The One Big Beautiful Bill Act (OBBBA) of 2025 made heavy cuts to the bottom line of state Medicaid programs through a number of small directives aimed at curbing federal spending. Most obvious is the implementation of work requirements for Medicaid eligibility, but state-directed payments and provider taxes are also under reform. A new...White Papers, E books, Reports and more
MACPAC provides an in-depth analysis of Medicaid financing, including federal matching rates, state funding sources, and administrative costs in this August issue brief.
In 2023, Medicaid provided health coverage to roughly 100.1 million people, accounting for 17.9% of all U.S. healthcare spending, according to MacPAC. Governed by...
The potential side effects and prescriptive outcomes of the One Big Beautiful Bill Act (OBBBA) are coming to light.
The bill will reduce the deficit on balance by $366 billion between 2025 and 2036 and decrease direct spending by $1.2 trillion, according to the most recent estimates by the Congressional Budget Office. The bulk of this...
Congressional Republicans have locked onto a state tax used to fund Medicaid programs as a potential avenue for Medicaid cuts, but the nursing home industry is vehemently opposed.
The Medicaid provider tax dates back to the late 1980s, when it was implemented as a creative budgeting solution for states that had a hard time paying for...Arizona News
Congress's intended cuts to the Medicaid program loom large over all federal policy this year. How the cuts will proceed has yet to be determined, but one of the forthcoming options is the limitation of state taxes on providers.
Some in favor of restricting provider taxes argue that states receive federal matching funds without...News
The Paragon Institute is gaining influence over Washington lawmakers as they wrangle U.S. health policy, and in this paper, its President Brian Blase argues states deploy what amounts to legalized money laundering practices to collect more federal funds to support the growing price tag of Medicaid at no real cost to themselves.
The...
