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.
Racial discrimination in the United States is pervasive and affects health outcomes and access to health care on multiple levels—from the interpersonal, to the institutional, to deeper structural divides. Such ingrained racism creates significant barriers for people of color, making it harder for them to get equal access to jobs, housing, education, and health care services.
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. Despite their effectiveness, CHWs often lack sustainable sources of funding, preventing their more widespread integration into the health care system. For CHWs and advocates who want to establish more sustainable funding, Medicaid managed care offers one pathway.
Under a proposed rule open for comment until April 23, 2018, the Trump administration wants to expand the sale of substandard, sham health insurance. If finalized in its current form, this rule will harm consumers and the insurance market.
The comment period for the public to speak out against the rule has closed. View Families USA's comments.
The Trump administration wants to expand the sale of “short-term limited duration plans” that do not have to comply with the consumer protections afforded under the Affordable Care Act (ACA). On April 26, 2018, Families USA held a webinar about measures that states can take to protect health insurance consumers and markets from the expansion of sham short-term health plans.
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.
As the largest single source of health insurance and coverage for behavioral health services in the country, Medicaid plays a pivotal role in addressing substance use disorder (SUD). Medicaid covers nearly 4 in 10 non-elderly adults in the country with opioid addiction. But this coverage could go further: at least 17 percent of opioid addicts are uninsured, a rate nearly 50 percent higher than the general population.
Medicaid often provides life-saving care for children who are born with congenital defects. This California family credits Medi-Cal, California’s version of Medicaid, with saving their son in the days after his birth. If Medicaid is cut, services like these will no longer be available for families like theirs.
Trump Administration 'Public Charge' Rule Threatens Health Care for Immigrant Families, Including U.S. Citizen Children
The impact of a proposed Trump administration rule extends well beyond the directly targeted individuals and families whose health will be at risk. A community’s overall health depends on the health of all of its members. The impact of this proposed rule will spill over to others in many ways. Without insurance, families may delay care or forego it altogether. This means there will be more children in school, and adults in the workplace, without needed preventive services and untreated illnesses. More people delaying care until the last possible moment will strain emergency resources. Hospitals’ and clinics’ uncompensated care burdens will increase.
Earlier this week, Maryland and Virginia insurers filed proposed individual market premiums for 2019. Over the coming weeks and months, insurers in the other 48 states and DC will announce proposed premiums. In Maryland and Virginia, many insurers are asking for incredibly large premium increases. In Maryland, average requested rate increases are 30 percent over 2018. In Virginia, proposed premiums are rising more than 15 percent.