Latest
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Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals
I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural and was isolated for so long, generations of residents still speak with a distinctive Elizabethan…
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Untangling the Current Debate Around Federal Medicaid Cuts, the “Rural Health Transformation Program” and State Medicaid Budgets
The Congressional Budget Office estimates that the budget reconciliation law signed into law by President Trump (HR1) will result in a gross reduction of $990 billion in federal Medicaid/CHIP spending over 10 years and an increase in the number of uninsured Americans by 10 million. This is the largest cut to Medicaid in the history…
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Truth to Power: A Republican Senator Stands Up for Medicaid and His Constituents; Then Announces Retirement
With Vice President breaking the tie, the U.S. Senate just voted 50-50 “One Big Beautiful Bill Act”, the crown jewel of President Trump’s legislative agenda. With final text not even available to assess, and presumably not even read by the 50 Senators who voted for it, three Republican Senators voted no (Paul (KY), Collins (ME),…
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The “One Big Beautiful Bill” is an Attack on the Affordable Care Act’s Vision of a Health System that Works for Everyone
For over 100 years, the unfinished business of creating a health care system that covers all Americans has raged on. With President Obama making this a top priority, in 2010 this effort took an unprecedented and giant step forward with passage of the Affordable Care Act (ACA). The ACA’s two main strategies to enable more…
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Cuts to Medicaid Expansion in the Proposed Budget Reconciliation Bill being Considered by Congress
FMAP Cuts Tied to State Decisions to Expand Comprehensive Health Coverage with State-Only Funds to Children Regardless of Immigration Status Section 44111 of the proposed budget reconciliation bill being marked up by the House Energy and Commerce Committee today targets the Affordable Care Act’s Medicaid expansion for cuts with an apparent aim to advance a…