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  • Report Finds Medicaid Expansion Associated with Lower Child Uninsured Rates

    Introduction Since its passage in 2010, the Affordable Care Act (ACA) has played a critical role in lowering the rate of uninsured children in America. A key part of the ACA’s success in this area was the Act’s expansion of Medicaid to more working-age adults. In 2016, just two years after the majority of states…

  • Biden Administration Withdraws Medicaid Work Requirements Guidance and More

    President Biden was quoted last week as saying that he was not watching the impeachment trial because he had work to do. On Friday afternoon, February 12th, it was clear that the Centers for Medicare and Medicaid Services (CMS), now under new management, was doing a great deal of work to rollback a signature policy…

  • Mississippi Joins the Finish Line Network 

    The Georgetown University Center for Children and Families (CCF) is excited to formally welcome the Mississippi  Center for Justice (MCJ) to the Finish Line network. The Finish Line project is a nationwide initiative of the David & Lucile Packard Foundation to support state-based policy and advocacy organizations that are leading efforts to make advances in…

  • Executive Director Joan Alker sits down with Georgetown University Provost Bob Groves

    Executive Director Joan Alker recently sat down with Georgetown University Provost Bob Groves to discuss the history of the Center for Children and Families, and how our work has grown and adapted to expand and improve access to high-quality health care for our nation’s children and families. Listen now to hear more about our mission,…

  • Child Medicaid Enrollment Grew by 10% during the Pandemic in 2020    

    The chair of the Federal Reserve, Jerome Powell, recently explained  that the official unemployment statistics are too low, and that unemployment was closer to 10% in January. With the pandemic still raging and economic conditions looking very troubling, Congress is considering a COVID relief package with some important Medicaid provisions – my colleague Edwin Park…

  • House Energy and Commerce Committee Reconciliation Legislation Would Spur Medicaid Expansion and Promote Maternal Health

    The House Energy and Commerce Committee has unveiled its portion of the House COVID-19 relief reconciliation bill, with a markup of the Committee’s recommendations scheduled for Thursday, February 11, 2021.  Several of the Energy and Commerce Committee’s reconciliation provisions strengthen Medicaid and the Children’s Health Insurance Program (CHIP), including provisions to encourage states to finally…

  • House Energy and Commerce Committee Reconciliation Legislation Includes Sound Medicaid Drug Rebate Provision

    Last night, the House Energy and Commerce Committee unveiled its recommendations for the House COVID-19 relief reconciliation bill, with a markup scheduled for February 11, 2021.  One sound Medicaid provision would, as of January 1, 2023, eliminate the current cap on total drug rebates that manufacturers must pay state Medicaid programs, which would produce significant…

  • President Biden’s Executive Order on Public Charge

    On February 2, 2021, President Biden issued an Executive Order (EO) on various aspects of the U.S. immigration system, including public charge policies. Readers of SayAhhh! know that the Trump Administration changed longstanding public charge policies to make it harder for lawfully residing immigrants to obtain green cards by imposing a new wealth test. Though…

  • Medicaid Learning Lab

    Medicaid, the foundation of affordable, comprehensive health coverage for low-income children and families, is a complex federal-state partnership program. It is essential for everyone working on improving affordable health coverage or advocating for low-income families to develop a solid base of knowledge and understanding about how this critical federal-state program works. The Georgetown University Center for…

  • Trump’s Farewell Gift to Florida’s Medicaid Program

    A few days before departing, former CMS Administrator and Trump appointee Seema Verma handed out ten-year Medicaid demonstration waiver extensions for political allies, with Texas and Florida,[1] approvals being granted late Friday, January 15th. The Friday before (Jan. 8th) CMS had approved the infamous and dangerous Tennessee waiver, which my colleagues explained beautifully here. Ten…

  • Assessing the Trump Administration’s Final Medicaid Drug Rebate Rule Changing Best Price Reporting under Value-Based Purchasing Arrangements

    On December 31, 2020, the Trump Administration finalized a rule that among other provisions, newly allowed drug manufacturers to report a range of prices offered through value-based purchasing arrangements (VBP) under the “best price” requirement under the highly effective Medicaid Drug Rebate Program (MDRP).  This final rule from the Centers for Medicare and Medicaid Services…

  • Improving Medicaid Managed Care for Children: What a Dashboard Could Do

    This is the season of Medicaid policy options—especially those competing for the attention of a new Administration and a new Congress. But the federal government is not the only audience; this week a terrific report was issued to policymakers in California. Written by Jocelyn Guyer (a former CCFer), Alice Lam, and Madeleine Toups at Manatt…

  • A Check-In on Leveraging the Power of Children’s Check-Ups

    By Donna Cohen Ross, Jocelyn Guyer, Alice Lam and Madeleine Toups The pediatric primary care setting provides a near-universal opportunity to support the youngest patients and their caregivers, strengthening vitally important foundational relationships and promoting social and emotional development. When it launched in 2017, the Pediatrics Supporting Parents (PSP) initiative set out to explore core practices…

  • MACPAC Recommends One Year of Postpartum Medicaid Coverage at 100% Match

    The momentum for extending postpartum Medicaid and CHIP coverage accelerated last week, with the Medicaid and CHIP Payment and Access Commission (MACPAC) giving a strong endorsement of the policy. MACPAC voted to recommend that Congress act to guarantee 12 months of postpartum coverage for pregnant individuals in Medicaid, and to align the policy in states…

  • Groups Call on HHS to Cut Red-Tape and Remove Barriers to Medicaid Coverage

    A total of 116 organizations led by Georgetown University CCF and the Center on Budget and Policy Priorities sent a letter to the Acting Secretary of HHS urging immediate action to protect people who rely on Medicaid for their health insurance and who live in states with proposed or approved section 1115 work and community…

  • Medicaid Wars: The Unwinding Begins (Episode I)

    Over the past four years, the Trump Administration has tried to undermine Medicaid by capping federal funding and stigmatizing its beneficiaries.   This relentless ideological assault continued to the bitter end, even after the January 6 attack on the Capitol.  As my colleague Joan Alker has explained, Secretary Azar and CMS Administrator Verma took actions on…

  • Biden Administration Signs Health Care Executive Orders, Puts Welcome Mat Back Out

    Today January 28th  is Health Care theme day for the Biden Administration, which is in the midst of releasing a carefully orchestrated set of Executive Orders (EO) on a range of issues. Two Executive Orders were signed by the President today, the first to strengthen the Affordable Care Act and Medicaid, and the second to…

  • Biden Administration Announces It Will Reopen Federal Marketplace Enrollment

    Today, January 28, 2021, President Biden signed an executive order establishing a new special enrollment period for the Affordable Care Act’s marketplaces in most states, in order to increase health coverage during the COVID-19 pandemic.  The special enrollment period will begin February 15, 2021 and run through May 15, 2021 and like the annual open…

  • Senate Voting Rules and Budget Reconciliation Explained (Part 2)

    In part 1 of this budget reconciliation refresher, I wrote about the basic rules for passing legislation in the House versus the Senate and how the budget reconciliation process allows certain legislation to move forward with approval from a simple majority of Senators rather than the usual three-fifths or 60-vote threshold. Now I’d like to…

  • Senate Voting Rules and Budget Reconciliation Explained (Part 1)

    In the House of Representatives, legislation passes with a simple majority of 218 of 435 votes recorded on an electronic voting system. The Senate system is, by comparison, stuck in the dark ages. In the Senate, the clerk calls the names of each Senator and records the votes on a tally sheet. Like the House,…