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Posts on Health
July 17, 2018

Mississippi has updated its Medicaid waiver proposal in an apparent attempt to address one of the...

July 13, 2018

The Trump Administration this week slashed funding for consumer enrollment assistance and outreach through the Affordable Care Act (ACA) navigator program. The funding cuts, and other changes to the program, will reduce access to crucial assistance that helps consumers...

Open Enrollment
July 11, 2018

When the Centers for Medicare & Medicaid Services (CMS) rightly rejected a Massachusetts proposal to restrict Medicaid beneficiaries’ access to prescription drugs last month, it opened the door to much more radical, harmful changes to Medicaid prescription drug coverage.  Specifically, it suggested that states could submit proposals drastically limiting drug coverage provided they also...

Pills In Bill
July 11, 2018

The House Ways and Means Committee is marking up several bills this week that would raise contribution limits for health savings accounts (HSAs) and expand the allowable uses of these accounts, at a cost of $41 billion over ten years, the Joint Committee on Taxation (JCT) estimates.  As we’ve...

Health Saving Accounts (HSAs) Mostly Benefit High-Income Taxpayers
July 11, 2018

The House Ways and Means Committee will mark up a bill today to delay the excise tax on high-cost health plans (the so-called “Cadillac tax”) by another year, to 2023.  That would be unwise for two reasons: it would lose needed revenue, and it would set back efforts to slow the growth of health care costs.


Form 1040 and Refund Check
June 28, 2018

With June marking the 19th anniversary of the landmark Olmstead v. L.C. decision — in which the Supreme Court found that states and localities must generally serve people with disabilities in the community rather than institutions when community-based...

Rowhouses from the air
June 25, 2018

State experiments to test whether premiums and complex incentives can encourage Medicaid enrollees to adopt healthy behaviors haven’t achieved their goals, partly because many enrollees don’t fully understand the new rules. Nevertheless, the Trump Administration has approved state proposals...

Indiana State Map
June 22, 2018

Nineteen years ago today, the Supreme Court found in Olmstead v. L.C. that states and localities must generally serve people with disabilities in the community rather than in institutions when community-based services can meet their needs. Over the last 19 years, the Olmstead decision has helped many people with disabilities live in their community rather than an institution...

States Have Shifted Spending to Home- and Community-Based Services, and Away from Institution-Based Services
June 20, 2018

The House will consider a bill today to partially repeal a longstanding policy — the Institutions for Mental Disease (IMD) exclusion — prohibiting the use of federal Medicaid funds for care of patients ages 21-64 receiving treatment for substance use disorders (SUDs) in facilities with more than 16...

June 18, 2018

Responding to the Trump Administration’s decision not to defend the Affordable Care Act (ACA) against a suit from the attorneys general of Texas and 19 other states and to instead urge the court to invalidate the ACA’s core protections for people with pre-existing health conditions,...

Pregnant patient