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The Administration Weaponizes Fraud Against Medicaid: HHS OIG Hammers Hawaii
On May 13, Vice President Vance, the chair of the White House Task Force to Eliminate Fraud, held a press conference. He announced the deferral of $1.3 billion in federal Medicaid matching payments owed to California, which received considerable attention. He also announced that the HHS Inspector General had by letter that day warned state…
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Which States Are Seeing the Largest Declines in Child Medicaid/CHIP Enrollment?
Georgetown CCF has been closely monitoring Medicaid/CHIP enrollment for many years — especially during periods of rapid change. Unfortunately, we are in another period where large declines in child Medicaid/CHIP enrollment are happening—more than 2 million fewer children have been enrolled since January 2025. Why is this bad news? Because children in working families don’t…
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A Decade Later, CMS Updates the Medicaid EPSDT Playbook for States: Here’s What You Need to Know
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is the heart of Medicaid’s coverage for children, and something we have been tracking for a long time. As highlighted in past blog posts, the Centers for Medicare & Medicaid Services’ (CMS) released a landmark state health official letter in 2024 followed up by issuance…
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Inside the 2026 Maternal Mental Health State Report Cards: No More Overall ‘F’s, But a Brand New Failing Grade for U.S. Parental Support
Last week, the Policy Center for Maternal Mental Health, in collaboration with the George Washington University Milken Institute School of Public Health, released the much-anticipated 2026 Maternal Mental Health State Report Cards. One in five mothers experience maternal mental health conditions in the United States. The financial toll of untreated disorders is estimated to cost…
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New Federal Medicaid Work Reporting Rule Threatens Coverage for Vulnerable Americans
Statement by Joan Alker, Executive Director of the Georgetown University Center for Children and Families and Research Professor at the McCourt School of Public Policy: “This rule gives states a raw deal, but more importantly, puts health care at risk for people with illnesses and chronic conditions like cancer or a substance use disorder. It…




