Medicaid Regulations
| In 2007 the Bush Administration moved forward to make changes, via rule
making, to Medicaid that would restrict federal funding for a number of
services, including rehabilitation, school-based administration and
transportation, and targeted case management. If implemented, these rules would reduce federal Medicaid spending by more than $12 billion over five years. Critics have claimed that these changes are unprecedented in scope, and in some cases, exceed the statutory authority granted by Congress. |
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| Although certain provisions have been implemented, some of the regulations continue to be under legislative moratoria, while others are being reviewed by the Obama administration. For the status of the regulations, as of April 2009, see Status of Medicaid Regulations from the Center on Budget and Policy Priorities. On June 29, 2009, the Obama Administration fully rescinded the school-based services and outpatient regulations, while partially rescinding the targeted case management rule. The following provides reports, documents and other activities related to these new restrictions. All documents are available in PDF format unless otherwise noted. |
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- New U.S. Rule Pares Outpatient Medicaid Services New York Times, November 8, 2008
- House Challenges Administration on Medicaid Rules Associated Press, April 23, 2008
- Cost Estimate: H.R. 5613, "Protecting the Medicaid Safety Net Act of 2008" Congressional Budget Office, April 22, 2008
- Statement of Administration Policy on H.R. 5613
April 22, 2008 - Letter from Secretary Leavitt to Reps. Dingell and Barton on the Administration's views on H.R. 5613
April 15, 2008
- Hearing on H.R. 5613, "Protecting the Medicaid Safety Net Act of 2008" (HTML)
House Energy and Commerce, Subcommittee on Health, April 3, 2008
- Responses to Medicaid Regulation Questions from the Senate Finance Committee Elicia Herz, Cliff Binder, Jean Hearne, and Rick Apling, Congressional Research Service, March 13, 2008
- Summary of 2008 Proposed Medicaid Regulations
National Association of State Medicaid Directors, January 2008