Many factors could prevent numerous communities from fully participating in the 2020 Census. These factors include underfunded Census outreach, a proposed Census question asking about citizenship, and broader policy changes that could increase immigrants’ fears about responding to the Census. Without vigorous action to prevent a significant undercount, states will suffer major cuts to federal health care funding, with grim results for health care and other critical state services.
With last night’s announcement of Brett Kavanaugh as President Trump’s nominee to replace Justice Anthony Kennedy on the Supreme Court, a confirmation battle begins in earnest in the Senate. In the coming years, federal courts will be hearing cases that involve the basic pillars of our health care system, jeopardizing the health care of millions of people. Between now and 2020, there is a significant chance that the Supreme Court could decide on any or all of the following major health care issues:
Lowering the price of prescription drugs remains one of the top health care priorities for consumers.1 But pharmaceutical manufacturers continue to increase prices on lifesaving medications.2 A recent proposal from the Trump Administration seeks to control prescription drug costs in Medicaid by giving states the authority to eliminate people’s access to needed and even lifesaving drugs. This approach fails to address the underlying issue of pharmaceutical manufacturers setting such high prices at the national level.
When the Trump administration gave the green light to Medicaid work requirements, conservative lawmakers in state legislatures across the country grasped the chance to impose punitive restrictions on families relying on Medicaid. As a result, the issue of Medicaid work requirements became a hot topic in the 2018 state legislative sessions.
In Cynical Move, Kentucky Governor Bevin Cuts Vision and Dental Care to Retaliate Against Court’s Medicaid Ruling
Suppose you wanted to help a homeless veteran find a job, but the vet had some sore teeth and needed glasses. Wouldn’t it make sense to cover the oral health and vision care to help him?
That won’t happen in Kentucky, where state officials abruptly eliminated oral health and vision care for the 460,000 adults who are on the state’s Medicaid program. The decision followed a court ruling a day earlier that struck down a mandate for those on the program to find jobs or lose benefits.
An increasing number of states are making harmful changes to their Medicaid programs using “Section 1115 waivers.” Families USA is tracking state Medicaid waivers that restrict access to quality, affordable health care for low-income families and adults. This new grid offers an overview of the status of each state’s waiver proposal, the restrictive elements of the waiver proposal, and CMS’s decision on each element.
On June 12, Families USA held a webinar that highlighted successful tactics and strategies that could be used in states seeking work requirements. Advocates in Colorado and Minnesota discuss how they successfully stopped work requirements from moving forward in their states. And in Arkansas, advocates discuss how they’re handling a new work requirement that went into effect on June 1, 2018. This webinar reviews successful tactics and strategies that can be used in states seeking Medicaid work requirements, and help advocates prepare for challenges in the year ahead.
Budget Proposal Would Allow States To Drop Medicaid Transportation Benefits Across The Entire Program
The Trump administration’s fiscal year 2019 budget request signals that the Centers for Medicaid and Medicare Services (CMS) intends to use regulatory authority to allow states to drop the Medicaid non-emergency medical transportation (NEMT) benefit. This benefit has been part of Medicaid since the program’s inception in 1966. Changing that would be a stunning precedent, reversing more than 50 years of Medicaid policy.
Medicaid managed care contracting is a promising pathway for securing more sustainable funding for community health workers (CHWs). This issue brief provides examples of contract language that can be used to incentivize or require Medicaid managed care organizations to utilize and fund CHWs and considerations for advocates looking to improve support for CHWs through this pathway.
Today, the Michigan legislature passed a bill that imposes new work and premium requirements on its huge Medicaid expansion population. Families USA and other organizations have written extensively about how work requirements don't belong in a health care program like Medicaid and how Michigan’s legislation is particularly poorly designed and punitive. But the version of the bill that just passed includes several other major problems.