Say Ahhh!
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Administration Moves Forward with Proposed Public Charge Regulation; Comments Due in December
As we have long suspected, the Administration is moving forward with a proposed regulation to dramatically change our immigration system and significantly harm immigrant families. The Department of Homeland Security posted a draft version of the rule about two weeks ago, and just this morning the rule was finally posted for inspection in the Federal…
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Urban Institute Updates Uninsurance and Medicaid/CHIP Participation Data for Children and Parents
Several weeks ago, I blogged about a Health Affairs article by Urban Institute researchers that updated the Medicaid and CHIP participation rates for children and parents. Over time, an increasing share of eligible children without other coverage have been enrolled in Medicaid and CHIP, reaching a high of 93.7 percent in 2016, up from 88.7…
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New Podcast Spotlights Barriers to Health Care for Georgia’s Children
Voices for Georgia’s Children has launched an inaugural podcast series — Challenges for Children – focused on barriers to health care for children. In April 2018, the Voices for Georgia’s Children team set out to find out why so many of their state’s children were being left behind. Team members traveled to Whitfield, Dougherty, Effingham,…
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Developmental Screening Rates Improving for Most States Reporting Child Core Set Measure
We were thrilled to see release of the latest Child Core Set measures late last week. Say Ahhh! readers know we are closely following this state-reported data as a means to measure quality of care for children—especially since states will be required to report all Child Core Set measures starting in 2024, thanks to the…
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New Recommendations for the Child Core Set of Quality Measures in Medicaid and CHIP
Recently, the National Quality Forum (NQF) released its annual report on opportunities to strengthen the child core set of quality measures in Medicaid and CHIP. The initial core set was released in 2010 and its underlying legislative mandate requires CMS to update the core set annually. NQF partners with CMS and a multi-stakeholder Medicaid workgroup…
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2017 Child Core Set of Health Care Quality Indicators in Medicaid and CHIP Released
The results of state reporting on the 2017 Child Core Set of Health Care Quality Measures in Medicaid and CHIP have been released by CMS. The 2017 Child Core Set includes 27 measures that assess key aspects of health care access for children and pregnant women. While reporting on last year’s core set seems timely,…
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Children Struggle to Access Autism Treatment
By Julie Kornack, Center for Autism and Related Disorders With a prevalence of 1 in every 59 children, autism spectrum disorder (ASD) has become increasingly commonplace. In turn, the growing autism advocacy community has been extraordinarily effective in engendering the political will to enact laws intended to ensure that individuals with ASD have access…
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While We Await Official Notice of Proposed Public Rules Changes, Here are Our Thoughts on Latest Version
On Saturday, September 22, the Department of Homeland Security posted an unofficial proposed regulation that would dramatically alter immigration law by broadening the definition of public charge and significantly harming immigrant families. Earlier this year, two related drafts were leaked to the press. Researchers documented the immediate, adverse impact on immigrant families and communities and…
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African American Women Mayors Champion Policies to Improve Maternal and Infant Health Outcomes
The United States has a dismal track record when it comes to maternal and infant mortality. One of the wealthiest countries in the world, the U.S. has fallen behind and now ranks 32nd in maternal mortality and 33rd in infant mortality out of the 36 wealthiest nations. Within the U.S., the infant mortality rate varies…
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More States Link Maternal Depression Screenings to Well-Child Visits
More than twice the number of states now cover maternal depression screenings in Medicaid well child visits, up to 25 states from 11 states just one year ago. This is good news for mothers and children, and comes from an update of the National Center for Children in Poverty’s two-generation state policy profiles. The profiles…
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Rural Residents and Communities Have Much at Stake in Medicaid Expansion
Last year, working with our partners at the University of North Carolina’s Rural Health Project, we released a report that underscored the critical role that Medicaid plays in rural areas and small towns with populations below 50,000. This year Jack Hoadley, Mark Holmes and I took a look at how Medicaid expansion has impacted these same…
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Clearing Up Confusion about the Impact of the CHIP Funding Rescission in Labor-HHS-Education Appropriations Conference Agreement
In June, the Senate rejected a Trump Administration proposal to rescind federal funding for a variety of programs including the Children’s Health Insurance Program (CHIP). At the time, we had raised significant concerns because the Administration’s rescission package would have eliminated $2 billion from CHIP’s Child Enrollment Contingency Fund. Those $2 billion in funds…
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Clarifying Medicaid Billing Practices Can Help States Prioritize Young Children’s Healthy Emotional Development
Evidence continues to mount that healthy social and emotional development in infants and toddlers underpins a lifetime of healthy physical development. But Medicaid policy and practice solutions to improve infant and early childhood mental health are not always clear, even when the importance of early diagnosis and treatment is well understood. A new report by…
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Proposed Rule Would Make Matters Worse for Immigrant Children Held in Detention – Comments Due Nov. 6
About a year ago, the Administration reversed longstanding immigration policy and started separating children from their parents at the US-Mexico border. Over just a few months, thousands of children were separated from their parents. The issue drew a lot of media attention, as medical and child welfare experts pointed out that research shows the Administration…
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Public Comments are Virtually Unanimous Against Mississippi’s Harmful Medicaid Proposal
Last month, federal CMS reopened the public comment period on Mississippi’s proposed Section 1115 Medicaid work requirements waiver at the same time as Kentucky’s comment period was reopened. Mississippi’s proposal has not garnered as much attention as Kentucky’s, which as regular readers of SayAhhh! know, is currently on hold due to a federal court decision.…
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New Census Data Reveal Troubling Signs for Children’s Health Coverage
Last week, the Census Bureau partially released the Annual Social and Economic Supplement (ASEC) of the 2017 Current Population Survey (CPS) and the 2017 American Community Survey (ACS) health insurance data. In the past we have celebrated dramatic gains in health coverage for children as the share of uninsured children continued to decline. But this…
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Next Effort to Repeal ACA Would Likely Look Like Last One
Unsurprisingly, according to recent news reports (here and here), Congressional Republicans plan to pursue another attempt at repealing the Affordable Care Act next year if they maintain control of Congress after the midterm elections in November. Any repeal effort would likely be based on the 2017 bills from Senators Cassidy and Graham and a somewhat…
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Coverage Losses Begin From Mean-spirited Trump Administration Medicaid Policy
The first round of data just released by the state of Arkansas (the first state nationwide to implement a work requirement with a lockout) shows that 4,353 adults lost coverage retroactively to September 1st. The data continue to show a clear lack of awareness about the new reporting requirements with thousands more set to lose…
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Who Are Florida’s Remaining Uninsured Children?
Last fall we wrote an issue brief about children’s health coverage in Florida. Florida’s child uninsured rate has reached a new low of 6.2% – although the state still lags behind the national average of 4.5% and has one of the highest uninsured rates in the South. This progress is the result of years of…
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Dismissal of Co-Chair of Iowa Medicaid Advisory Panel is Setback for Much Needed Oversight
Medicaid is evolving. Its consumer advisory committees should too. State Medicaid programs are bureaucracies, and it’s understandable that agency leaders may not always have a pulse on what’s happening with members and providers and plans at any given moment. That’s why federal law has long required states to set up medical care advisory committees (MCACs),…
