Short Analysis
April 2019

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.

Short Analysis
April 2019

Families Need Congress to Stop Surprise Medical Bills Now

Surprise billing, also called surprise out-of-network balance billing, is a common problem when, through no fault of their own, families receive medical treatment from an out-of-network provider. The surprise comes in the form of doctor bills for the difference between what a provider charges and what the insurer pays that provider. Congress is currently considering legislation to address this problem for families all over the country. This piece describes the legislation under consideration in Congress and Families USA’s recommendations for a Congressional fix to this problem.

Short Analysis
March 2019

House Legislation Would Lower Health Care Costs for Millions of Families in America

On March 26, 2019, the chairs of three House committees with jurisdiction over core health care issues jointly introduced legislation that would lower health care costs for millions of people. The "Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019," would: increase financial assistance for families who buy their own insurance, without help from Medicaid, Medicare, or an employer; protect people with preexisting conditions by repealing Trump administration policies that sabotage the safe operation of insurance markets; and take other steps to help consumers understand and sign up for coverage.

Short Analysis
March 2019

Trump’s 2020 Budget: Revisiting “Repeal and Replace” and Adding New Cuts to Medicare and Medicaid

The Administration’s proposed budget is in part a return to policies that Americans have overwhelmingly rejected. It proposes to gut core insurance protections, end the expansion of Medicaid to low income adults, and block grant the Medicaid program, cuts amounting to over a trillion dollars over ten years. But the budget also signals new and deeply concerning policy changes including mandatory new work documentation requirements in Medicaid, and increasing the cost of health insurance premiums for low income people in the non-group market.

Short Analysis
January 2019

Trump Administration Proposed 2020 Marketplace Rule: Key Health Consumer Issues

On January 17, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would raise consumers’ out-of-pocket costs for health care under individual and employer-sponsored health insurance plans, and decrease premium assistance in the individual marketplace. The rule also proposes a number of other changes: to navigator programs, to the information people get when enrolling in health insurance on the web, to drug formularies and cost-sharing requirements, to the benefits that plans must cover, and to abortion coverage.
Short Analysis
January 2019

Making Family Unity and Child Well-being a Priority in Immigration Enforcement

As a Trump administration-bred humanitarian crisis rages at the U.S. border, President Trump remains resolute that the answer is $5.7 billion in funding to erect steel border barriers. 
 
This administration has time and again been steadfast in its approach to immigration -- intolerant, malicious and obstructive at every turn. 
 
Short Analysis
January 2019

The Government Shutdown Aggravates an Already Strained Indian Health Services

The partial government shutdown enters its 27th day and no end is in sight. Although major health care programs like Medicaid and Medicare are funded, this is not true for the Indian Health Services (IHS). The IHS is a health care agency run by the Department of Health and Human Services but funded by the Department of the Interior (DOI).

Short Analysis
December 2018

Five Things You Need to Know about Texas v. US Litigation

On December 14, Judge Reed O’Connor, Texas Federal District Court, issued an initial ruling in the case Texas v. United States. This case threatens access to health care and financial security for millions of Americans. The dangerous ruling would strike down the entire Affordable Care Act (ACA), including the provisions that protect people with pre-existing conditions and those who get coverage from their employers, improve the long-term financial stability of Medicare, expand Medicaid, make improvements in hospital and nursing home care, and more.
Short Analysis
November 2018

Beware! New Guidance on Section 1332 Waivers Opens 
the Way for Serious Harm

New Guidance on Section 1332 waivers, issued in October 2018, can undermine key consumer protections and pave the way for federal dollars to subsidize plans that provide few benefits. The public can comment on the federal guidance through December 24, 2018. People should also find out if their states are developing waiver proposals, and comment on those to both the state and federal governments. This analysis explains what issues to watch.

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