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Say Ahhh!

  • State Snapshots of Children’s Health Coverage

    As Say Ahhh! readers well know, Medicaid and CHIP are a primary source of coverage for children, particularly the most vulnerable children. But even people who know the importance of our public coverage programs are often surprised to learn key statistics about Medicaid and CHIP. For example, did you know that: 57 percent of all…

  • Congress Must Act Quickly on CHIP

    As regular readers of SayAhhh! know, funding for the Children’s Health Insurance Program (CHIP) will expire on September 30, 2017. Medicaid and CHIP have worked together to bring the nation’s uninsurance rate for children down to a historic high of 95%. Whether the country will continue moving forward on this critical question is a key…

  • TANF, CCDBG Demonstrate That Block Grants And Per Capita Caps Won’t Work For Medicaid

    By Suzanne Wikle and Jessica Gehr of CLASP Congress is reportedly again considering proposals to change the fundamental structure of Medicaid, including by turning it into a block grant program or providing fixed allotments per recipient (“per capita caps”). Such proposals have been made repeatedly over the years, but consistently rejected. However, other programs with…

  • Arizona is Trying to Impose a Lifetime Cap on Medicaid Coverage

    By Jesse Cross-Call, Center on Budget and Policy Priorities Arizona will soon send a proposal to the federal government to place a five-year lifetime limit on Medicaid coverage for adults under 65 who don’t have a disability. The government should reject the proposed time limit, which would lead to coverage losses and increase hardship among older, low-income…

  • Cutting Medicaid Would Hurt Public School’s Efforts to Improve Student Success

    The School Superintendent’s Association just released a survey documenting the concerns that superintendents and other school leaders have about Congressional plans to cut Medicaid spending. CCF spoke with Sasha Pudelski, author of the report Cutting Medicaid: A Prescription to Hurt the Neediest Kids, about the impact Medicaid cuts would have on students and schools.  Can…

  • Affordable Care Act Repeal Efforts Would Impact State Laws, Too

    By Kevin Lucia and Katie Keith, originally posted on CHIRblog With much of the attention over ACA repeal efforts focused on Washington DC, it’s easy to forget that repeal-and-replacement efforts would significantly affect state approaches to insurance regulation. This is especially true in the 32 states and D.C. that have adopted state-level ACA protections. While…

  • Risky Business: Health Actuaries Assess the Individual Market and Rates

    By Rachel Schwab, originally posted on CHIRblog Health reform is often a series of what-ifs. As we wade into the uncertainty of congressional action, Executive Orders, and “the greatest replacement plan ever,” consumers and insurers alike have to hedge their bets and carefully calculate the impact of a number of unknown outcomes. Unfortunately sometimes it…

  • Georgetown CCF Welcomes National Medicaid Expert Andy Schneider to our Team

    It is with great pleasure that I am able to share some wonderful news with SayAhhh! readers about the latest addition to our team here at Georgetown University’s Center for Children and Families. For Medicaid cognoscenti, Andy Schneider needs no introduction as there are few individuals who are more integral to the development of the Medicaid…

  • ACA Repeal & Medicaid Cuts Would Make it Tougher for Arkansas to Meet Education Goals

    Last month, Arkansas Gov. Asa Hutchinson vowed to make third-grade reading a top priority, building on the impressive work the state has already done to bring more children into early education programs. Now the federal push to scrap the Affordable Care Act (ACA) and change the way we provide health care to families threatens to…

  • Uncertain Future for the Affordable Care Act Leads Insurers to Rethink Participation, Prices

    By Sabrina Corlette, Kevin Lucia, Justin Giovannelli and Dania Palanker, originally posted on CHIRblog The Affordable Care Act (ACA) is facing an uncertain future, with a new President and Congress committed to its repeal. Upcoming policy debates could have a dramatic impact on the individual health insurance market, especially the ACA’s marketplaces. While millions of…

  • Prior to the ACA, Where You Lived Determined How Accessible and Affordable Coverage Would Be

    By Sandy Ahn, originally posted on CHIRblog Before the Affordable Care Act (ACA), what state you lived in determined how easily you could purchase a health plan, the price, and what the plan would cover in the individual market. Rules varied by state, but one common fact was that insurers could use your health status…

  • Medicaid Fulfills Crucial Role for Children with Special Health Care Needs Like My Daughter

    My daughter Caroline is alive because of Medicaid. The medications, the equipment and the nursing care that have helped us manage her severe disability would not be possible without the federal program’s support. Now, with Congress and the White House considering cuts and restructuring for Medicaid, it’s important to consider children like Caroline. We welcomed…

  • Federal Medicaid Cuts Would Be a Double Whammy for Vulnerable Young Children in Texas

    Lately, we’ve been laser focused on potential threats ahead at the federal level. But as state legislative sessions start anew, it’s a good reminder that policymaking swirls ahead in state capitals as well. As our friends at Texans Care for Children described, last year’s Medicaid therapy cuts in Texas are already shutting out some young children…

  • Complicated Cassidy-Collins Plan to Replace ACA Falls Short

    With pressure building around repealing the ACA without a replacement plan, various “replacement” plans are starting to pop up – most recently this bill from Senators Cassidy and Collins. Sarah Lueck at the Center on Budget and Policy Priorities posted a thoughtful analysis of the bill’s key provisions and Timothy Jost offers even more details…

  • Senators’ ACA Replacement Won’t Likely Give States, Patients the Choices They Seek

    By Sarah Lueck, Center on Budget and Policy Priorities Senators Bill Cassidy and Susan Collins say their new proposal to replace the Affordable Care Act (ACA) would allow people who like the coverage they have to keep it. But now that we have more details about the proposal, it’s hard to see how that could…

  • Research Documents Positive Impact of Medicaid Expansion  

    The future of the Affordable Care Act’s Medicaid expansion is unclear, but new research is making it quite clear that Medicaid expansion is a smart investment.  In the last few weeks, researchers addressed several questions that many wondered about before most states implemented the expansion. Let’s take a trip down memory lane… Will expanding Medicaid…

  • CCF Hosts Webinar on Medicaid and CHIP Financing

    After months of vowing to repeal the Affordable Care Act, Congress and the new administration are now signaling that they’re not going to stop there. Policymakers are already talking about capping or block granting Medicaid and holding up needed funding for the Children’s Health Insurance Program. Such changes would leave states struggling to meet the…

  • What Does President Trump’s Executive Order Mean for the Affordable Care Act?

    As you may have heard, President Trump issued an executive order about the Affordable Care Act (ACA) on his inauguration day, but what’s been less clear is what exactly it means. Can the President repeal the ACA by executive order? The short answer is no. The ACA became law when it was passed by Congress…

  • Arkansas Will be Particularly Hard Hit by Repeal of ACA

    As regular readers of Say Ahhh! know, Arkansas has a unique approach to Medicaid expansion, known as “Arkansas Works” or the “private option,” which relies on the federal marketplace to provide coverage to Medicaid expansion enrollees instead of using Medicaid plans and providers to deliver coverage. As a result, the current plan by Congressional leaders…

  • CBO: Repealing ACA Would Double Number of Uninsured in Two Years

    The Congressional Budget Office (CBO) and Joint Committee on Taxation (JCT) released an updated projection on how repealing the ACA through budget reconciliation would lead to rising numbers of uninsured and increases in premiums on the marketplace. CBO based projections on the Reconciliation Act passed in 2015 and vetoed by President Obama, which would have…