Since the Trump Administration took office, several states have asked the Centers for Medicare and Medicaid Services (CMS) for approval to waive Medicaid requirements or add new ones through requests known as Medicaid Section 1115 waivers. View our timeline below of the different stages that occur before these requests get to CMS.
As of April 2018, 18 states were actively pursuing Medicaid waivers that would kick people off the program or impose punitive requirements. And the list continues to grow. Advocates for affordable, high-quality, and equitable health care can play a vital role in opposing these waivers. Share this toolkit on Twitter.
Today, the Congressional Budget Office (CBO) released a new budget baseline for 2018 to 2028. The baseline report shows a significant increase in projected budget deficits compared to the 2017 baseline.
As trusted members of their communities, community health workers (CHWs) have a proven track record of increasing access to preventive services, improving health outcomes, and even reducing costs. And by addressing the social determinants of health, CHWs can play a key role in reducing health disparities.
Today, Medicaid faces unique threats, and these threats are happening largely below the radar screen. So far, we have succeeded in averting multiple attempts to erode Medicaid as we know it through federal legislation, but efforts to undermine coverage continue through legally questionable regulatory actions and destructive Medicaid waivers. These Medicaid waivers have the potential to have a profound impact on children, families, and their oral health coverage.
This blog is part of an ongoing series of stories from people across the country who need comprehensive dental coverage, but do not have access to it. Families USA, in partnership with the DentaQuest Foundation, has launched an intensive, multi-faceted, long-term issue advocacy campaign, Oral Health For All, to reduce the barriers to oral health coverage that prevent more than 106 million Americans from have such coverage and getting the care they need.
On March 5, 2018, CMS approved Arkansas’ request to add a work requirement to its Medicaid program. Equally important, it did not approve the state’s request to roll back Medicaid eligibility to a partial Medicaid expansion. Both tell us a lot about what’s behind CMS’s approach to Medicaid waivers, and what states can expect to have, and not have, approved. View factsheet here.
CMS has approved work requirements (sometimes spun as “community engagement” requirements) in three states: Arkansas, Kentucky, and Indiana. Eight additional states have similar requests pending, and CMS appears likely to approve those requests, as well. Litigation challenging the authority of the executive branch to approve work requirements—rules that are contained nowhere in Medicaid law—have also begun.
Many state legislatures are passing the midpoint for 2018 sessions, and trends are emerging in their efforts to tackle health care affordability and coverage. States are also reacting to federal activity around Medicaid and private market coverage including the repeal of the individual mandate. Below are some of the noteworthy state health legislative measures already moving this year.