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Trump Reversal of Medicaid Family Planning Guidance Doesn’t Change Federal Law

January 22, 2018

The Centers for Medicare and Medicaid Services (CMS) recently rescinded its guidance of April 2016 reaffirming Medicaid law’s “free choice of provider” provision, which allows beneficiaries to receive family planning services from all qualified providers of such services. CMS’ reversal raises concerns that...

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Medicaid Criteria Changes Don’t Ensure Waivers Will Further Program Objectives

November 13, 2017

The Centers for Medicare & Medicaid Services (CMS) has revised its criteria for approving demonstration projects (or “waivers”) for states to test new ways to deliver health care to low-income people through Medicaid — and, in doing so, it signaled that the Trump Administration plans to approve proposals that won’t promote Medicaid’s objectives.

Medicaid’s core mission is to provide...

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Ending Medicaid’s Retroactive Coverage Harms Iowa’s Medicaid Beneficiaries and Providers

November 9, 2017

The Centers for Medicare & Medicaid Services (CMS) has granted a section 1115 waiver to let Iowa end Medicaid payments for medical costs that beneficiaries incurred up to three months before enrolling in Medicaid if they were eligible for Medicaid during that period. As we...

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Cassidy-Graham’s Restrictions on Provider Taxes Threaten State Medicaid Programs

September 21, 2017

Like the bill to repeal the Affordable Care Act (ACA) that the Senate rejected in July, the bill from Senators Bill Cassidy and Lindsey Graham radically restructures Medicaid financing by converting federal funding to a per capita cap starting in 2020. But Cassidy-Graham actually goes further than the prior repeal bill by entirely...

Health Money

Like Prior Repeal Bills, Cassidy-Graham Puts Coverage for American Indians, Alaska Natives at Risk

September 20, 2017

Update, September 25: We’ve updated this post.

American Indians and Alaska Natives (AI/ANs) benefit greatly from the Affordable Care Act’s (ACA) coverage expansions, with 290,000 AI/ANs now enrolled in Medicaid, as we’ve explained. The most recent...

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Cassidy-Graham Would End Medicaid Expansion in 2020, Leave Millions of Low-Income Adults Uninsured

September 19, 2017

Update, September 25: We’ve updated this post.

The latest version of the plan from Senators Bill Cassidy and Lindsey Graham to repeal the Affordable Care Act (ACA) would still end Medicaid expansion in 2020 and make even deeper cuts to Medicaid than prior Republican repeal legislation, such as the Better Care Reconciliation Act (BCRA). Like the BCRA, the latest Cassidy...

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Florida’s Medicaid Waiver Won’t Improve Coverage or Access

August 4, 2017

The Centers for Medicare & Medicaid Services (CMS) has renewed Florida’s Medicaid waiver for the next five years and, with it, included $1.5 billion in annual Low-Income Pool (LIP) funding for health care providers that furnish care to uninsured low-income Floridians. That’s about $900 million more than the state previously received under the waiver — but, despite the Trump Administration’...

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No “Fix”: Revised Senate Bill Still Puts Coverage for American Indians, Alaska Natives at Risk

July 14, 2017

American Indians and Alaska Natives (AI/ANs) have benefited greatly from the Affordable Care Act’s (ACA) coverage expansions, with 290,000 AI/ANs now enrolled in Medicaid, as we’ve explained. (See table.) The supposed AI/AN “fix” that Senate Republican leaders...

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Senate Bill Makes It Harder for States to Maintain — Let Alone Raise — Their Medicaid Spending

June 24, 2017

The Senate health bill not only shifts huge costs to states by capping and cutting federal Medicaid funding — thereby forcing states to raise taxes or cut other areas like education to maintain their Medicaid programs — but makes it harder for states just to sustain their current Medicaid spending by restricting state taxes on health care providers....

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Expanding Medicaid Makes the Marketplace Work Better

May 19, 2017

We’ve written about the benefits of the Affordable Care Act’s (ACA) Medicaid expansion for state budgets, substance use disorder treatment,...

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