Latest
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CMS Ignores the Law (Again) – This Time Taking Health Insurance Away from Individuals with Substance Use Disorders, Mental Health Conditions, and Serious Health Conditions
Just a few weeks ago, we explained how the Center for Medicare and Medicaid’s (CMS) proposed regulation on state directed payments goes far beyond the statutory authority in H.R. 1 to incredibly harmful effect. Now it has happened again. This time CMS has issued an interim final rule on work reporting requirements (the “IFR”) that…
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CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule
Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on state-directed payments (SDP). SDPs are a mechanism for states to improve managed care payments to providers (some previous background is here). Using SDPs,…
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The New Medicaid Work Reporting Requirements Are Here—Don’t Let the Nebraska “Soft Start” Fool You
On May 1, 2026, Nebraska became the first state to start the new work requirements under H.R. 1, the law passed last year making historic cuts to Medicaid. We have reported extensively on why work reporting requirements are a bad idea. Nebraska was not adequately prepared to launch work reporting requirements, nor has the Centers…
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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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Medicaid Data Sharing Crisis: Will HHS Break the Law to Help ICE?
When people share information with a health care program, they very reasonably expect their personal information will be used for their health care, and otherwise kept private. However, recent moves by the Department of Health and Human Services (HHS) in Medicaid threaten to violate this trust – and quite possibly a judicial order – to…
