Medicaid
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TANF, CCDBG Demonstrate That Block Grants And Per Capita Caps Won’t Work For Medicaid
By Suzanne Wikle and Jessica Gehr of CLASP Congress is reportedly again considering proposals to change the fundamental structure of Medicaid, including by turning it into a block grant program or providing fixed allotments per recipient (“per capita caps”). Such proposals have been made repeatedly over the years, but consistently rejected. However, other programs with…
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Arizona is Trying to Impose a Lifetime Cap on Medicaid Coverage
By Jesse Cross-Call, Center on Budget and Policy Priorities Arizona will soon send a proposal to the federal government to place a five-year lifetime limit on Medicaid coverage for adults under 65 who don’t have a disability. The government should reject the proposed time limit, which would lead to coverage losses and increase hardship among older, low-income…
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Cutting Medicaid Would Hurt Public School’s Efforts to Improve Student Success
The School Superintendent’s Association just released a survey documenting the concerns that superintendents and other school leaders have about Congressional plans to cut Medicaid spending. CCF spoke with Sasha Pudelski, author of the report Cutting Medicaid: A Prescription to Hurt the Neediest Kids, about the impact Medicaid cuts would have on students and schools. Can…
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Affordable Care Act Repeal Efforts Would Impact State Laws, Too
By Kevin Lucia and Katie Keith, originally posted on CHIRblog With much of the attention over ACA repeal efforts focused on Washington DC, it’s easy to forget that repeal-and-replacement efforts would significantly affect state approaches to insurance regulation. This is especially true in the 32 states and D.C. that have adopted state-level ACA protections. While…
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Medicaid Fulfills Crucial Role for Children with Special Health Care Needs Like My Daughter
My daughter Caroline is alive because of Medicaid. The medications, the equipment and the nursing care that have helped us manage her severe disability would not be possible without the federal program’s support. Now, with Congress and the White House considering cuts and restructuring for Medicaid, it’s important to consider children like Caroline. We welcomed…
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Federal Medicaid Cuts Would Be a Double Whammy for Vulnerable Young Children in Texas
Lately, we’ve been laser focused on potential threats ahead at the federal level. But as state legislative sessions start anew, it’s a good reminder that policymaking swirls ahead in state capitals as well. As our friends at Texans Care for Children described, last year’s Medicaid therapy cuts in Texas are already shutting out some young children…
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Complicated Cassidy-Collins Plan to Replace ACA Falls Short
With pressure building around repealing the ACA without a replacement plan, various “replacement” plans are starting to pop up – most recently this bill from Senators Cassidy and Collins. Sarah Lueck at the Center on Budget and Policy Priorities posted a thoughtful analysis of the bill’s key provisions and Timothy Jost offers even more details…
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Senators’ ACA Replacement Won’t Likely Give States, Patients the Choices They Seek
By Sarah Lueck, Center on Budget and Policy Priorities Senators Bill Cassidy and Susan Collins say their new proposal to replace the Affordable Care Act (ACA) would allow people who like the coverage they have to keep it. But now that we have more details about the proposal, it’s hard to see how that could…
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Research Documents Positive Impact of Medicaid Expansion
The future of the Affordable Care Act’s Medicaid expansion is unclear, but new research is making it quite clear that Medicaid expansion is a smart investment. In the last few weeks, researchers addressed several questions that many wondered about before most states implemented the expansion. Let’s take a trip down memory lane… Will expanding Medicaid…
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CCF Hosts Webinar on Medicaid and CHIP Financing
After months of vowing to repeal the Affordable Care Act, Congress and the new administration are now signaling that they’re not going to stop there. Policymakers are already talking about capping or block granting Medicaid and holding up needed funding for the Children’s Health Insurance Program. Such changes would leave states struggling to meet the…
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What Does President Trump’s Executive Order Mean for the Affordable Care Act?
As you may have heard, President Trump issued an executive order about the Affordable Care Act (ACA) on his inauguration day, but what’s been less clear is what exactly it means. Can the President repeal the ACA by executive order? The short answer is no. The ACA became law when it was passed by Congress…
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Arkansas Will be Particularly Hard Hit by Repeal of ACA
As regular readers of Say Ahhh! know, Arkansas has a unique approach to Medicaid expansion, known as “Arkansas Works” or the “private option,” which relies on the federal marketplace to provide coverage to Medicaid expansion enrollees instead of using Medicaid plans and providers to deliver coverage. As a result, the current plan by Congressional leaders…
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How Should We Be Thinking About CHIP in the New World Order?
Recent press accounts have noted that Republicans are thinking about using the Children’s Health Insurance Program (CHIP) as a bargaining tool to entice Democrats to vote for health legislation that replaces the Affordable Care Act (ACA). CHIP’s funding expires on September 30, 2017, which means that Congress must act soon to ensure that it continues…
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Kaiser Family Foundation & CCF Release 50-State Medicaid/CHIP Survey
Today, the Kaiser Family Foundation and the Georgetown University Center for Children and Families released their annual 50-state survey on Medicaid and CHIP eligibility, enrollment, renewal and cost-sharing policies. The survey is a “must read” report for anyone interested in health care policy and its impact on low-income children and families across the country. Tricia…
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Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies: Findings from a 50-State Survey
This annual 50-state survey provides data on Medicaid and Children’s Health Insurance Program (CHIP) eligibility, enrollment, renewal and cost sharing policies and identifies changes in these policies that occurred in the past year. This report documents the role Medicaid and CHIP play for low-income children and families and the evolution of these programs under the…
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Research Shows Fewer Jobs, Greater Financial Burden on Providers, States, & Local Governments if ACA Repealed
Taken together, three recent papers provide a sobering look at the extensive economic consequences for providers if the Affordable Care Act (ACA) is repealed. Just last week, the Robert Wood Johnson Foundation published “The Impact on Health Care Providers of Partial ACA Repeal through Reconciliation,” an analysis from the Urban Institute. Their main finding? Repeal…
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The Return on Investment of Medicaid Expansion: Supporting Work and Health in Rural Ohio
By Loren Anthes, MBA, Fellow, Center for Medicaid Policy, originally posted by the Center for Community Solutions When debating the Medicaid expansion in 2013, the Ohio legislature appropriately questioned whether expanding the program to non-disabled adults would be done so efficiently, supporting the health, welfare, and economy of Ohio and its citizens. The subsequent policy process reflected…
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For Mental Health Services, Would ACA Repeal Turn ‘Warm Handoff’ into Cold Shoulder?
One of the few points of bipartisan agreement in Congress last year was finding ways to support mental health services. The 21st Century Cures Act passed in Congress and signed by the President just last month took steps to integrate mental health into primary care services, expand the pool of providers and improve the interactions…
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Three Ways to Ensure EPSDT Works in Managed Care
We are continuing our look at EPSDT, this time turning to EPSDT and managed care. Nearly 9 out of 10 children in Medicaid and CHIP receive services through some type of managed care arrangement, so understanding how EPSDT works in a managed care context is critical. If you followed our work on managed care over…
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50-State Report Examines Economic Repercussions of ACA Repeal
Leighton Ku and his colleagues at George Washington University’s Milken School of Public Health and the Commonwealth Fund just published a very important new report with state-by-state estimates on how many jobs would be lost if the Affordable Care Act is repealed without a replacement attached. The report found that repealing the tax credits and…
