-
The Future of ACA’s Medicaid Expansion: What do Changes in HR1 Mean?
The federal budget reconciliation bill signed by President Trump, H.R. 1, made multiple cuts to the Medicaid program that were designed to deter states from expanding Medicaid. Ten states, mostly in the South, have not expanded Medicaid to low-income adults. Despite many attempts by proponents of large Medicaid cuts to lower the expansion match of…
-
CMS’s Georgia Waiver Extension Underscores the Failure of Medicaid Work Requirements
As regular readers of SayAhhh! know, on January 1, 2027, 42 states and DC will be required by HR 1 to impose work reporting requirements on many adults covered by Medicaid. The only state in the country that is currently implementing work reporting requirements is Georgia through a Section 1115 demonstration — officially known as…
-
New Immigrant Eligibility Restrictions Coming to Federally-Funded Health Coverage
This time next year, an estimated 1.4 million lawfully present immigrants are expected to lose health coverage due to the Budget Reconciliation Law. The law restricts eligibility for federally funded health coverage to only a very narrow group of immigrants – lawful permanent residents (LPR, or green card holders), Cuban and Haitian entrants, and people…
-
States Should Use Rural Transformation Fund to Focus on Children and Families
At this moment, states are seeking input and putting ideas on paper to develop priorities for their state applications for a piece of the $50 billion Rural Health Transformation Fund included in H.R. 1 (with applications due to the federal government by November 5th). Our colleague Adam Searing reminded readers that these funds will by…
-
Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals
I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural and was isolated for so long, generations of residents still speak with a distinctive Elizabethan…
