Blog
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Report: Children in Rural Communities More Likely to Rely on CHIP and Medicaid
The challenges that students face in many rural places are staggering. Limited access to advanced coursework, medical care, food, and employment opportunities continue to daunt students in many rural communities. Poverty rates are also climbing. In 23 states, a majority of rural students live in low-income households; this is a noticeable uptick from 2013 when…
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Kaiser Tracking Poll Shows CHIP Funding is Much Higher Priority than Tax Reform
The Kaiser Family Foundation tracking poll was released today and it has good news for those who care about children’s health. While children’s advocates may feel that their messages about the need to extend funding for the Children’s Health Insurance Program (CHIP) has not been getting through, this poll shows somebody has been listening to…
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Trump Administration’s New Medicaid Waiver Policy Will Increase Number of Uninsured: Kentucky Likely to be First Approved
I was in Kentucky last week where I spoke to an audience of health care providers and advocates about the success of the state’s Medicaid expansion and the giant step backwards its pending waiver proposal would be. I was relieved that the state’s pending waiver proposal wasn’t approved while I was there as my trip…
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ACA Marketplace Sign-Ups Outpacing Last Year, Despite Sabotage
The 2018 open enrollment period for Affordable Care Act (ACA) marketplace coverage is off to a fast start, with over 600,000 customers selecting plans in the first four days compared to 416,000 during the first five days of last year’s period. We don’t yet know what’s driving the increase and how signups during the open…
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CMS Guidance Increases Urgency for Congress to Extend CHIP Funding
Last week, the Center for Medicaid and CHIP Services (CMCS) released an informational bulletin with guidance for states in the event they exhaust remaining CHIP funds before Congress acts. This is just another sign of how perilously close we are to seeing children’s coverage disrupted. And even if Washington can be counted on to eventually…
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Research Update: Affordability and Economic Security Thanks to Medicaid
CCF’s last research update focused on families’ increase in economic security after the Medicaid expansion. This week, I would like to build on the research presented last time. Below are two additional studies that examine links between affordable, comprehensive health care and financial security. And of course, the role of Medicaid in it all. Health…
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CMS Administrator’s Proposed Changes to Medicaid: Reprehensible
Earlier this week, the Administrator of the Centers for Medicare & Medicaid Services, Seema Verma, gave a major policy address to the National Association of Medicaid Directors. After invoking Hubert Humphrey on the moral tests of government – her office is in the Humphrey building — she characterized expanding Medicaid coverage to uninsured adults without…
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New Bikeshare Options for our Annual Georgetown CCF Conference
If you’ve been to the Annual Georgetown CCF Conference for children’s groups here in Washington, DC over the past few years, you might have come on our informal evening bicycle tour of the Potomac and national monuments. Here at CCF, we are proponents of healthy children and families, and that includes plenty of exercise –…
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West Virginia CHIP Board Votes to End CHIP on February 28 if Congress Fails to Fund CHIP in Time
Yesterday, the West Virginia CHIP Board reckoned with the stark reality of the consequences of Congressional inaction on CHIP. Faced with running out of federal funds in March, the Board determined that available funding will only cover children through February. The board plans to notify families in early January that the program will close on…
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State Oversight in Marketplace Open Enrollment More Important Than Ever
We’re in the midst of open enrollment (OE) for 2018 coverage in the marketplaces, and there’s considerable concern that the many challenges accompanying this OE will result in far fewer people enrolled in coverage. Open enrollment this year will be just half the time of previous open enrollment periods – 6 weeks, beginning November 1st –…
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Maine Voters Voice Strong Support for Medicaid Expansion
Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, recently criticized the Medicaid program’s expansion under the Affordable Care Act in sharp terms: “We’ve put more than 10 million people, 12 million people into this program where the doctors won’t see them, and the policies that are in the Medicaid program are…
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Reporting on FY 2016 Child Core Set Includes Key Developmental Screening Measure
State voluntary reporting for FY 2016 of the Child Core Set of Health Care Quality Measures is now available on Medicaid.gov. As it has done for the past two cycles, CMS provides a helpful downloadable dataset of state reporting. Fifty states reported at least one measure, with 45 reporting at least half of the 26…
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House Votes to Extend CHIP Funding Without Bipartisan Agreement on Offsets
Today, the U.S. House of Representatives voted to extend Children’s Health Insurance Program (CHIP) funding along with other health care provisions in the Championing Healthy Kids Act (wait for it…the Community Health and Medicaid Professionals Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance…
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Work Requirements in Medicaid Would Add More Red-Tape and Barriers to Health Coverage
Having failed to cut Medicaid through legislation, the Trump Administration is moving forward with administrative actions that would permit states to impose roadblocks to enrollment. We anticipate that the administration may soon grant waivers that would for the first time allow work requirements in Medicaid, modeled off of similar federal provisions in Temporary Assistance for…
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CHIP Funding Delays Risk Enrollment Freezes that would Reverse Success on Kid’s Health Coverage
Last week we released a new report on the consequences of delayed Congressional action on CHIP. Federal funding for CHIP expired 32 days ago, an unprecedented lapse in CHIP’s 20-year history. States are quickly running out of federal funding, with Arizona, Minnesota, and Oregon slated to exhaust federal funds before the end of December. If…
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States Step Up to Protect Consumers in Wake of Cuts to ACA Cost-Sharing Reduction Payments
This post from the Center on Health Insurance Reforms originally appeared on the Commonwealth Fund blog. On October 12, President Trump announced he would discontinue reimbursements to insurance companies for Affordable Care Act (ACA) cost-sharing reduction (CSR) plans offered through the health insurance marketplace. Ending the CSR reimbursements is projected to cost insurers $8 billion…
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Research Update: Economic Security After the Medicaid Expansion
Readers of Say Ahhh! know that Medicaid coverage increases economic security for families. This week, I am reading studies specifically on the Medicaid expansion and how it contributes to economic security. The expansion is only a few years old; the data and the research are still in their beginning stages. Still, this new and expanding…
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Why Projecting When States Will Run Out of CHIP Funds is a Moving Target
This week we released a new report on the consequences of delayed Congressional action on the Children’s Health Insurance Program (CHIP). Federal funding for CHIP expired 27 days ago, an unprecedented lapse in CHIP’s 20-year history. Some policymakers have reasoned that the situation is not urgent because all states have some unspent funds available from…
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What are the Consequences of Congressional Inaction on CHIP?
Funding for the Children’s Health Insurance Program (CHIP) expired 26 days ago and Congress still hasn’t acted. I have been working on CHIP since its inception, and this is unprecedented! Today we are releasing a report that unpacks some of the implications of Congressional inaction beyond the beltway. We didn’t survey all 50 states but…
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Have Questions on Private Health Insurance? Check out Latest Navigator Resource Guide
It’s been a bumpy road for the Affordable Care Act these last few months, but starting November 1, the marketplace is open for enrollment. As the fifth open enrollment season is upon us, we at CHIR have launched our updated and improved Navigator Resource Guide, made possible thanks to a grant from the Robert Wood Johnson Foundation.…


















