Medicaid
has transformed health care for low-income families and individuals, especially children, pregnant mothers, parents and children with disabilities and special health care needs.
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New Policy Brief: Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements
As the nation nears full implementation of the Medicaid work reporting requirements Congress enacted in 2025 in H.R. 1, Joan Alker and I took an in-depth look at how these new paperwork requirements to sign-up for and keep Medicaid health coverage will affect residents of rural areas and small towns. Our previous research has shown…
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Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements
In 2025, Congress passed H.R. 1, legislation which requires work reporting requirements as a condition of Medicaid eligibility in the 41 states, including Washington, D.C., that have expanded coverage to most low-income adults under the Affordable Care Act. (These mandated reporting requirements also apply in at least two non-expansion states, Wisconsin and Georgia, that cover…
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CCF Comments on CMS Proposed Provider Tax Rule
The Georgetown University Center for Children and Families submitted the following comments to the Center for Medicare and Medicaid (CMS) regarding CMS’s proposed rule to amend the Indirect Hold Harmless Threshold of Health Care-Related Taxes. Read the Comments.
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States are Sending Initial Outreach Notices about Medicaid Work Reporting Requirements. What Do They Look Like?
With Medicaid work reporting requirements just a few months away, states are scrambling to make complex changes to their eligibility and enrollment systems and processes. States must also do targeted outreach to communicate new work reporting requirements (WRRs) to affected Medicaid expansion adults and new applicants. Many states launched websites this summer informing enrollees about…
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Proposed Head Start Rule Would Further Undermine Child and Family Health
Head Start, a federal program that supports young children in low-income families, is headlining news in the early childhood policy and health worlds. Early last month, the Trump Administration released a monumental proposal to alter the program’s framework. Head Start is an essential investment in children’s wellbeing that works alongside Medicaid in child care centers,…