Blog
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Survey Offers More Proof that Dental Coverage Counts
This was initially posted on the Children’s Dental Health Project blog by Matt Jacob A new national survey of U.S. parents shows that children without dental insurance were twice as likely as insured kids to have had a recent toothache or other dental problem that affected their ability to eat, sleep or concentrate in school. The…
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AAP’s Bright Futures Takes Step Forward to Incorporate Social Determinants of Health
A child’s healthy development is influenced by access to health care but also by the social and physical environment in which the child lives. There is clear scientific evidence that children who live in safe, stable, and nurturing environments are more likely to thrive. And now pediatrician-developed preventive care guidelines for children have caught up…
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Efforts to Repeal ACA and Cap Federal Medicaid Funding Fail
Today the mad dash efforts to repeal the Affordable Care Act and radically restructure Medicaid came to an abrupt halt when Speaker Paul Ryan and President Donald Trump were unable to garner enough votes to pass the American Health Care Act. This bill had taken a sharp detour from the normal path to the floor…
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What’s at Stake if Essential Health Benefits are Scrapped? Pediatric Benefits, Protection from Lifetime Limits
As House leaders scramble to get enough votes to send the American Health Care Act to the Senate, there is a lot of horse-trading going on. None of it to the benefit of kids enrolled in Medicaid or private insurance. The most recent Affordable Care Act provision on the chopping block is the Essential Health…
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What’s at Stake for Schools and Students in Health Care Debate?
As Congress considers how to reform the nation’s health care system, the decisions made on Capitol Hill could well have a profound impact on schools and their most vulnerable students. How? The most obvious answer is financial. By now we know that Congress is not content to simply repeal the health care plan then-President Barack…
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Missing Out On New Health Coverage: Four States Where The Debate Around The GOP’s Health Care Bill Is Hurting Efforts To Close The Medicaid Coverage Gap
While the ultimate outcome for the GOP health care bill is unclear here in Washington, the uncertainty created by the legislation is already having an adverse effect on attempts to expand coverage in four states. Idaho, Georgia, Tennessee, and Kansas all have had robust discussions over the past year about joining the other 32 states…
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Health Proposal Breaks Long-standing Bipartisan Commitment to Children’s Health
With virtually no time to unpack the provisions in the Manager’s Amendment that was released late Monday night and no CBO score expected until just before the vote, it appears that the House is on the verge of voting to repeal not just the Affordable Care Act, but also break the long-standing bipartisan promise of…
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Why the Medicaid Cap Can’t Be Fixed
Confusion reigns about the cap on federal Medicaid spending now hurtling toward the floor of the House. It’s hardly surprising that people don’t fully understand what the House bill would do to Medicaid. It is presented as “repeal and replace” of the ACA, but it goes far beyond ending the ACA Medicaid expansion for 11…
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Proposed Medicaid Spending Caps Rely on Data Points That Don’t Exist Yet
There were few details in the recent CBO score on the American Health Care Act (AHCA) as to how the $880 billion in cuts to Medicaid were calculated and where the pain will be felt. That’s because the folks at CBO, like the rest of us, are scratching their heads over where to access the…
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Eliminating Essential Health Benefits Will Shift Financial Risk Back to Consumers
Congress is debating the American Health Care Act, a plan to repeal and replace parts of the Affordable Care Act (ACA). The Act does not make changes to the Essential Health Benefits (EHB), ten categories of coverage that all new plans in the individual and small group markets must include in their plans. But the…
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What About the Data Needed to Calculate the AHCA’s Complex Medicaid Spending Cap?
There were few details in the recent CBO score on the American Health Care Act (AHCA) as to how the $880 billion in cuts to Medicaid were calculated and where the pain will be felt. That’s because the folks at CBO, like the rest of us, are scratching their heads over where to access the…
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New CMS Administrator Verma Takes The Helm And Reaches Out To Governors On Medicaid
On Monday night, the Senate confirmed the nomination of Seema Verma to head the Centers for Medicare and Medicaid Services (CMS) by a 55-43 vote. Verma, as Say Ahhh! readers know, comes to CMS from Indiana where she worked for then-Gov. Mike Pence as a consultant on the state’s Healthy Indiana program. As I expected,…
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Follow the Money: CBO Shows House “Repeal and Replace” Bill is Really “Cap and Cut” Medicaid
On March 13 the Congressional Budget Office (CBO) issued its estimate of the House bill to “repeal and replace” the Affordable Care Act. The House bill does far more than simply “repeal and replace” the ACA Medicaid expansion for adults. It would end the federal government’s 50-year, open-ended commitment to all Medicaid populations — the elderly,…
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How the AHCA Yanks Welcome Mat Out From Under Children Eligible for Medicaid and CHIP
The Affordable Care Act’s (ACA) coverage provisions did not target children’s eligibility for Medicaid or CHIP. It was aimed at closing the coverage gap for adults – both adults without dependent children, who were generally ineligible for Medicaid, and parents, whose pre-ACA Medicaid eligibility was well below the poverty level in many states. Yet, we…
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How the Wrong Medicaid Reforms Could Devastate Young People with Complex Medical Needs
By Sophia Jan, Ahaviah Glaser, Rebecca Kim of Children’s Hospital of Philadelphia (CHOP) Policy Lab Current proposals to simultaneously repeal the Affordable Care Act (ACA) and reform the federal Medicaid program would be devastating to children and young adults with disabilities and complex medical needs. Even if the final ACA replacement plan continues to allow…
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ARKids First turns 20!
Originally posted by Arkansas Advocates for Children and Families. Twenty years ago today, on March 10, 1997, then-Arkansas Governor Mike Huckabee signed ARKids First into law. ARKids was Arkansas’s state-funded health insurance program, and bringing it to life was a monumental moment for kids and families in our state. ARKids filled in the gap for…
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Medicaid Provides Economic Security For Families
Our new fact sheet summarizes research on how Medicaid provides economic security for families. By making health insurance accessible to children and parents, Medicaid keeps families healthy and also protects them from financial hardship. That economic security has the added benefit of insulating children from some of the adverse experiences of growing-up in poverty that…
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Up All Night
By Rylin Rodgers, Riley Child Development Center When was the last time you were up all night worrying about something? I hope you had to think hard in order to answer that one because it’s been a while. For most of us, though, it probably wasn’t that long ago. Most of us have the experience of…
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Why “State Flexibility” Won’t Do the Trick to Implement Medicaid Cuts
There has always been a lot of overheated rhetoric about state flexibility in the Medicaid program, but at no point has it been more important to unpack that concept than now. With the House and Senate poised to act on a bill which caps the Medicaid program for the first time in its history, proponents…
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What Does House ACA Repeal Proposal Mean for Children and Families?
As the House of Representatives moves with rapid speed to pass legislation to repeal the Affordable Care Act, the public can finally get a glimpse of their plan – though the public still needs a lot more information about the proposal and the “intended” and “unintended” consequences it would have for children and families. The…

















