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Fact Checking Homeland Security Claims About Immigrants and Medicaid Coverage and Why U.S. Citizen Children Will Suffer Harsh Consequences
On February 17, 2026, the Department of Homeland Security (DHS) posted a statement on X about Medicaid coverage for immigrants that is stunning when you consider how many inaccuracies are crammed into just four sentences. Here are five key inaccuracies in the X post. Mischaracterizing “non-citizen” households The DHS X post reproduces a KFF data graphic…
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The Federal Rural Health Transformation Fund: “Likely to Treat Symptoms But Not Deliver a Cure”
The most recent annual analysis on rural health from the health care consulting company Chartis had some interesting insights on rural hospitals, rural health and the federal Rural Health Transformation Fund (RHTF), a part of the H.R. 1 budget bill passed by Congress last year. While the entire report is worth a read, here are some…
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CMS Releases Long-Awaited EPSDT Behavioral Health Toolkit for States
Say Ahhh! readers will recall that when we blogged about the behavioral health section of the Center for Medicare & Medicaid Services (CMS) landmark 2024 EPSDT guidance, we noted that CMS had an additional EPSDT behavioral health resource in the works — an EPSDT Behavioral Health Services Toolkit. Now, over two years later, that toolkit…
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Medicaid Managed Care: The Big Five in Q4 2025
The Q4 2025 results for the “Big Five” Medicaid managed care companies are now available. These publicly-held companies—Centene, CVSHealth/Aetna, Elevance, Molina, and UnitedHealth Group—together control about half of the Medicaid managed care market, so their performance matters to tens of millions of Medicaid beneficiaries. (The results for prior quarters in 2025 are here, here, and…
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Florida Bill Would Waste Money on a Lose-Lose Plan to Punish Very Low-Income Parents
As readers of the SayAhhh! Health Policy blog know, states that have taken up the Affordable Care Act’s (ACA) Medicaid expansion are now mandated to impose a punitive work reporting requirement as of January 1, 2027. Florida has not taken up the expansion and covers very few adults, but Florida legislators are considering a bill…