Featured Posts
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CMS Issues New Guidance on H.R. 1’s Restrictions on State Use of Provider Taxes to Finance Medicaid
On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued new guidance with some new detail about how it will implement provisions in H.R. 1 — the budget reconciliation law also known as the One Big Beautiful Bill Act — that restrict states’ use of provider taxes to finance their share of…
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Several Key Questions about Trump Administration’s Drug Pricing Deals and Their Impact on Medicaid Remain Unaddressed
[Editor’s Note: This blog was updated on November 21, 2025, to reflect changes to the Request for Applications.] On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new Center for Medicare and Medicaid Innovation (CMMI) model to implement pricing agreements with two drug manufacturers — Pfizer and AstraZeneca — which…
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New Data Highlight Risks to Children and Parents if Enhanced Marketplace Subsidies Expire
Marketplace subsidy enhancements which have been in place since 2021 are set to expire at the end of December 2025, and their fate is currently uncertain. Since 2014, when Affordable Care Act (ACA) Marketplaces were established, most Marketplace enrollees have received premium tax credits (PTCs) that make plans more affordable. In 2021, the American Rescue…
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As Government Shutdown Looks Likely to End, Some Final Fact-Checking on Claims about Impact on Health Care Coverage for Immigrants and Citizens
As Congress votes again on a bill that would essentially re-open the government, there have been a lot of statements—of widely varying accuracy—about who exactly would benefit from calls to repeal the health cuts in H.R. 1 (formerly the One Big Beautiful Bill Act) and/or extend the enhanced Advanced Premium Tax Credits (APTCs) which expire…
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The Future of ACA’s Medicaid Expansion: What do Changes in HR1 Mean?
The federal budget reconciliation bill signed by President Trump, H.R. 1, made multiple cuts to the Medicaid program that were designed to deter states from expanding Medicaid. Ten states, mostly in the South, have not expanded Medicaid to low-income adults. Despite many attempts by proponents of large Medicaid cuts to lower the expansion match of…