Earlier this week, the Trump Administration released its proposed budget for fiscal year 2019. This is the president’s first full budget proposal since taking office and it outlines the administration’s vision for the future. Although the budget proposal is non-binding and many elements need congressional approval for enactment, the administration can implement some of these policies on its own, through regulations, executive orders, and guidance. This is an eye-opening and chilling road map for where the administration wants to take health care for families and children.
The budget agreement Congress passed in the wee hours of the morning includes more good news for the 9 million children who rely on the Children’s Health Insurance Program (CHIP) for their health coverage.
One popular aspect of the Affordable Care Act is its requirement that all individual and small group health plans (for people who don’t have traditional job-based coverage) cover important health benefits like maternity, mental health, preventive, and pediatric dental care. Members of Congress and the Trump administration have frequently proposed measures that would eliminate or undermine these essential health benefits (EHBs), as they are known.
The Trump administration has begun to allow states to include work requirements in their Medicaid programs through waivers. Work requirements don’t help better deliver care to people with Medicaid coverage, and are impermissible under Medicaid law.
As a matter of policy, work requirements won’t help unemployed low-income people find and keep jobs.
A new study released by Senior Fellow Stan Dorn and others serves as a reminder that vigorous federal and state action can use the tools created by the ACA to help laid-off workers get health coverage.
Listen to our webinar on on how state advocates can address Medicaid waiver proposals that include work requirements and other restrictions, as well as tools available for state advocates to address similar proposals.
Idaho state officials sought to create “state-based plans” for health insurance that would set a precedent for individual market insurance plans that could deny coverage for preexisting conditions. The Idaho health insurance guidelines would put older and sicker residents at a disadvantage.
To protect their residents, some states are considering using their own income tax systems to replace the federal government’s enforcement of the individual mandate. But another approach under consideration in Maryland would both prevent the harm forecast by CBO while taking new steps to insure families who would otherwise remain without coverage.
Not only would Maryland’s approach increase coverage, newly insured young and healthy residents would improve the overall risk pool, stabilizing markets and lowering premiums for numerous insured residents who buy individual coverage.
In late January, the Trump administration quietly announced two alarming new policies that will lead to more discrimination in health care: a change in Medicaid policy made through executive order, and a proposed rule that is open for comment until March 27, 2018.
On January 31, Families USA staff held a webinar about how state advocates can address Medicaid waiver proposals that include work requirements and other restrictions.
Our experts reviewed recent HHS approvals of work requirements for Medicaid and the tools available for state advocates to address similar proposals.