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Tricia Brooks

is a Research Professor at the Center for Children and Families (CCF), part of the McCourt School of Public Policy at Georgetown University.

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Ms. Brooks is nationally recognized expert on Medicaid and CHIP eligibility, enrollment, administration, and measuring the quality of health care with 30 years in the field. She is the lead author on the KFF Annual Survey on Medicaid and CHIP Eligibility, Enrollment and Renewal Policies and a member of the Core Set of Health Care Quality Measures in Medicaid and CHIP Annual Review Workgroup. She is also a second-term commissioner appointed by the Controller General to MACPAC, an independent commission that advises Congress, the states, and CMS on issues affecting Medicaid and CHIP. Prior to joining Georgetown, Ms. Brooks administered the NH’s CHIP program and managed the state’s consumer assistance hub for Medicaid and CHIP.

Latest

  • Maximizing the Use of Self-Help Resources Should Be a Priority as HR 1 Policies Are Implemented

    As the 41 states that expanded Medicaid to low-income adults under the Affordable Care Act, approach the implementation of H.R. 1’s federally mandated semi-annual renewals, we thought it would be helpful to review how states handled the daunting task of outreach during the unwinding of the pandemic-era Medicaid continuous coverage provision. During the unwinding, we…

  • Getting MAGI Right: When Does Social Security Income Count?

    When the Affordable Care Act was implemented, we released a primer on the basics of MAGI – how rules for counting household size and income to determine eligibility for Medicaid and CHIP were changed to align with Marketplace subsidies. The move to MAGI has brought about a number of changes in Medicaid and CHIP, but…

  • How Will We Know if States are Ready to Implement HR 1 and Work Reporting Requirements? Follow the State Performance Metrics Here.

    States are just emerging from the unwinding of the pandemic-related Medicaid continuous enrollment provision when HR 1 presents a host of state budget impacts and new administrative hurdles for states. If states are already having trouble keeping up with their eligibility and enrollment administrative workload, adding work reporting requirements, six-month renewals, and mandatory cost sharing…

  • Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?

    Key Findings Introduction On July 4, 2025, President Trump signed into law HR 1 (P.L. 119-21), the massive budget reconciliation bill that cuts more than $1 trillion from Medicaid and Marketplace health coverage. The law strips coverage from many lawfully residing immigrants, ties the hands of states to raise revenue to cover the state share…

  • New CHIP Protections are In Effect Now Despite Congressional Efforts to Eliminate Them

    During the legislative process, most of the talk was about Medicaid cuts, but we highlighted that the Children’s Health Insurance Program (CHIP) would not be spared if the budget reconciliation bill (HR 1) placed a moratorium on all provisions of the Eligibility and Enrollment Rule (E&E rule) finalized in April 2024. Thankfully, due to likely…