Preserving Coverage

Preserving Coverage

Senate Repeal Bill More Than Doubles Number of Uninsured Kids

The “Better Care Reconciliation Act” a.k.a. the Senate’s proposal to repeal and replace the Affordable Care Act and cut Medicaid would result in a sharp U-turn in the nation’s historic progress on children’s health coverage. Our nation recently brought the uninsured rate for children down to a record low of less than 5%.  A new […]

Proposed Health Bill Would Increase Consumer Debt and Drive Up Uncompensated Care

The Senate health bill ends retroactive eligibility, hospital presumptive eligibility, and any presumptive eligibility determination for expansion adults, which includes many parents. The end of retroactive eligibility and hospital presumptive eligibility will drive up consumer medical debt, which was the largest cause of U.S. bankruptcies prior to the Affordable Care Act. It will also drive […]

Senate Bill is Not Nice to Children and Families

There is a tremendous amount to digest here, and we are still working through the complex text, but one thing is clear – the Senate bill (like the House bill) will start moving the country backwards with respect to child and family coverage. Readers of Say Ahhh! know that the number of uninsured children is […]

The Risk of Letting Politicians, Not Pediatricians, Determine Children’s Health Care

Fifty years ago, after learning that half the young men drafted for the Vietnam War failed baseline health exams, the federal government instituted Medicaid’s comprehensive, pediatrician-recommended benefit standard for children known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). The federal benefit standard in Medicaid ensures that low-income and vulnerable children receive the health care services […]

Connecting the Dots: Capping Medicaid, Closing Rural Hospitals, and Stranding Rural Children and Families

The Senate was designed by our founding fathers to protect less populated states. Few would dispute that over the decades, the Senate has faithfully executed that institutional mission, especially when it comes to health policy. So it is completely mystifying that the Senate, according to all reports, is seriously considering capping federal Medicaid payments to […]