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DOJ and HHS Signal Future Actions to Block Access to Treatment for Trans Youth
22 hours ago

DOJ and HHS Signal Future Actions to Block Access to Treatment for Trans Youth

Like previous steps by federal agencies, these latest actions do not alter existing legal requirements regarding treatment for transgender youth for state Medicaid programs or providers.

The Reality of Work Requirements: Designed to Cut, Not to Put People to Work
Apr 30, 2025

The Reality of Work Requirements: Designed to Cut, Not to Put People to Work

House Speaker Mike Johnson calls Medicaid work requirements “common sense,” but the real impact would be widespread coverage losses and serious health consequences for people who rely on Medicaid.

Running the Numbers: The 50-State Impacts of Potential Medicaid Cuts
Apr 23, 2025

Running the Numbers: The 50-State Impacts of Potential Medicaid Cuts

Congressional cuts under consideration are an existential threat across all 50 states: we break down the national and state-by-state potential impact.

In Ambiguous Guidance, CMS Suggests Restrictions on Medicaid Coverage of Gender-Affirming Care for Youth
Apr 15, 2025

In Ambiguous Guidance, CMS Suggests Restrictions on Medicaid Coverage of Gender-Affirming Care for Youth

As in other recent federal communications on gender-affirming care, CMS’ new guidance implies significant consequences but leaves key details undefined.

UPDATE: Senate and House Republicans Set to “Kick the Can” on Medicaid Spending Cuts
Apr 08, 2025

UPDATE: Senate and House Republicans Set to “Kick the Can” on Medicaid Spending Cuts

The Senate-passed concurrent budget resolution still punts on Medicaid cuts and now heads to the House for a possible vote later this week. Over the weekend, House Speaker Mike Johnson sent a letter to the Republican Conference making the case for passing the resolution unamended.

Budget Reconciliation Update: Senate and House Republicans Set to “Kick the Can” on Medicaid Spending Cuts
Apr 02, 2025

Budget Reconciliation Update: Senate and House Republicans Set to “Kick the Can” on Medicaid Spending Cuts

The concurrent resolution likely to be considered as soon as tomorrow punts the key decision on the scope of Medicaid cuts – whether to move forward with an $880 billion target that would force termination of Medicaid coverage and benefits for people across the nation or a more moderate cut preferred by Senators.

President Trump Directs Federal Agencies to Eliminate Information Silos
Apr 01, 2025

President Trump Directs Federal Agencies to Eliminate Information Silos

For state Medicaid programs and their subcontractors and providers, it remains unclear whether CMS policy changes are ahead or if there will simply be a shift in the frequency or granularity of CMS data requests.

Waiver Worries? States Should Stay the Course on Medicaid 1115 Demonstration Implementation
Mar 25, 2025

Waiver Worries? States Should Stay the Course on Medicaid 1115 Demonstration Implementation

Changes may be brewing for Medicaid Section 1115 demonstration waivers. States with approved waivers should stay focused on implementation.

One (Real) Solution To Mitigate Medicaid Fraud and Waste: Artificial Intelligence
Mar 18, 2025

One (Real) Solution To Mitigate Medicaid Fraud and Waste: Artificial Intelligence

Medicaid fraud and waste is a real problem. Artificial intelligence offers a real solution for state Medicaid programs to improve program efficiency, integrity, and quality.

Cutting Medicaid Could Hurt Millions of Americans Who Need Long-term Care
Mar 11, 2025

Cutting Medicaid Could Hurt Millions of Americans Who Need Long-term Care

Families of people who are elderly and disabled could face new financial and caregiving hardships.

UPDATE: Medicaid Madness: What States and Providers Need to Know About Budget Reconciliation
Mar 07, 2025

UPDATE: Medicaid Madness: What States and Providers Need to Know About Budget Reconciliation

While no one knows exactly how budget debates will unfold in Congress in 2025, one thing is clear — Medicaid is positioned as a key source of budget cuts.

HHS May Issue More Rules Without Public Notice and Comment; Medicaid Impact Uncertain
Mar 05, 2025

HHS May Issue More Rules Without Public Notice and Comment; Medicaid Impact Uncertain

HHS has authorized agencies like CMS to limit the circumstances under which they publish proposed rules for public comment before the rules are finalized.

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