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Posts tagged with "medicaid work requirements"

CMS Rules

CMS Publishes Preliminary Guidance for Medicaid Work Requirements, No Answers For Existing Work Requirement Waivers

On December 8, the Centers for Medicare and Medicaid Services (CMS) posted preliminary guidance for the Medicaid work requirements mandated by the One Big Beautiful Bill Act (OBBBA), which passed into law on July 4 this year. The law requires the creation of new rules by June 2026 and CMS notes in the guidance overview that further...
National News

Medicaid Work Requirement Rules and Tech Tools Remain Elusive As States Prepare for Changes

States must enforce Medicaid work requirements by January 1, 2027, but the Centers for Medicare and Medicaid Services (CMS) have yet to issue guidance for compliance for states eager to start planning its implementation. The One Big Beautiful Bill Act (OBBBA) cuts nearly $1 trillion in Medicaid spending over a decade in part by adding...
Arizona News

GAO Shows Very High Administrative Costs for Medicaid Work Requirements

The One Big Beautiful Bill Act (OBBBA) will implement Medicaid work requirements across all 50 states as part of a major cost-cutting initiative, but this week the Government Accountability Office (GAO) published a report on the one state that already has a work requirement program -- Georgia -- and found that it spent twice as much on...
Top of The Day

National Health Law Program Hosts Webinar: Medicaid Work Requirements

The webinar covers the brass tacks of the program's changes, like structure, compliance, verification and expectations. It then goes on to cover implementation considerations like harm limitations and a deep dive into work requirement exemptions and medical frailty. President Donald Trump's signature legislation for his second...
Arizona News

Senate Finance Committee Proposes Changes to Trump Agenda Bill, Deeper Cuts to Medicaid, Physician Pay

On Monday, Republicans in the U.S. Senate released their own version of legislation for President Donald Trump's agenda. The bill would cut Medicaid even more aggressively than the bill passed by the House of Representatives but eases up on subjects that are not health related. The new proposal released by the Senate Finance Committee...
New CBO Estimates $1 Trillion Hit to Healthcare Sector in Republican Reconciliation Bill - $3.8 Trillion Deficit Increase Over a Decade National News

New CBO Estimates $1 Trillion Hit to Healthcare Sector in Republican Reconciliation Bill - $3.8 Trillion Deficit Increase Over a Decade

The Republican spending bill has spent the week under review after succeeding through the House of Representatives last week. The Congressional Budget Office (CBO) published its findings on the bill that aims to slash government spending in order to float massive tax cuts promised by the Trump administration. Modern Healthcare reports...
National News

The Medicaid Cuts in the Big Beautiful Draft

Congressional Republicans have reached a tentative agreement on the shape that a budget reconciliation bill could take, and it includes significant changes to healthcare funding with Medicaid cuts at the center of the plan. The House Energy and Commerce Committee released a legislative text that includes work and reporting requirements...
Medicaid Cuts: Federal Match Rates Are Back on the Menu Arizona News

Medicaid Cuts: Federal Match Rates Are Back on the Menu

This week, Congressional Republicans continue the search for Medicaid tax cuts, this time by returning to reductions of the federal match and the implementation of a per capita spending cap to the negotiating table. It remains clear that Medicaid work requirements alone will be insufficient for total cuts, especially as plan utilization...
Arizona News

Medicaid Work Requirements Emerge as a Front-Runner for Cutting Medicaid

We know that Medicaid cuts are on the table for the upcoming Trump budget negotiations, but until recently, the form that those cuts would take was unclear. Now, consensus among supporters of the cuts appears to be coalescing around work requirements for state Medicaid programs, despite decades of data demonstrating that they are...
Arizona News

AHCCCS Works: CMS Begins Formal Review & Negotiations - Opens 30 Day Federal Comment Period

The waiver application aligns with Arizona legislation passed in 2015 that requires AHCCCS to request (annually) the federal agency's approval to institute a work requirement for all “able-bodied adults” receiving Medicaid services, place a lifetime limit of five years of Medicaid benefits on “able-bodied adults” and develop and...
Arizona News

AHCCCS Works Waiver Submitted to CMS

During Wednesday's State Medicaid Advisory Committee (SMAC) quarterly meeting, the Arizona Health Care Cost Containment System announced it had submitted a waiver to enact work requirements for an estimated 190,000 Arizona Medicaid members. In 2017 AHCCCS submitted a 1115 waiver for AHCCS Works which was approved by CMS in 2019. The...
National News

House Advances Budget to Cut Medicaid

The U.S. House of Representatives passed a budget framework Tuesday night that includes instructions to apply heavy cuts to the Medicaid program. The budget framework instructs committees to cut certain amounts from departments they oversee. The Energy and Commerce Committee, which oversees health programs, was instructed to cut $880...
Arizona News

AHCCCS Seeking Public Comment on Medicaid Work Requirements, Time Limit on Coverage

The Arizona Health Care Cost Containment System (AHCCCS), which covers 2 million low-income Arizonans and Arizonans with disabilities, is pitching a five-year lifetime limit on services and work requirements for certain enrollees. As of January, adults ages 18 to 64 made up 54% of AHCCCS enrollment, totaling 1.1 million members....
Republicans Zero in on Medicaid for Spending Cuts National News

Republicans Zero in on Medicaid for Spending Cuts

President Donald Trump's second administration has a very ambitious and expensive agenda that Congressional Republicans are busy balancing. The party's main target for government savings is Medicaid, and state-level lawmakers are clearing the way for the anticipated federal changes. Medicaid covers roughly 80 million American adults...
Arizona News

Trump Administration Expected to Implement Medicaid Reforms

Although the topic of Medicaid was largely left out of both campaigns this election cycle, the incoming Trump administration is expected to make some major policy changes to the safety net health program now covering 69 million Americans. Medicaid and the Children's Health Insurance Program (CHIP) are likely bargaining chips to make...
Incoming Trump Administration Has the Power to Rock the Healthcare Industry National News

Incoming Trump Administration Has the Power to Rock the Healthcare Industry

The Trump campaign made several promises for the future of U.S healthcare policy that the new administration may or may not be able to fulfill. From the personnel appointed to federal regulatory positions, to abortion to Medicaid, experts are weighing in on how to constrain the next president's ability to affect the...
National News

Debt Ceiling Agreement Reached Without Medicaid Work Requirements

The U.S. House of Representatives has approved a bill to raise the national debt ceiling that will impact residual COVID-19 funding, but leaves Medicaid without work requirements. House Republicans passed a debt ceiling bill that included Medicaid work requirements, which the U.S. Department of Health and Human Services (HHS)...
National News

White House and U.S. House Remain at an Impasse on Debt Ceiling, Medicaid Work Requirements

Negotiations between the White House, Congressional Republicans and Democrats remain at a stalemate as the deadline to raise the country's debt ceiling approaches. House Speaker Kevin McCarthy is holding fast to his party's demand for Medicaid work requirements. Under the Republican plan, according to NBC News, Medicaid recipients...
National News

Medicaid Work Requirements Are Unproductive and Costly, Say Experts and Providers

As House Republicans continue to use the threat of the debt ceiling to pass work requirements for the Medicaid program, providers and industry experts are voicing concerns for how such requirements could play out. The bill stipulates that certain adults between the ages of 18 and 55 who have Medicaid coverage in Medicaid expansion...
National News

House Republicans Approve Mandatory Medicaid Work Requirements for Expansion States, Debt Ceiling Increase

The Republican-led U.S. House of Representatives passed House Speaker Kevin McCarthy's (R-Calif.) proposal to raise the national debt ceiling. The deal includes a requirement that certain Medicaid beneficiaries work or volunteer at least 80 hours per month to continue receiving health insurance. Roughly 21 million Medicaid...
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