largely benefit wealthier families.
If the enhanced credits are allowed to expire, not only would premium subsidies be smaller for many people, but there would also be an abrupt eligibility cutoff — an income cliff — for households above four times the federal poverty rate, or about $103,280 for a family of three for this plan year.
Taking into account the smaller subsidies and the cliff, KFF estimates a national average premium increase of 75% for enrollees if the enhanced subsidies expire. The CBO expects that about 4.2 million more people will be uninsured in 2034 as a result.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF.