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Federal Health Policy Update for June 25

Don’t Miss: CMS posts a new presentation on Medicaid eligibility under HR 1 House health subcommittee marks up health care price transparency bills Cassidy proposes 340B bill HRSA announces two maternity-related funding opportunities The following is the latest health policy news from the federal government for June 19-25. Some of the language used below is taken directly from government documents. Congress The House Energy and Commerce Committee’s Oversight Subcommittee held a hearing to discuss integrity and fraud risk in state Medicaid programs; witnesses included state Medicaid directors from California, Minnesota, [...]

June 25, 2026|Categories: 340b, Centers for Medicare & Medicaid Services, Congress, hospitals, MACPAC, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy|Tags: 340B, FDA and clinical research, H.R. 1 Medicaid eligibility, health care price transparency, Health Resources and Services Administration HRSA maternal health grants, Health Resources and Services Administration HRSA workforce training programs and nutrition education, HHS and clinical research, Justice Department Medicaid fraud charges, MACPAC and Medicaid and students with individualized education plans, Medicaid state plan amendments, Medicare 2027 proposed ESRD rates, Medicare outpatient payment system, Medicare proposed end-stage renal disease rates, Medicare regulations, MLN Connects, national resiliency strategy, telehealth|

Remake of Organ Donation Process Continues

The current effort to remake the organ donation process is moving toward a critical juncture. The overhaul, launched more than two years ago as the “Organ Procurement and Transplantation Network Modernization Initiative,” has now moved to the stage where the organizations that facilitate organ donations in the future will be decided. The current plan, which seeks to boost the quantity of donated organs to meet national needs, is to identify and keep the highest performers among the current group of organ procurement organizations, revoke the certification of the weakest of [...]

June 25, 2026|Categories: Uncategorized|Tags: Organ Procurement Transplantation Network Modernization Initiative|

States Finding Rural Transformation Money Comes With Strings

While the Centers for Medicare & Medicaid Services has announced grant awards to states under the Rural Health Transformation program, agency regulators have made it clear that they are prepared to take back some of that money if they do not like how a state’s planning is proceeding. Despite the federal approval of program funding, regulators continue to work with state Medicaid officials to mold their proposed programs to bring them into greater alignment with administration health care objectives. In some cases, states have already modified their plans in response [...]

June 24, 2026|Categories: Uncategorized|

Future Moms Face Challenge Finding Docs Who Accept Medicaid

The provider directories of Medicaid managed care plans often list maternal providers who do not accept Medicaid patients. At the same time, many of those provider directories list incorrect contact information for their participating maternal health providers. These are among the findings of the U.S. Department of Health and Human Services’ Office of the Inspector General. In two new audit reports, the OIG found that a review of several of the largest Medicaid managed care plans in the country found that anywhere from four to 22 percent of the maternal [...]

June 22, 2026|Categories: Medicaid, Medicaid managed care|Tags: access to Medicaid maternal health providers, Medicaid, Medicaid managed care, Medicaid managed care provider directories, Medicaid provider ghost networks|

Federal Health Policy Update for June 18

Don’t Miss: 340B Rebate Model pilot program – next steps Stricter rules on CMS’s reviews of new and existing section 1115 Medicaid demonstration programs Changes in health care institution accrediting practices HHS posts mental and behavioral health grant opportunities The following is the latest health policy news from the federal government for June 12-18. Some of the language used below is taken directly from government documents. Congress Both chambers of Congress will return to session on June 22. The House Energy and Commerce Committee’s Oversight and Investigations Subcommittee will hold [...]

June 18, 2026|Categories: 340b, Affordable Care Act, Alternative payment models, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicaid regulations, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|Tags: 340B, 340B Rebate Model Pilot Program, Affordable Care Act Essential Health Benefits, CDC and infant botulism, CDC and New World screwworm, health care accreditation, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid managed care and maternal health services, Medicaid state plan amendments, Medicare Drug Price Negotiation Program, Medicare Payment Advisory Commission, MedPAC, MedPAC annual report to Congress, MLN Connects, No Surprises Act, pharmacy benefit managers PBMs, section 1115 Medicaid demonstration programs|

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