Featured Posts
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As Government Shutdown Looks Likely to End, Some Final Fact-Checking on Claims about Impact on Health Care Coverage for Immigrants and Citizens
As Congress votes again on a bill that would essentially re-open the government, there have been a lot of statements—of widely varying accuracy—about who exactly would benefit from calls to repeal the health cuts in H.R. 1 (formerly the One Big Beautiful Bill Act) and/or extend the enhanced Advanced Premium Tax Credits (APTCs) which expire…
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The Future of ACA’s Medicaid Expansion: What do Changes in HR1 Mean?
The federal budget reconciliation bill signed by President Trump, H.R. 1, made multiple cuts to the Medicaid program that were designed to deter states from expanding Medicaid. Ten states, mostly in the South, have not expanded Medicaid to low-income adults. Despite many attempts by proponents of large Medicaid cuts to lower the expansion match of…
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Medicaid Managed Care: The Big Five in Q3 2025
Q3 2025 is the first quarter of a new chapter in the Medicaid managed care narrative. At the beginning of the quarter, H.R. 1 was enacted. As explained by our colleagues Edwin Park and Sabrina Corlette, the new law will upend Medicaid enrollment and financing for years to come, cutting federal payments to states by…
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Threats to Maternal and Infant Health Won’t End After Shutdown Resolved
The current federal government shutdown is driven by failure of the Congress to finalize this year’s federal budget appropriations or adopt a Continuing Resolution (CR). The shutdown is already impacting the Supplemental Nutrition Assistance Program (SNAP), Head Start programs and other family supports, as Congress remains in a stand-still over extending ACA marketplace enhanced premium…
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CMS’s Georgia Waiver Extension Underscores the Failure of Medicaid Work Requirements
As regular readers of SayAhhh! know, on January 1, 2027, 42 states and DC will be required by HR 1 to impose work reporting requirements on many adults covered by Medicaid. The only state in the country that is currently implementing work reporting requirements is Georgia through a Section 1115 demonstration — officially known as…