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More Evidence That Rhode Island’s Medicaid Waiver Isn’t a Model for Block Grant

May 16, 2011

Rhode Island’s Medicaid program has been operating under a federal waiver that proponents of block-granting Medicaid have cited as a model of Medicaid reform. But as today’s New York Times explains, “An examination of Rhode Island’s experience shows it has not yielded the kinds of savings its supporters claim.”

Fighting Health Reform (Again)

May 3, 2011

My colleague Sarah Lueck noted yesterday that the House will vote this week on a bill that would undermine health reform by repealing federal funding to set up health insurance exchanges in the states. Today, House and Senate sponsors will introduce bills that would undermine health reform in a different way: by repealing the law’s “maintenance of effort” provision. As our February report on this issue explained:

Governor Walker’s Misleading Claims on Medicaid

April 25, 2011

Wisconsin Governor Scott Walker painted a misleading picture of Medicaid in his New York Times op-ed on Friday. Medicaid is neither obsolete nor inflexible and changing it to a block grant, as the House Republican budget that Walker supports would do, would significantly harm the millions of seniors, people with disabilities and children who rely on it every day.

Rhode Island Waiver Not a “Case Study” for Medicaid Block Grant

March 28, 2011

The Wall Street Journal editorialized today that the federal waiver under which Rhode Island operates its Medicaid program is a “case study” of the potential benefits of converting Medicaid to a block grant. Hardly.

Latest “Evidence” That Block-Granting Medicaid Would Help States? Hardly.

March 18, 2011

As we’ve noted, troubling proposals to convert Medicaid into a block grant are getting new attention, and a recent paper by Douglas Holtz-Eakin, president of the conservative policy group American Action Forum, cites a demonstration project that Rhode Island is operating under a federal waiver as evidence that states would fare quite well under a block grant.

State Backtracking on Medicaid Would Weaken Health Reform

March 17, 2011

The health reform law requires states to maintain their current eligibility rules for Medicaid and the Children’s Health Insurance Program until 2014, when new nationwide Medicaid rules will take effect that will help reduce the number of uninsured. Yesterday, Senator Orrin Hatch (R-UT), the Senate Finance Committee’s top Republican, asked Health and Human Services Secretary Kathleen Sebelius to grant waivers from this “maintenance of effort” (MOE) requirement to states that want to reduce their Medicaid and CHIP spending by covering fewer people. That would be a serious step backward for health reform.

House Bill Could Drive Many Away from Health Reform

March 3, 2011

The House will vote today on a bill that would seriously weaken health reform by imposing large tax penalties on many people who received subsidies to buy coverage in the health insurance marketplaces (“exchanges”) the law will set up. That would discourage many people from applying for subsidies in the first place, leaving more Americans to remain uninsured. It also could create a public backlash against health reform among people who bought coverage and then found themselves owing large sums to the IRS.

Little-Known Piece of Wisconsin Budget Bill Has Huge Consequences for Medicaid

February 23, 2011

Along with its far-reaching restrictions on collective bargaining by many state employees, Wisconsin Governor Scott Walker’s “budget repair bill” includes a little-known provision that would give him almost total control over the state’s Medicaid program.

Cutting Medicaid, CHIP rolls is no way for governors to help their states

February 10, 2011

A number of Republican governors have asked Congress to repeal a provision of health reform so they can save money by dropping people from Medicaid and the Children’s Health Insurance Program. Repealing this “maintenance-of-effort” provision, however, would almost certainly cause millions of people to lose insurance coverage and also hurt the economy, as our new report explains.

The Middle Class's Stake in Health Reform

April 26, 2010

Middle-class families with health insurance might not think they have much at stake in the new health reform law. But as a recent Center report showed, private health coverage for the middle class is surprisingly unstable.

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