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GAO: State Evaluations of Medicaid Waivers Lack Key Data, Findings

March 5, 2018

The Trump Administration’s decision to let states make unprecedented and radical changes to Medicaid through demonstration projects, such as requiring that beneficiaries work or engage in work-related activities, reinforces the need for well-designed, timely evaluations of state demonstrations. A recent Government Accountability Office (GAO) ...

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Arkansas’ Harsh Medicaid Work Requirement Jeopardizes Recent Progress

March 5, 2018

Update, March 6: we’ve updated this post with revised data from the Urban Institute.

The Trump Administration’s approval today of Arkansas’ harsh work requirement inMedicaid will likely set back the state’s considerable progress under the Affordable Care...

Medicaid Work Requirement Will Mostly Affect Arkansans Who Are Working, Ill or Disabled, or Caregivers

$200 Billion Wouldn’t Provide Affordable Private Coverage for Medicaid Expansion Enrollees

July 24, 2017

Senate leaders are reportedly considering adding $200 billion to the Senate health bill to supplement private coverage for people who gained Medicaid coverage under the Affordable Care Act’s (ACA) Medicaid expansion and would lose it under their bill. But that would fall far short of the actual cost of providing affordable private coverage to those people, new Urban Institute...

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$200 Billion More Won’t Fix Unfixable Senate Health Bill

July 20, 2017

While $200 billion seems like a lot of money, it’s only 17 percent of the bill’s $1.2 trillion in cuts.

In Focus: Reported Offer of $200 Billion More Funding for States Comes Nowhere Close to Undoing Senate Bill's Coverage Cuts

Another Argument for ACA Repeal Bites the Dust

July 18, 2017

While the Senate bill to repeal the Affordable Care Act (ACA) appears dead for now, efforts to undo the ACA’s Medicaid expansion — which has enabled 11 million low-income people to get health coverage — will likely continue. So let’s put to rest the thoroughly debunked claim that the Medicaid expansion has enlarged state waiting lists for home- and community-based services (HCBS), which give...

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Waivers Can’t Solve the Problems Created by Massive Federal Medicaid Cuts

July 15, 2017

Updated July 20th

Trump Administration officials are reportedly trying to win Nevada Governor Brian Sandoval’s support for the Senate Republican health bill by offering him a waiver of Medicaid rules that would give Nevada funds to supplement the coverage that would be available to low-income people in the...

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Senate Health Bill Pays Lip Service to Home- and Community-Based Services, But Imposes Deep Cuts

July 7, 2017

The Senate Republican health bill directs the Health and Human Services (HHS) Secretary to implement procedures to encourage states to adopt or extend home- and community-based services (HCBS) Medicaid waiver programs, which allow seniors and people with disabilities, including children with complex health care needs, to stay in their homes. But like the House-passed health bill, the Senate...

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Senate Health Bill Could End Alaska’s Medicaid Expansion in 2020

June 26, 2017

Alaska would experience significant harm from Republican efforts to repeal the Affordable Care Act (ACA), as we’ve explained. But the risk to its Medicaid expansion, which has provided health coverage for more than 30,000 Alaskans and especially benefited Alaska...

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Senate Republican Funds to Address Opioid Epidemic Can’t Offset Medicaid Expansion Repeal

June 13, 2017

Senate Republicans reportedly may try to add funds to address the opioid epidemic to their emerging bill to repeal the Affordable Care Act (ACA). As we...

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Maine’s Waiver Proposal Would Violate Medicaid Law

April 26, 2017

Maine’s new proposal for a Medicaid waiver seeks radical and unprecedented changes to Medicaid, totally disregarding what Medicaid law allows and targeting the state’s lowest-income adults in ways that would likely leave many without access to needed health care.

The federal government can waive...

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