Medicaid

States Scramble to Fill Potential Health Insurance Gap

With the clock ticking on the deadline for Congress to renew enhanced subsidies for Affordable Care Act marketplace health insurance, a number of states are looking for ways to compensate for the loss of that subsidy money and help some of their residents remain insured. California, Colorado, Maryland, and Washington are among the states looking in their pockets and underneath the sofa cushions in search for money to replace federal insurance premium subsidy money they fear will disappear at the end of 2025. They are doing so, moreover, at a time when Congress is looking hard at significant reductions in [...]

joe2025-04-10T17:11:40-04:00April 14, 2025|Affordable Care Act, Medicaid|

Federal Health Policy Update for April 10

The following is the latest health policy news from the federal government for April 4-10. Some of the language used below is taken directly from government documents. Congress The House today passed the budget resolution passed by the Senate last week. Passage of the same budget resolution by both chambers now enables Congress to begin work on a reconciliation bill to enact President Trump’s priorities on tax cuts, border security, and energy policies. Until this morning, more than a dozen Republican House members had opposed the Senate-passed budget resolution because they believed the Senate’s budget did not require enough spending [...]

joe2025-04-10T16:05:02-04:00April 10, 2025|Centers for Medicare & Medicaid Services, hospitals, Medicaid, Medicaid managed care, Medicaid regulations, Medicare, Medicare regulations, Medicare reimbursement policy|

Filling an $880 Billion Medicaid Hole

With the House of Representatives proposing to set a target of reducing Medicaid spending by $880 billion over the next ten years, a reasonable question is “How would states do that?” In a new report, KFF, a non-profit health policy research, polling, and news organization, evaluates the options for how states might respond to such cuts. In its analysis, KFF evaluates how significantly $880 billion in Medicaid cuts might affect states’ budgets and then turns to the question of how states might offset those lost federal funds. Among the options it evaluates are: increasing taxes to raise some or all [...]

joe2025-04-03T16:48:24-04:00April 7, 2025|Medicaid|

Federal Health Policy Update for April 3

The following is the latest health policy news from the federal government for March 28 through April 3. Some of the language used below is taken directly from government documents. Congress - Reconciliation Yesterday, Senate Republicans released their new budget resolution as they try to create a single budget resolution that can pass the House and Senate – a necessary step before the chambers can pass a reconciliation bill. The new resolution includes the following instructions: The Senate Finance Committee can increase the deficit no more than $1.5 trillion over 10 years. This assumes use of the “current policy baseline” [...]

joe2025-04-03T14:39:43-04:00April 3, 2025|Centers for Medicare & Medicaid Services, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission|

HHS to Reorganize

The federal Department of Health and Human Services has announced a major restructuring of its operations. The changes include: Terminating an additional 10,000 of the agency’s employees, over and above 10,000 employee reduction that already has taken place, thereby reducing its staff from 82,000 to 62,000 full-time employees. The terminations include: 300 full-time employees at CMS, with HHS noting that this “…will not impact Medicare and Medicaid.” 3500 at the FDA, with HHS explaining that this reduction “…will not affect drug, medical device, or food reviewers, nor will it impact inspectors.” 1200 at the NIH. 2400 at the CDC. Reducing [...]

joe2025-03-27T16:30:58-04:00March 31, 2025|Medicaid, Medicare|

Federal Health Policy Update for March 27

The following is the latest health policy news from the federal government for March 21-27. Some of the language used below is taken directly from government documents. Congress The House and Senate need to pass a joint budget resolution as a first step before committees can begin writing legislation to pass under reconciliation. Each chamber has passed its own budget resolution and while the two are very different, congressional leaders have agreed to write a less prescriptive resolution that will permit each chamber’s committees to determine the level of spending and saving required and then will try to work out [...]

joe2025-03-27T17:03:07-04:00March 27, 2025|Centers for Medicare & Medicaid Services, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|

Five Million Could Lose Medicaid With Federal Work Requirement

If adopted, a federal requirement that Medicaid beneficiaries in expansion states work at least 80 hours a month to retain their eligibility for Medicaid could result in five million people losing their Medicaid coverage, according to a new analysis. And if that requirement were to be expanded to all Medicaid beneficiaries, that number could rise to as many as 30 million people. The analysis, included in a report released by the Robert Wood Johnson Foundation and the Urban Institute, concluded that: Between 4.6 and 5.2 million adults living in states that expanded Medicaid would lose Medicaid coverage next year under [...]

joe2025-03-26T09:46:47-04:00March 26, 2025|Medicaid|

Federal Health Policy Update for March 20

The following is the latest health policy news from the federal government for March 14-20. Some of the language used below is taken directly from government documents. The White House The White House has rescinded Executive Order 13994 of January 21, 2021, titled “Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats.” In response to this action, CMS rescinded its November 22, 2022 memo “The Importance of Timely Use of COVID-19 Therapeutics,” the purpose of which, according the memo, was “…to highlight the importance of providing timely access to available COVID-19 therapeutics to patients who test positive [...]

joe2025-03-20T16:00:25-04:00March 20, 2025|340b, Centers for Medicare & Medicaid Services, Medicaid, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|

If ACA Funding for Medicaid Expansion Were to be Cut…

When Congress enacted the Affordable Care Act in 2010 it offered states a powerful incentive to expand their criteria for Medicaid eligibility: money to pay for most of that expansion. Under that law, the federal government pays 90 percent of the cost of providing Medicaid-covered services to individuals who became eligible for the program under the expanded criteria. So far, 41 states and the District of Columbia have taken advantage of this enhanced funding and 11 million additional people have enrolled in the Medicaid program as a result. But what would happen if that enhanced federal Medical Assistance percentage – [...]

joe2025-03-13T17:26:22-04:00March 17, 2025|Affordable Care Act, hospitals, Medicaid, Medicaid disproportionate share, Medicaid DSH|

Federal Health Policy Update for March 6

The following is the latest health policy news from the federal government for March February 28 – March 6. Some of the language used below is taken directly from government documents. Congress The current continuing resolution funding the federal government expires on March 14. Leaders intend to propose a long-term continuing resolution through the end of the current federal fiscal year in September. The likelihood of success of that approach is uncertain. Separately, a number of health care extenders, including preventing cuts to Medicaid disproportionate share (Medicaid DSH), an extension of telehealth flexibilities, an extension of the Acute Hospital Care [...]

joe2025-03-06T16:39:50-05:00March 6, 2025|Centers for Medicare & Medicaid Services, health equity, hospitals, Medicaid, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicaid regulations, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|