For legal and political reasons, the Trump administration has characterized using Medicaid waivers to impose work reporting requirements on Medicaid beneficiaries as experimental, relying on Section 1115 of the Affordable Care Act. Similarly, states proposing Medicaid Section 1115 waivers to add work reporting requirements have hypothesized gains in self-sufficiency, increased employment, and improved health. These are dubious claims, and many observers saw these so-called experimental projects for what they were: an attempt to kick people off Medicaid.
The Trump administration announced it will not provide 90/10 federal funding for partial Medicaid expansions. The decision will have an immediate impact in Utah, where state lawmakers adopted a partial expansion in the wake of the ballot initiative win for Medicaid coverage for adults.
This webinar discusses this critical decision and what's next for states.
Update: Governor Gary R. Herbert's blog - "MEDICAID EXPANSION: WHAT’S NEXT FOR UTAH?"
Health and Health Care in 2019 Legislative Sessions: States Step Up on Public Options, Coverage, Drug Pricing, and More
Open Application Programming Interfaces (APIs) for Medicare Advantage, Medicaid, Children Health Insurance Program, Qualified Health Plan Issuers in Federal Facilitated Exchanges and Enrollee and Beneficiary Resources Regarding Privacy and Security
Families USA recently commented on a proposed CMS regulation aimed at promoting the interoperability of health information technology (health IT).
The Utah Department of Medicaid released its much-anticipated proposal for a Section 1115 Medicaid waiver seeking a “per capita cap” – or a limit on federal spending – on major portions of its Medicaid program. If approved by the Trump administration, it would set a new precedent that could have catastrophic effects for state budgets and Medicaid programs in the future.
Families USA submitted comments on the Centers for Medicare and Medicaid Services Request for Information (RFI) concerning Health Care Choice Compacts. This RFI seeks to “facilitate the purchase of health insurance coverage across state lines.” We have long expressed concerns about policies that are designed to allow the sale of coverage across state lines if these policies do not include robust consumer protections.
The Return of Churn: State Paperwork Barriers Caused More Than 1.5 Million Low-Income People to Lose Their Medicaid Coverage in 2018
In 2018, enrollment in Medicaid and the Children's Health Insurance Program decreased by about 1.6 million enrollees, 744,000 of which were children. There is strong evidence that a driving factor of the decline in enrollment is state policy decisions to engage in punitive annual (or even monthly) eligibility redetermination processes in which large percentages of Medicaid enrollees lose coverage.
Families USA submitted this comment to Secretary Azar on the proposed safe harbor rule changes. Under the proposed rule, discounts awarded by prescription drug manufacturers to plan sponsors under Medicare Part D and Medicaid managed care organizations or their contracted Pharmacy benefits managers (PBMs) would no longer be eligible for safe harbor under the Federal anti-kickback provisions of the Social Security Act.
Kansas lawmakers are currently considering legislation that could expand Medicaid to 150,000 nonelderly, low-income Kansans. As lawmakers debate Medicaid expansion in the state’s legislature, Families USA has published a fact sheet on the impact of Medicaid Expansion on Kansas’s state budget. Click here to view the fact sheet.
Federal Judge Boasberg struck down work requirements for the Medicaid program in both Arkansas and Kentucky. This March 28th webinar discussed the Judge's ruling and what it means for the future of Medicaid.
Featured speakers include:
- Eliot Fishman, Senior Director of Health Policy, Families USA
- Sophia Tripoli, Director of Health Care Innovations, Families USA