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Families First Coronavirus Response Act Freezes Disenrollment in Medicaid
Over the weekend, CCF posted a brief explaining the Medicaid and CHIP provisions in the Families First Coronavirus Response Act enacted on March 18, 2020. In particular, we highlighted four requirements that states must meet in order to qualify for the 6.2 percentage point FMAP bump. Like the current maintenance of effort (MOE) protecting Medicaid…
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How Would the Families First Coronavirus Response Act Help States Protect People and Public Health
Last week, the Families First Coronavirus Response Act became law (P.L. 116-127). It took effect on the same day as it was signed (March 18). That day came just one week after it was introduced in the House of Representatives. In the parlance of Capitol Hill, when a bill spans numerous programs and multiple committee jurisdictions,…
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What Are State Officials Doing to Make Private Health Insurance Work Better for Consumers During the Coronavirus Public Health Crisis?
Slowing the spread of the novel coronavirus, or COVID-19, and ensuring affected patients receive treatment requires an urgent, coordinated, and comprehensive response from the federal government and states. Efforts must include improving testing capacity, supporting providers, addressing the lack of paid sick leave, and expanding access to Medicaid for the uninsured. At the same time, policymakers…
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We Must Rise to the Challenge and Help Latino Children Get the Health Care They Need
Yesterday (March 18, 2020), we released a report, “Decade of Success for Latino Children’s Health Now in Jeopardy,” in partnership with UndiosUS. The data in this report predate the recent COVID-19 outbreak, but the message is clear. All children need health coverage – especially in times like these. An effective defense against a pandemic includes…
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Report Finds Latino Children Losing Ground in Health Coverage
Decades of progress providing health coverage to more Latino children has begun to erode, with the number of uninsured Latino children climbing to 1.6 million and the uninsured rate growing from 7.7 to 8.1 percent between 2016 and 2018, according to a new report by UnidosUS and the Georgetown University Center for Children and Families. This marks…
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CMS Should Withdraw Medicaid State Financing and Supplemental Payment Rule That Undercuts COVID-19 Relief Bill’s Enhanced Federal Medicaid Match
[Editor’s Note: On March 18, 2020 the Senate passed and the President signed into law the bipartisan Families First Coronavirus Response Act (H.R. 6201) after this blog was published.] Today (March 18, 2020), the Senate is expected to pass the House-passed coronavirus relief bill (H.R. 6201) and send it to the President’s desk. The bill…
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CMS Releases FAQ on COVID-19 for Medicaid and CHIP
The coronavirus pandemic is a stark reminder of the critical role that Medicaid and CHIP play in assuring the health of Americans, particularly during health emergencies, natural disasters, and economic downturns. Yesterday, CMS released a helpful FAQ relating to flexibilities Medicaid and CHIP agencies have in responding to this public health emergency. In particular, it…
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Increase in Federal Medicaid Matching Rate Should Be Essential Element of Any COVID-19 Response
Federal policymakers have started to consider how to address a serious economic downturn that could result from the novel coronavirus (COVID-19) outbreak. For example, the Trump Administration is pursuing a temporary payroll tax cut and tax deferrals for certain industries, even though the proposal would not provide effective fiscal stimulus, as the Center on Budget…
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Medicaid and COVID-19
One of Medicaid’s many strengths is its ability to help states respond to public health epidemics. Through Medicaid, federal funds are available on an open-ended basis to match state costs of immunizing, testing, diagnosing, and treating over 71 million low-income Americans in the event of an outbreak of an infectious disease. Which is a good…
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State Leaders Advance Infant and Early Childhood Mental Health Policy
We know that mental health issues can take root very early in life. Infants and young children can have diagnosable and treatable mental health disorders. However, with the right treatment, we can ameliorate the effects and prevent the more costly impacts and interventions that often result when mental health challenges go unaddressed. States are increasingly…
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Indiana’s Own Medicaid Waiver Evaluation Shows Evidence of Coverage Losses
Indiana’s Healthy Indiana Plan (HIP) demonstration, which has been approved in its current form since January 2015, has its extension application up for federal comment. If approved as is, the demonstration would be allowed to continue ten for years! The current HIP demonstration includes work requirements, a tiered benefit structure based on payment of monthly…
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Florida House Bill Targeting Parents on Medicaid Would Cause Huge Coverage Losses
Florida’s legislature is at it again, despite a recent strong Appeals Court ruling that Medicaid work requirements are not permitted by the statute. A bill to impose the harshest Medicaid work reporting requirements in the country on very poor parents – mostly women – is moving through Florida’s House of Representatives. An identical bill passed…
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Update on Federal Surprise Billing Legislation: New Bills Contain Key Differences
In their latest post for the Commonwealth Fund’s To the Point blog, Jack Hoadley, Beth Fuchs, and Kevin Lucia examine the current status of congressional efforts to protect consumers from surprise medical billing. Four committees have crafted competing proposals. While all would help ensure that consumers do not face surprise bills beyond what they would pay in…
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HIDING THE BALL: The Trump Administration’s Section 1115 Medicaid Waiver Policy has Entered a New and Dangerous Phase
Section 1115 Medicaid waivers have been the tool of choice for the Trump Administration and CMS Administrator Verma’s efforts to mold Medicaid to their wishes since Congress failed to do so in 2017. Unfortunately, their wishes include allowing states to erect barriers to coverage (such as work requirements, raising costs for beneficiaries) and a recent…
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D.C. Circuit on Medicaid Work Requirements: Read the Statute
For over two years, CMS Administrator Seema Verma has been on a crusade to impose work requirements on Medicaid beneficiaries. Her agency has approved ten state “demonstrations” of work requirements under section 1115 of the Social Security Act. When federal District Court Judge James Boasberg ruled on four separate occasions that the Secretary’s approvals of…
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Child Enrollment in Medicaid and CHIP Remains Down in 2019
As of October 2019, the decline in child enrollment in Medicaid and CHIP held at .6 percent for calendar year 2019 based on the most recent enrollment data posted by CMS. While this is an improvement over the 2.2 percent decline in 2018, it still indicates that overall enrollment in Medicaid and CHIP is not…
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Appeals Court Strikes Decisively at the Heart of Administrator Verma’s Medicaid Agenda
In a decision which warmed my heart on a cold Valentine’s Day here in Washington, the federal Court of Appeals issued an unanimous opinion striking down the Arkansas work requirements waiver. In doing so, it upheld district court Judge Boasberg’s decision vacating the Arkansas’ Section 1115 waiver (including most famously Medicaid work requirements) because it…
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New Brief Unpacks How States Can Leverage Medicaid Funds to Expand School-Based Health
It’s been five years since the Centers for Medicare and Medicaid Services (CMS) opened the door to more Medicaid reimbursement for health services delivered in schools. School districts, once restricted to seeking reimbursement only under very specific conditions, were permitted to cover all eligible services delivered to all Medicaid-enrolled students. Put simply, this means more…
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Same Unanswered Questions about Trump Budget’s CHIP Financing Proposal
The Trump Administration’s fiscal year 2021 budget, released on February 10, again proposes to make a legislative change to the financing system for the Children’s Health Insurance Program (CHIP) (described here). Entitled “Strengthen the CHIP Safety Net for States,” the proposal is identical to one included in the 2020 budget. It would eliminate the CHIP’s…
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Administration’s Budget Proposal Includes At Least $1 Trillion in Medicaid Cuts
Earlier this week, the Administration proposed a budget for FY2021 that it says would cut federal Medicaid spending by $920 billion, or 16 percent over the next ten years. (Current law baseline of $5.861 trillion, Table S-3, minus proposed spending of $4.941 trillion,Table S-4). A more realistic number would be at least $1 trillion over…
