Looks like Nebraska will be the state to watch as they rush to implement #Medicaid work requirements in 2026, with community engagement set to become part of the enrollment and renewal criteria in May. www.1011now.com/2025/12/17/n...

Who decides whether someone is considered medically frail under #Medicaid? As work requirements approach, a new analysis explains why state-level definitions will matter for access to coverage www.commonwealthfund.org/blog/2025/ho... #healthpolicy

I agree that there didn't seem to be much in today's CIB, and, with formal guidance coming in June 2026, states really have their work cut out for them in order to start educating #Medicaid enrollees by September 2026 at the latest. www.medicaid.gov/federal-poli...

Once again KFF has a a great tracker that you should bookmark if you're interested in #Medicaid work requirements: www.kff.org/medicaid/med...

More than a yr ago, for example, a federal judge ruled that Missouri’s food aid system was “overwhelmed,” had wrongly denied assistance to applicants, & had caused many to go hungry as a “direct result of the system’s inadequacy.” #SNAP www.governing.com/policy/new-w...

⭐️ CHPC Associate Center Director Dr. William Schpero did a short video feature for the American Journal of Managed Care: "Work Requirements, Expiration of Subsidies Will Leave Millions Without Insurance." 📹 Watch here:

New analysis on rural primary care finds: 🏥 Demand for rural primary care physicians is projected to exceed supply by 2037 🚑 Nearly 1 in 4 rural adults used the ER for needs that could be treated in primary care 💻 Only 19% received primary care via telehealth, compared to 29% nationally Details ⤵️

Much of the implementation discussions of HR 1/OBBA have centered on work requirements & other #Medicaid expansion provisions. A new brief from @clasp.org discusses how nonexpansion states will be impacted by HR 1/OBBA www.clasp.org/publications... #healthpolicy

Not only can you comment on federal regulations, you can also comment on #Medicaid 1115 waivers. There are state and federal comment periods for these multi-year Medicaid demonstrations. #healthpolicy

One of the weedy things I worry/wonder about is (1) how aware of the premiums changes enrollees are, and (2) among those who aren't aware, how many are having their premiums automatically debited from their bank accounts?

ICYMI: New piece discusses considerations and suggestions for implementing the the behavioral health exemption to the new mandatory #Medicaid work requirement www.commonwealthfund.org/blog/2025/ho... #healthpolicy

New blog on a Center for Medicare and Medicaid Innovation model to implement recent White House pricing agreements with manufacturers. While we now know how the model will interact with the #Medicaid rebate program, several key questions remain unanswered: ccf.georgetown.edu/2025/11/18/s...

"A KFF survey of Medicaid officials in all states and the District of Columbia found almost two-thirds face at least a "50-50" chance of a Medicaid budget shortfall in FY 2026." #Medicaid #healthpolicy

Rural hospitals in nonexpansion states could be the biggest losers if enhanced premium tax credits are allowed to expire www.commonwealthfund.org/blog/2025/wi... #healthpolicy #ruralhealth

ICYMI: “They own a product that has become a core piece of the safety net,” said Luke Farrell, who worked in the USDS during the Biden admin supporting state #Medicaid programs. “I’ve never seen another vendor do such price hikes across public benefits.” www.nytimes.com/2025/11/03/h...

JAMA Health Forum is offering one editorial fellowship for an early-career scholar with a background in statistics, causal inference, or quantitative methods. The fellow will work closely with our statistical editors. This 1-year program begins Jan 1, 2026. ja.ma/3X6SPsK

Reliable access to comprehensive contraceptive services in #Medicaid has led to lower rates of unintended pregnancy and improved the health and economic well-being of women and their families, but HR1 threatens access to family planning services www.commonwealthfund.org/blog/2025/ch...

The Supplemental Nutrition Assistance Program (SNAP) isn’t just an anti-hunger program — it’s also an economic stabilizer for families and communities. In this article, we lay out what’s at stake for families, states, and the food economy if these cuts take effect.

Rural hospitals & clinics nationwide face a looming financial catastrophe...Congressional Republicans added the 5-year Rural Health Transformation Program as a last-minute sweetener...Yet, words from CMS are generating tension between hospital & clinic providers & new technology-focused companies

Being a family caregiver whether for a spouse, aging parent, sibling, or child with special health care needs is no easy task. This piece is a great starting point for navigating new realities and emotional ups and downs www.npr.org/2025/10/18/n...

"The fact that it still went though…was a real sense of disconnect with what our legislators are doing and what we as a health care community feel like is the reality on the ground." www.npr.org/sections/sho... #Medicaid #OBBBA #healthpolicy

Opt-in apps/web-based tools will not be sufficient to reduce the anticipated loss of coverage expected when Medicaid work requirements are implemented. They also ignore areas with limited or no internet access. www.cnn.com/2025/10/22/h... #Medicaid #healthpolicy

Great thread for Medicaid researchers using or considering using TMSIS 🧵 So glad to have have helped support this work! #Medicaid #healthpolicy

“FQHCs are going to have a dramatic increase in volume of care,” said Gerard Anderson, a professor of health policy @ Johns Hopkins. “They’re going to be stretched even more thinly than they have been,” he added. “It’s going to be a nightmare.” www.nytimes.com/2025/10/22/h... #Medicaid #healthpolicy

I was brushing up on Medicaid drug rebates this morning. This 340B explainer was really helpful for highlighting some of the interactive issues www.commonwealthfund.org/publications...

New report estimates economic impact of allowing the ACA Marketplace enhanced premium tax credits to expire. See how your state is impacted - www.commonwealthfund.org/publications... #healthpolicy

Have questions about how HR 1 and other administrative actions are going to change coverage for immigrants? We have answers in this new explainer, which discusses Medicaid, Medicare and Marketplace, as well as likely impacts www.commonwealthfund.org/publications... #healthpolicy

Great thread on some new #Medicaid unwinding analysis. 🧵 Key takeaway for me: "Continuous eligibility policies may not have the intended effect on access to coverage if beneficiaries do not understand that they remain enrolled in the program." #healthpolicy

Decades of progress on children’s health coverage is being slowly erased, with the U.S. rate now at a 10-year high. Texas still has the highest rate of uninsured kids, with a total of over 1 million. publichealthwatch.org/2025/10/14/u...

States are already starting to respond to HR 1 w/ provider rate cuts and requests for add'l staff to implement #Medicaid changes. Evidence suggests cuts will harm patients & providers www.commonwealthfund.org/blog/2025/st...

Is it too late to fix the enhanced premium tax credits? Open enrollment starts Nov 1. Most premium rate increases are already locked in. More here: @sabrinacorlette.bsky.social #healthpolicy @healthaffairs.bsky.social tinyurl.com/yjtv5s6x

Florida is violating federal law for children covered by CHIP and thousands are losing coverage. The Trump Adminstrarion is not enforcing the law. www.wusf.org/health-news-...

New piece in JAMA highlights how HR 1 changes for financing Emergency #Medicaid are unlikely to produce significant savings but may financially harm safety net providers. jamanetwork.com/journals/jam...

People experiencing homelessness or housing instability are more likely to be found by many systems to have invalid addresses. Kids in child welfare & people recently released from incarceration are also likely to face issues with address verification. www.healthaffairs.org/content/fore... #Medicaid

"Even though women are eligible for Medicaid during pregnancy and for a year after giving birth, Richardson says, people are not always clear on the law." #Medicaid

The adults likeliest to lose Medicaid coverage from new work requirements tend to be sicker and may be juggling multiple prescription drugs for chronic and function-limiting illnesses, a new study found. jamanetwork.com/journals/jam...

“We could make (cervical cancer) an eradicated disease,” said Dr. Emily Boevers, an Iowa OB-GYN. “But everything is falling apart at the same time.” Story by Kelcie Moseley-Morris.

Undocumented immigrants, under longstanding policy, have been and continue to be ineligible for federally funded health coverage. Medicaid, ACA, and Medicare eligibility cuts in H.R. 1 apply to lawfully present immigrants.

➡️ Please spread the word: The Medicaid Data Learning Network (MDLN) is launching a survey to gain insights into researchers’ use of federal Medicaid claims data (TAF). The survey will help the MDLN advocate for improvements to data access / quality. weillcornell.az1.qualtrics.com/jfe/form/SV_...

“This is terrifying. I’m looking at a government that’s looking me in the face and they’re saying ‘your life does not matter,’” Jerrod says. “And Baby, I know my life has value.” wordinblack.com/2025/09/the-... #Medicaid #healthpolicy #healthequity

States may need to establish new mechanisms to purchase & administer vaccines outside VFC, which might require a SPA + approval from CMS. And while states could use state-only $ to pay for services not covered w federal #Medicaid $ this is unlikely given severe budget constraints facing many states.

NC's Healthy Opportunity Pilot was a promising demo: An analysis by the UNC School of Medicine found the program saved $1,000 annually for each of the 13,000 #Medicaid recipients enrolled in the pilot, which covers three rural swaths of the state. www.nytimes.com/2025/09/29/h... #healthpolicy

Good thread if you need a refresher on how #Medicaid could be be impacted by a federal government shutdown 🧵

New resource from NAMD explains provider taxes and key HR 1/OBBBA changes - concise & easy to understand breakdown of a complex issue medicaiddirectors.org/resource/how... #Medicaid #healthpolicy

"But enrollment in Georgia Pathways has remained low. The most recent state data shows that 9,175 of the nearly quarter-million low-income Georgians eligible for the program were enrolled as of Aug. 31." #Medicaid #healthpolicy www.propublica.org/article/geor...

New report estimates the impact of #Medicaid work requirements on hospital finances, with tables showing safety net and rural hospital impacts by state www.commonwealthfund.org/publications... #healthpolicy

A recent survey found nearly 1/2 of rural facilities could close or restructure due to Medicaid cuts. Nearly 3/4 of respondents said they anticipated layoffs or furloughs, including of front-line clinicians. kffhealthnews.org/news/article... #Medicaid #healthpolicy

The 2024 CPS data reflected steep Medicaid coverage loss due to unwinding of a COVID-related Medicaid protection, partly offset by ACA marketplace gains due to enhanced premium tax credits and other policies. Those credits will expire soon if not extended. tinyurl.com/yc3rt45t

As always, today's CPS data release shows that states that expanded Medicaid under the ACA had MUCH lower uninsured rates than the 10 holdout states that still haven’t expanded. tinyurl.com/bdfadufc

“The changes mean that about 10 million fewer people are expected to have health insurance over the next decade,” per CBO. Important story from Yasmeen Abutaleb and @maevereston.bsky.social on the costs and consequences of Trump’s budget bill — and, especially, the big decisions looming for states.