Say Ahhh!
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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…
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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,…
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Biden Administration Promises Predictability on Future Extensions of the Public Health Emergency
In a recent letter to Governors, Acting Health and Human Services Secretary Norris Cochran signaled that the COVID-19 public health emergency (PHE) “will likely remain in place for the entirety of 2021.” Moreover, the letter assures states that when a determination is made to terminate the PHE or let it expire, HHS will provide states…
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Critical Health Equity Context Needed in New Maternal and Infant Health Data Profile
Just before the end of 2020, CMS published a valuable new trove of data on indicators of maternal and infant health in Medicaid, designed to create a profile of the health status of pregnant and postpartum women and their infants. The information is part of several new reports and learning communities launched by CMS to…
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The Tennessee Waiver: Block Grant, Aggregate Cap, or Windfall?
In their wondrous 1957 interpretation of a Gershwin classic, Ella Fitzgerald and Louis Armstrong sing, “You like potato and I like potahto/You like tomato and I like tomahto.” Their back-and-forth has echoes in the current debate over what to call the TennCare III demonstration, approved on January 8 by the former CMS Administrator, Seema Verma.…
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Another Parting Gift for the Biden Administration – the “SUNSET” Rule
The great American singer Wilson Pickett probably was not thinking of the SUNSET rule when he wrote his soul anthem, “In the Midnight Hour.” But Secretary Azar waited ‘til the midnight hour, and there it is, in the January 19, 2021 Federal Register: “Securing Updated and Necessary Statutory Evaluations Timely,” a final rule issued by…
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Trump Administration Tries Its Best to Knock Legs Out from Under Medicaid on the Way Out the Door
So far 2021 has been a really wild and difficult ride for me and millions of others in the U.S. with COVID-19 ravaging the nation, an armed insurrection here in DC, and an ongoing economic crisis leaving so many families in need. My mind has been struggling to absorb all that is happening so quickly.…
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New Research Confirms the Public Charge Rule Deters Eligible Immigrant Families from Using Public Benefits
Researchers at the Migration Policy Institute (MPI) released a commentary in December documenting the chilling effects of the public charge rule on immigrant families’ use of benefits. Sadly, the American Community Survey (ACS) data confirm concerns raised by experts and advocates that the new public charge rule would deter large numbers of immigrant-led households from…
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CCF Welcomes New Communications Manager
The Georgetown University CCF team is happy to welcome Oyinade [OH-YIN-AH-DAY] Koyi as our new Communications Manager. In this role, she will work with CCF Communications Director Cathy Hope to share CCF’s research and analysis with you and others through our blog, website, state children’s health report card, social media and media outlets. Oyinade has a…
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Documenting the Harm of the Decline in Pediatric Visits: A Survey and Report from the Institute for Child Success
The Commonwealth Fund continues to track changes in outpatient visits during the COVID-19 pandemic, with October 2020 data showing outpatient care generally returning to pre-pandemic levels after the sharp decline of nearly 60 percent in late April. But the data also show that visits for younger children remain substantially below the prepandemic baseline and visits…
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New Grant Opportunity to Boost Well-Child Visits and Immunizations in Pediatric Primary Care
As part of our joint project with the American Academy of Pediatrics (AAP), Keeping Kids Connected to Care During COVID-19 and Beyond, we have been ringing the alarm bell about the troubling declines in well-child visits and immunizations because of the pandemic. Pediatricians and child health advocates have teamed up to educate and engage community…
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Limited Postpartum Medicaid Coverage Extensions are a Missed Opportunity
States are continuing to push for extending Medicaid coverage for postpartum women beyond the current federal cutoff of 60 days after the end of their pregnancy. Just in the last month, three more states submitted waiver applications to CMS: Indiana, Georgia, and Texas. Before the end of the year, we submitted comments on Indiana’s limited…
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Survey Shows Single-Parent Households with Young Children Bear the Brunt of COVID-Related Stress
COVID-19 is affecting every part of family life, and for parents of young children the financial strain, emotional stress, and burden of care are especially overwhelming. We know that the emotional wellbeing of parents affects their children’s development, especially in the early years of life. In a recent report of a weekly survey to about…
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The End-of-Year COVID Relief Package: Medicaid and CHIP Highlights
After more than the usual end-of-session drama, the Consolidated Appropriations Act, 2021 (CAA) became law on December 27, 2020 (P.L. 116-260). The sprawling, 2,124-page opus includes not just badly needed COVID relief for millions of unemployed Americans but also funding for the entire federal government and protections against surprise medical bills for consumers with private…
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New CCF-Commonwealth Paper Examines How Block Grant Financing Severely Harmed Puerto Rico’s Medicaid Program
My new paper for the Commonwealth Fund analyzes how Puerto Rico’s Medicaid block grant financing contributed to Puerto Rico’s overall fiscal and debt crisis and resulted in a Medicaid program that is far less generous than what is provided in the states. Puerto Rico’s experience thus offers critical lessons to federal and state policymakers about…
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A Parting Gift for the Incoming Administration: “Good Guidance Practices”
This week—two weeks before the inauguration of a new President—the self-proclaimed “Good Guidance Practices” regulation issued by the outgoing Secretary of the Department of Health and Human Services (HHS) takes effect. As proposed in August, the regulation was not so good for Medicaid and CHIP. In its final form, published on December 7, the regulation…
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Study on Intergenerational Health Mobility Provides Strong Case for Early Childhood Interventions
Examining how children’s health compares to the health of their parents can offer valuable insight into the individual, family, and community-level factors that affect a child’s health status. This is the aim of a new Health Affairs article from Jason Fletcher and Katie Jajtner at the University of Wisconsin-Madison, which seeks to bring an intergenerational…
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CMS Releases Guidance on Unwinding the COVID-19 MOE
States and stakeholders now have the long-awaited CMS guidance on advance planning in Medicaid and CHIP for the end of the public health emergency (PHE). There’s a lot to digest in this 54-page State Health Official letter (SHO). It discusses what happens to the various pandemic-related authorities and waivers and what states must do to…
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Advocacy Guide Outlines Strategies for Supporting Primary Care Practitioners in Medicaid Managed Care Networks During Pandemic
The pandemic has not been good for children or their physicians. Well-child and other non-emergency visits are down, so children are missing important screening benchmarks as well as immunizations. Pediatric practitioners who are paid on a fee-for-service basis have seen their revenues fall and the financial stability of their practices imperiled. The situation has improved…
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What’s Happening to CHIP Enrollment During the Pandemic?
In 2020, at Georgetown University CCF and elsewhere, there has been a lot of discussion about and tracking of what is happening with Medicaid enrollment. Between the recession and the disenrollment freeze, Medicaid enrollment has trended upwards – a recent study from the Kaiser Family Foundation looking at Medicaid managed care enrollment in 30 states…
