Bulletin Board
Bulletin Board
States Continue to Work on Medicaid Eligibility Changes
With last year’s budget reconciliation bill – also known as H.R. 1 and the “Big Beautiful Bill Act” – requiring most Medicaid beneficiaries to have jobs or participate in community engagement activities beginning next year, the states continue to develop and refine the policies and practices they will need to implement and enforce the new requirements. The KFF has surveyed state Medicaid officials to identify what the states are doing and how they are doing it. Among Kaiser’s findings: Three states intend to implement the new Medicaid work requirements this [...]
Federal Health Policy Update for April 30
The following is the latest health policy news from the federal government for April 24-30. Some of the language used below is taken directly from government documents. Congress Yesterday, House Republicans adopted the Senate’s budget resolution, clearing the way for the party-line reconciliation process to move into the drafting phase. The limited budget resolution for Immigration and Customs Enforcement (ICE) and U.S. Customs and Border Protection instructs the Senate Judiciary and Homeland Security committees to write legislation by May 15. Today, the House passed the Senate’s spending bill to fund [...]
Some States Seek to Expand Medicaid Work Requirements
While last year’s H.R. 1, often referred to as the “One Big Beautiful Act Bill,” introduced a requirement that Medicaid applicants document that they have worked, attended school, or participated in some form of community engagement for one month as a condition of eligibility for the program, a few states are looking to make that requirement more rigorous. Indiana, for example, has turned that one-month requirement into three months and Missouri, Arizona, and Kentucky are considering increasing the requirement as well. Missouri officials are even proposing a constitutional amendment that [...]
Feds End Support for Fentanyl Test Strips
The federal government will no longer help states pay for fentanyl test strips. This was among several messages included in a “Dear Colleague” letter sent late last week by the federal Substance Abuse and Mental Health Services Administration (SAMHSA) to state health departments and federal grant recipients. The decision, according to the letter, is consistent with the agency’s indication last year about its “… clear shift away from harm reduction and practices that facilitate illicit drug use…” SAMHSA’s action reflects a view within the administration and Department of Health and [...]
LTCH Numbers in Free Fall
The number of long-term care hospitals in the U.S. is falling fast. According to hospital industry sources, more than a quarter of all long-term care hospitals – commonly referred to as LTCHs – have closed over the past decade. Among the reasons for all the closings, according to those same sources, are low Medicare payments; Medicare site-neutral payment policies that limit the kinds of patients for which LTCHs can receive full, LTCH-level payments and not lower reimbursement; and the refusal of some Medicare Advantage plans to include LTCHs in their [...]