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New Report Shows How States Can Leverage School Medicaid Programs to Protect K-12 Education Funding
A new report from the Urban Institute details the difficult situation state lawmakers and executive leaders will face as they grapple with the loss of federal funding due to HR 1, also known as the “One Big Beautiful Bill Act,” that was signed into law July 4, 2025. While the law did not directly cut…
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2026 Report on State Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies Includes Special Edition on Medicaid Work Requirements
Yesterday, the annual KFF survey report was released with a webinar featuring highlights of two reports and a discussion that included Kate McEvoy, executive director of the National Association of Medicaid Directors, and was moderated by KFF’s Larry Levitt. The webinar and reports contain important information that should be of interest to policymakers, stakeholders, members…
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Rural Hospitals and Communities Feeling Impact of H.R. 1 Medicaid Cuts, Rural Health Fund Falls Short
More stories have been published across the country in recent weeks detailing how the federal cuts to health care passed last year by Congress and signed into law by President Trump in H.R. 1, “The One Big Beautiful Bill”, are affecting communities. One emerging theme is that the Rural Health Transformation Fund – a $50…
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Governors and State Medicaid Directors Get a New Assignment from Dr. Oz: Quickly Recertify “High-Risk” Providers
On April 23, CMS Administrator Dr. Mehmet Oz sent a letter to all 50 Governors calling upon their Medicaid programs to “undertake a swift revalidation of Medicaid providers of services at high risk of waste, fraud, abuse, and corruption.” In the letter he requests that the Governor notify CMS within 10 business days (May 7)…
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Congress Wanted to Protect People Living in Areas with High Unemployment from Losing Health Care Due to Work Reporting Requirements. Will it Actually Happen?
During the Congressional debate about the passage of H.R. 1, many concerns were raised about the adoption of a mandatory work reporting requirement for people covered by Medicaid expansion – including the risks of people living in areas with high unemployment losing health coverage despite their best efforts to find work. In response, statutory language…
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Louisiana Loses a Formidable Child Health and Medicaid Champion in Ruth Kennedy
A few weeks ago, I learned that our friend, Ruth Kennedy, former LaCHIP and Medicaid Director in Louisiana, had passed away. I met Ruth back in the early 2000’s when we were both CHIP directors and participated in the Covering Kids and Covering Kids and Families grant programs funded by the Robert Wood Johnson Foundation.…
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States Work to Prevent Fraud Against Medicaid, Administration Uses Fraud to Attack Program
The first three months of 2026 have witnessed an unprecedented series of fiscal and rhetorical attacks on states by the White House and the political leadership at CMS, ostensibly about fraud against Medicaid. The focal point of these attacks has been Minnesota. On January 6, CMS notified the Governor of Minnesota that his state was out…
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New ACIP Charter Signals Possible Change in Priorities for Committee
The Centers for Disease Control and Prevention (CDC) has renewed the charter for its Advisory Committee on Immunization Practices (ACIP), retroactively effective to April 1, 2026. This two-year renewal is not unexpected, as HHS provided a notice of charter renewal in the Federal Register earlier this month, but several changes to the charter language provide…
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States Rely on Adequate Funds from Title V MCH Block Grant to Address Maternal and Child Health Needs
The Title V Maternal and Child Health (MCH) Block Grant is a federal-state partnership focused on improving the health of women, children, and families. Originally enacted in 1935, Title V of the Social Security Act authorizes federal funding for programs and projects to improve the health of mothers and children across the country. Since 1981,…
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Rooted in Justice and Joy: What Black Maternal Health Demands of Us Right Now
This week marks the 10th annual Black Maternal Health Week led by the Black Mamas Matter Alliance (BMMA). The theme, Rooted in Justice and Joy, honors a decade of movement-building by Black-led organizations while also naming the systemic forces –systemic oppression, reproductive injustices, and health inequities— that continue to threaten the lives of Black Mamas.…
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Protected: Federal Work Reporting Requirements under H.R. 1
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Protected: State Administration and Technology Costs
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Protected: State Implementation of Work Reporting Requirements
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Timeline of Fraud Against Medicaid in Minnesota
In early January 2026, the CMS Administrator, Dr. Mehmet Oz, announced a compliance action imposing large financial penalties on Minnesota ($515 million per quarter going forward), asserting that the state had failed to protect its Medicaid program against fraud. The following month, Vice President J.D. Vance, joined by Dr. Oz, announced a deferral of $259…
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Protected: Tracking Wisconsin Implementation of HR 1 Medicaid Work Reporting Requirements
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Protected: Tracking West Virginia Implementation of HR 1 Medicaid Work Reporting Requirements
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Protected: Tracking Washington Implementation of HR 1 Medicaid Work Reporting Requirements
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Protected: Tracking Virginia Implementation of HR 1 Medicaid Work Reporting Requirements
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