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Tracking District of Columbia Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. The District of Columbia posts monthly state administrative data, including Medicaid…
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Tracking Delaware Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Delaware is one of 16 states where only CMS data –…
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Tracking Connecticut Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Connecticut is one of 16 states where only CMS data –…
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Tracking Colorado Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Colorado posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Tracking California Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. California posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Tracking Arkansas Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Arkansas posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Tracking Arizona Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Arizona posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Tracking Alaska Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Alaska is one of 16 states where only CMS data –…
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Which Parents Will be Impacted by Medicaid Work Reporting Mandate?
A new work reporting requirement for adults in Medicaid is one of the most widely publicized provisions in the Trump budget reconciliation bill (H.R. 1) passed last year and accounts for a great deal of the projected coverage loss and cuts to Medicaid. In fact, a new study from the Urban Institute estimates that between…
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New Report Highlights State Data, Strategies to Protect Pregnant and Postpartum Women from Losing Medicaid Coverage Due to Red Tape
As states press forward to implement the newly required work reporting requirements (WRRs) for Medicaid expansion adults starting next year, researchers at Georgetown CCF remain concerned about coverage losses among those adults who do everything right but still fall through the cracks and become disenrolled. Leo Cuello, Joan Alker and others at CCF have detailed…
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Tracking Implementation of H.R. 1 Medicaid Work Reporting Requirements
The 2025 budget reconciliation bill (H.R. 1) requires states to implement work reporting requirements (WRRs) for Medicaid expansion adults, as well as adults covered by partial adult waiver expansions in Georgia and Wisconsin, starting in 2027. In 43 states including the District of Columbia, unless they are exempt, expansion adults must complete and report at…
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States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care
Over the past week, more national media outlets published articles on the effects of 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.” The coverage shows how states are starting to grapple with the effects of the federal cuts…
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Court Order Presses Pause on New ACIP Committee and Changes to Childhood Vaccination Schedule
It has been a tumultuous year for federal vaccine policy – and children are starting to feel the effects. Amidst a major measles outbreak, the Centers for Disease Control and Prevention (CDC) chose to roll back nearly half of all childhood vaccination recommendations in early January. As readers of Say Ahhh! Health Policy Blog might…
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The White House Task Force to Eliminate Fraud: What’s at Stake for Medicaid
On March 19, President Trump issued an Executive Order Establishing the Task Force to Eliminate Fraud. The stated purpose of the Task Force, which is chaired by Vice President J.D. Vance, is to “coordinate and accelerate a comprehensive national strategy to stop fraud, waste, and abuse within Federal benefit programs, including programs administered jointely with…
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Tracking Nebraska Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Nebraska is one of 16 states where only CMS data –…
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Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care
At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…
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Medicaid and CHIP Cover More than 4 in 10 Students in Public Schools Nationwide
School-aged children across the nation are facing a mounting mental health crisis, exacerbated by policy changes affecting immigration and Medicaid. As we’ve written before, Medicaid and CHIP are vital supporters of student success, both during the school years and into adulthood. Understanding the landscape of Medicaid/CHIP coverage in local school districts is paramount to connecting…
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CMS Weaponizes Fraud Against Medicaid in Minnesota: An Unexpected Development
On March 19th, CMS notified Minnesota’s Medicaid Director that it has approved the state’s corrective action plan (CAP) for addressing fraud. The state submitted the CAP on January 30 in response to a CMS determination that the state was not in compliance with federal Medicaid law and that, as a result, CMS would withhold over $2…
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Maternal and Infant Health in State Rural Health Transformation Proposals Set Promising Priorities in an Uncertain Landscape
All 50 states applied for CMS’ Rural Health Transformation (RHT) program, a $50 billion fund borne from a need to reassure members of Congress during the final debate over H.R. 1 that Medicaid cuts would not decimate their states’ rural health systems. As previous blogs have detailed, the RHT program presents a unique opportunity for…
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Community Health Workers are a Focus of Rural Health Transformation Applications
Awards for the Rural Health Transformation (RHT) program were released on December 29, 2025, and state applications with proposals for the funds have been made public, covering a range of activities aiming to increase access to care, develop infrastructure, and enhance workforces. As we’ve written about previously, community health workers (CHWs) are a critical workforce…
