Waivers
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Early Returns From Medicaid Expansion: Studies Find New Enrollees Are Accessing Needed Care
One of the key arguments that opponents of expanding Medicaid make is that there is no point in doing so because access is so poor in Medicaid that it won’t actually help the intended beneficiaries get the care they need. There is certainly room for improvement in access to care for Medicaid beneficiaries, and it…
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Unintended Consequences of the ACA: Retraction of Medicaid Eligibility for Parents in Connecticut
By Sharon Langer, Connecticut Voices for Children Research has consistently demonstrated that insuring parents is good for their health and their children’s. Children of parents insured through Medicaid are more likely to be covered and receive regular check-ups. In 2007, when Connecticut aligned its Medicaid income limit for parents and children at 185% FPL it…
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Many Working Parents and Families in North Carolina Would Benefit from Medicaid Coverage
North Carolina is one of the 22 states that has elected not to accept federal funding under the ACA to extend Medicaid coverage to parents and other low-income adults. Consequently, parents in North Carolina are not eligible for Medicaid or premium tax credits if their incomes exceed 45 percent of the poverty line ($8,840 annually,…
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Groups: CMS Should Reject Iowa’s Request to Continue Waiving Non-emergency Medical Transportation Benefits
This week, the Center on Budget and Policy Priorities, CCF and 10 other organizations submitted a comment letter regarding Iowa’s proposed section 1115 amendment to extend their waiver of the non-emergency medical transportation (NEMT) benefit. While we continue to support Iowa’s decision to provide coverage to newly eligible low-income adults, we hope that CMS will…
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Video Highlights of Joan Alker’s Testimony Before Congressional Committee on Medicaid Waivers
As loyal Say Ahhh! readers know, Joan Alker has been a devout Medicaid Section 1115 “waiver watcher” for many, many years. She was happy to share her knowledge on the topic with the House Energy and Commerce Subcommittee on Health this week. We’ll have more to say about the issues covered by the hearing in…
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King, Access to Care, Alternative Plans – States Running Out of Excuses for Failing to Act on Medicaid
The message from the Supreme Court’s King v. Burwell case yesterday was pretty simple for people interested in following the Medicaid expansion debate in the states. Now that it’s clear access to affordable coverage is here to stay for people above the poverty line, states that haven’t taken the Affordable Care Act’s Medicaid funding to extend…
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Florida Governor Scott Drops LIP Lawsuit, Declares Victory???
Acting right on the heels of the historic decision affirming the Affordable Care Act in King v. Burwell, Florida Governor Rick Scott withdrew his lawsuit against the Obama Administration on the state’s Low Income Pool. That was a wise decision in my view, as the suit had no merit (in my purely non-legal opinion). But…
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Testimony Before House Energy & Commerce Subcommittee on Health Regarding Medicaid Demonstration Waivers
CCF Executive Director Joan Alker’s testimony before the U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health hearing entitled “Examining the Administration’s Approval of Medicaid Demonstration Projects.” A video of her testimony is also available here.
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Florida House Votes Down Senate Medicaid Plan Leaving Florida with Large Coverage Gap
Today the Florida House voted down the Senate’s Florida Health Insurance Affordability Exchange plan that would have accepted federal Medicaid funds. The House’s rejection of the Senate plan follows a strong bipartisan vote in that chamber in favor earlier this week of 33-3. Both chambers have large Republican majorities. An estimated 669,000 Floridians will remain…
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Broad Wisconsin Budget Coalition Backs BadgerCare Expansion
By Jon Peacock, Wisconsin Coalition on Children and Families Sooner or later, Wisconsin is going to expand its Medicaid coverage, known as “BadgerCare,” to include all adults up to 138% of the federal poverty level (FPL). The strong public support for expanding coverage and the substantial financial benefits of accepting increased federal funding will eventually…
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Florida’s LIP Medicaid Waiver Amendment Now Open for Public Comment – National Implications
It’s hard to miss the ongoing debate about Florida’s Medicaid expansion and the related subject of how the federal government plans to respond to the state’s request for continued funding of its Low Income Pool. But it would be easy to miss that the federal government just opened that amendment up for public comment. As…
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Obama Administration Announces Cuts to Florida’s Special LIP Dollars
In the latest development in Florida’s Medicaid saga, yesterday CMS gave a preliminary response to Florida’s Low Income Pool request. Adhering to the principles outlined in an April 14 letter, CMS indicated that it plans to cut LIP substantially by 55% for the state’s next fiscal year and 75% in the following year – the…
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For Mother’s Day: Expand Medicaid and Women’s Access to Health Coverage
By Jesse Cross-Call, Center on Budget and Policy Priorities Health insurance for women improves both their own health and that of their children, research shows. Yet, low-income women living in the 21 states that have not expanded Medicaid as part of health reform face glaring gaps in access to health coverage.In these states, 1.8 million uninsured…
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The ACA’s State Innovation Waivers: A Need for Transparency and a Role for Stakeholders
By Joan Alker and Sabrina Corlette Discussion of new “superwaiver” authority is a hot topic in many state and health policy circles. Recently at a conference of state health officials sponsored by the National Governors Association, several states mentioned their interest in the Affordable Care Act’s (ACA) so-called Section 1332 waivers. This provision of the…
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“Impossible to Argue Against” – The Significant Change in State Debates over Accepting Medicaid Funding
Last week I noted how two very unusual editorials at major newspapers in Tennessee and Florida indicated what I called a “debate turning point” on the Medicaid expansion funding issue. Since then there is more evidence of this turning point in both of these states – which haven’t yet accepted the federal money for expanded…
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Report: Many Working Parents & Families Would Benefit if Florida Said Yes to Medicaid
I’m happy to be visiting Tallahassee today during “Children’s Week” just as Florida’s lawmakers are facing one of the most consequential decisions they could make for Florida’s children and working families. To help lawmakers understand what’s at stake, today we released a report with the Kids Well coalition explaining how expanding Medicaid would help uninsured…
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Many Working Parents and Families in Florida Would Benefit from Closing the Coverage Gap
The U.S. has made significant progress in decreasing rates of uninsurance for parents and adults. However, many low-income families in Florida still struggle to obtain health coverage. In 2013 (prior to the Affordable Care Act’s major coverage provisions), there were over 3.9 million people living without health insurance coverage in Florida, accounting for 8.5 percent (1…
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Fact-checking the Florida Medicaid Debate
There continues to be confusion and misinformation abounding in Florida on the issue of federal Medicaid funding. This year the state is giving up approximately $5 billion in federal funds that are available under the Affordable Care Act to extend Medicaid coverage to uninsured Floridians at no cost to the state. The only reason that…
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Florida Consumer Reporter Takes on Complicated Task of Explaining the Coverage Gap
Say Ahhh! is excited to welcome Florida Legal Services to the health policy blogosphere. The new blog will focus on issues surrounding the Affordable Care Act, Medicaid expansion, and Medicaid Managed Care in Florida. Contributors include staff members working on health law throughout the state of Florida. Please check out this fantastic new resource for those…
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Florida Senate Comes Out Swinging to Close the Coverage Gap
Last week the Florida legislature began its regular session – scheduled to end in the first week in May. As regular readers of Say Ahhh!! know, I have been expecting a more robust debate there this year due to the expiration of the Low Income Pool funding that Florida receives through its Section 1115 waiver…