A Closer Look at Florida’s Medicaid Program

The Florida legislature is in the midst of a hot and heavy debate about the future of the state’s Medicaid program. One of the key questions being discussed is whether or not to expand the state’s controversial Section 1115 Medicaid waiver across the state and across all populations. The waiver is coming to the end […]

As ACA Approaches 1st Birthday, Legislative Activity Heats Up

Both the Senate Finance Committee and Health Education Labor and Pensions Committee held hearings this week on aspects of the Affordable Care Act.  Here’s a quick summary of those hearings and other developments in Congress. In the Senate Finance Committee hearing, Secretary Sebelius did a good job of responding to criticism of the ACA by […]

Waiving Hello to State Innovation?

By Joe Touschner In a continued push to show that states have flexibility under the Affordable Care Act, the Departments of Health and Human Services and the Treasury this week proposed rules for states to apply for innovation waivers under section 1332 of the ACA.  Under current law, states could negotiate a waiver of ACA […]

What did the President Just Say??

On Monday, while addressing the nation’s Governors, President Obama endorsed bipartisan legislation introduced by Senators Wyden, Brown and Landrieu that moves up the date that states can apply for so-called “State Innovation Waivers” from 2017 to 2014. Waivers come in many shapes and sizes and can be quite confusing. (Just watch Members of the House […]

Arizona Waiver Situation Not Applicable to Other States

Governors from states considering balancing their budgets on the backs of their most vulnerable residents should not read too much into Secretary Sebelius’ letter to Governor Jan Brewer this week.  HHS Secretary Sebelius did not waive the stability protection (aka “maintenance of effort”) provisions of the Affordable Care Act as Governor Brewer had requested.  Secretary […]