Reports by Judith Solomon
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New Medicaid Rules Would Limit Care for Children in Foster Care and People with Disabilities in Ways Congress Did Not Intend
Revised March 6, 2007
On December 4, the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services published interim final rules governing case management services provided by state Medicaid programs.[1] CMS claims the new rules are necessary to implement changes Congress made in the Deficit Reduction Act of 2005 (DRA). In fact, the rules go well beyond what … -
Second Children's Health Bill Makes Significant Changes to Focus More Heavily on Poor Children
Revised December 8, 2007
On November 30, Congress sent the President a revised version of bipartisan legislation to strengthen children’s health coverage (H.R. 3963). The bill includes substantial changes from the bill the President vetoed in October (H.R. 976) that directly address a number of concerns raised by the earlier bill’s opponents. … -
New Children’s Health Legislation Would Not Allow Any Undocumented Immigrants to Enroll in SCHIP or Medicaid
December 4, 2007
President Bush has said he will veto the second bipartisan compromise bill passed by Congress (H.R. 3963) to reauthorize the State Children’s Health Insurance Program (SCHIP). The Administration claims, in part, that the bill “continues to allow SCHIP to cover ineligible individuals,” namely undocumented immigrants.[1] Some … -
Martinez Bill Would Weaken Children’s Health Coverage
November 5, 2007
Senator Mel Martinez (R-FL) has introduced legislation (S. 2193) intended to rally opponents of bipartisan children’s health legislation recently vetoed by President Bush, a revised version of which was passed by the House on October 25 and the Senate on November 1. The Martinez bill also has been introduced in the House, as H.R. 3888, … -
Administration Moves to Eviscerate Efforts to Enroll Uninsured Low-Income Children in Health Coverage through the Schools
September 17, 2007
While deep disagreements emerged between Congress and the Bush Administration last year in the debate over reauthorizing the State Children’s Health Insurance Program (SCHIP), all sides agreed that states should do all they can to enroll low-income children who are currently eligible for Medicaid and SCHIP. And while the Administration issued … -
Would Tax Incentives Be an Effective Way to Expand Health Coverage for Low-Income Children and Families?
July 31, 2007
In recent weeks, the Administration has threatened to veto legislation in Congress that would reauthorize the SCHIP program and extend health coverage to several million uninsured children. As an alternative, the Administration has touted the virtues of the private insurance market and attempted to revive consideration of its proposal to … -
The False "Public Versus Private" Choice for Children’s Health Coverage
June 21, 2007
As Congress considers the reauthorization of the State Children’s Health Insurance Program (SCHIP), groups like the Heritage Foundation are making a strong push to change the way coverage is provided to eligible low-income children.[1] They claim Congress must choose between “government-run health care” and private … -
Can Incentives for Healthy Behavior Improve Health and Hold Down Medicaid Costs?
June 1, 2007
The impact of individual behavior on the cost of health care is attracting a great deal of attention from policymakers. A number of state Medicaid programs are offering rewards for healthy behavior or considering this step, assuming that financial incentives will improve the health of Medicaid beneficiaries and help hold down health care … -
President's "Affordable Choices" Initiative Provides Little Support for State Efforts to Expand Health Coverage
April 3, 2007
The large and growing number of Americans without health care coverage is increasingly a focus of attention, especially at the state level.[1] A number of states are now considering proposals to expand coverage, and several states have already adopted such plans. The federal government has an important role to play in these efforts.… -
Cost-Sharing and Premiums in Medicaid: What Rules Apply?
February 28, 2007
A substantial body of research shows that higher co-payments are likely to cause low-income people to decrease their use of necessary health care services. Low-income people with chronic health conditions are the most vulnerable to harm from cost-sharing, as they use the most health care services. Research also shows that premiums can make it … -
The Administration Again Proposes to Shift Federal Medicaid Costs to States
February 14, 2007
In its new budget, the Administration proposes cuts in federal Medicaid funding that total $24.7 billion over the next five years and $60.9 billion over ten years through a combination of legislative changes and regulatory action. [1] These reductions are more than five times as large over the next five years as the federal Medicaid cuts enacted by the Congress last year … -
Health Insurance “Connectors” Should Be Designed to Supplement Public Coverage, Not Replace It
January 29, 2007
In 2006, Massachusetts enacted legislation intended to achieve universal health coverage in the state.[1] The law has attracted a great deal of attention, and a number of states and other organizations are looking at whether the Massachusetts plan can be adapted for use elsewhere to achieve universal coverage or at least reduce the number of uninsured.…
