New Medicaid Regulations
In 2007 the Bush Administration moved forward to make changes, via rule making, to Medicaid that restrict federal funding for a number of services, including rehabilitation, school-based administration and transportation, and targeted case management. Download a chart of the regulations by the Center on Budget and Policy Priorities. Rules issued since August 2007, if implemented, would reduce federal Medicaid spending by more than $12 billion over the next 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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| Currently a legislated moratorium is in place that prohibits the
administration from taking any action on some of these measures prior
to June 30, 2008. In addition, Reps. John Dingell (D-MI) and Tim Murhpy (R-PA) have
introduced H.R. 5613,
which would prohibit the implementation of seven of the proposed
regulations until April of 2009. Senators Rockefeller (D-WV), Kennedy
(D-MA), and Snowe (R-ME) introduced a similar bill, S. 2819. The supplemental war appropriations bill signed by the President included a moratorium on six of the regulations; a delay of the rule pertaining to outpatient hospital services was not included in the final bill. 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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- House Challenges Administration on Medicaid Rules Associated Press
- Cost Estimate: H.R. 5613, "Protecting the Medicaid Safety Net Act of 2008" Congressional Budget Office
- 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 23, 2008
April 22, 2008
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