Responding to Trump Administration’s Troubling Medicaid Financing and Supplemental Payment Rule

On November 18, 2019, the Trump Administration issued a proposed Medicaid “Fiscal Accountability” rule that seriously threatens to upend state budgets and reduce beneficiaries’ access to needed care.  The proposed rule, if finalized, could thus harm Medicaid beneficiaries, including children and families, as well as their health care providers, in most states. As Cindy Mann […]

New Study Finds Medicaid Per Capita Caps and Block Grants Would Lead to Deep Cuts to Children’s Coverage and Access

Avalere Health issued a new study conducted for the Children’s Hospital Association, estimating how much a per capita cap or block grant could significantly cut federal Medicaid spending on children nationally and on a state-by-state basis, relative to current law.  The study models the impact of four illustrative per capita caps and block grants.  It […]

House Committee Advances Bill to Sustain Medicaid Programs in the Territories and Avoid Deep, Harmful Cuts

On July 11, by voice vote, the Health Subcommittee of the House Energy and Commerce Committee reported out essential legislation (H.R. 3631) to avert large federal Medicaid funding shortfalls the territories will face starting in 2020.  Without additional federal funding the bill would provide, the territories would have no choice but to institute damaging cuts […]

Many Unanswered Questions about Trump Budget’s CHIP Financing Proposal

The Trump Administration’s fiscal year 2020 budget, released on March 11, includes a single legislative proposal (described here) related to the Children’s Health Insurance Program (CHIP).  Entitled “Strengthen the CHIP Safety Net for States,” the proposal would eliminate the CHIP’s Child Enrollment Contingency Fund in fiscal year 2021 and replace it with a new Shortfall […]

Medicaid and State Budgets: Checking the Facts (Yet Again)

It’s that time of year again.  Estimators publish their projections of Medicaid spending, journalists report on the projections, and policymakers decide whether and how they want to act.  Medicaid covers up to 35 million low-income children, so getting these projections right, and explaining them correctly, is hugely important for public understanding of the program.  Unfortunately, […]