⚡ KFF’s @amayadiana.bsky.social adds context to yesterday’s CMS announcement to states that they plan to end Medicaid continuous eligibility waivers going forward. #QuickTake on.kff.org/4lU56fb

NEW RURAL BRIEF @kff.org : Senate reconciliation bill would cut federal Medicaid funding in rural areas by $155B—$36B more than the House bill. www.kff.org/policy-watch...

NEW @KFF Brief – Medicaid Work & Reporting Requirements (MH/SUD)--Currently, no mandatory flexibility for temporary crises (e.g., acute mental health episodes). Those briefly falling short of hours may lose coverage at renewal or denial at application. See: www.kff.org/medicaid/iss...

A unique feature of the proposed Medicaid work requirements in the reconciliation bill is that states could choose to require individuals to work for *multiple* months prior to applying for Medicaid - meaning people with employment gaps would not qualify for Medicaid, even if currently working

The work requirements proposed in the “One Big Beautiful Bill Act” are more stringent than previous policies considered by Congress and implemented at the state level. As the Senate debates the bill, our analysis explains the proposals in the House-passed version.

One of the great parts of my job is digging into the data after our initial release. This time I found that we could look at the attitudes of people with Medicaid who are currently working. My key takeaway is that they value work and also really rely on their Medicaid coverage.

See KFF's updated summary for changes to Medicaid provisions in the Senate reconciliation bill: www.kff.org/tracking-the...

New from @kff.org Public Views “Big Beautiful Bill” Unfavorably by Nearly a 2-1 Margin; Non-MAGA Republicans Oppose It, While MAGA Supporters Favor It; Favorability Erodes When People Hear About Health Impacts www.kff.org/affordable-c...

The budget reconciliation bill passed by House Republicans would cut Medicaid and the ACA by $1 trillion over a decade. This would be the biggest rollback in federal support for health coverage, ever. www.kff.org/quick-take/t...

CBO score is up: www.cbo.gov/publication/...

The House reconciliation bill appropriates money for reducing cost-sharing in ACA plans. But, only for plans that don't cover abortion. That will set up a clash in a dozen states that require abortion coverage, and undermine abortion access to low-income people. www.kff.org/womens-healt...

Three in four adults enrolled in Medicaid have one or more chronic conditions. See new @kff.org brief with state and national numbers and condition breakouts-- www.kff.org/medicaid/iss...

Thread: eliminating the 90% federal #Medicaid matching rate would require states to come up with an additional $626 BILLION in their own funds over the next 10 years to continue the Medicaid expansion for nearly 21 million low-income people according to KFF estimates: www.kff.org/medicaid/iss...

NEW: Iowa has released a state proposal for public comment that would require Medicaid expansion adults age 19-65 to work at least 100 hours a month to not have their coverage suspended.

Even as the federal Medicaid debate evolves, some states are already pursuing Medicaid demonstration waivers to introduce work requirements. Yesterday, Arkansas and Arizona submitted Medicaid work requirement requests to CMS. KFF is tracking the latest state activity: www.kff.org/report-secti...

With no disrespect meant to the EHBS, this has to be my fave annual KFF report

NEW @kff.org analysis illustrates what $880B in potential federal #Medicaid cuts could mean for states and residents. Potential Medicaid cuts represent: 29% of state Medicaid spending per resident 6% of state taxes per resident 19% of state education spending per pupil www.kff.org/medicaid/iss...

States have used Section 1115 waivers to expand Medicaid coverage or benefits, change policies for existing populations, modify delivery systems, restructure financing or authorize new payments, and make other program changes. Learn more: on.kff.org/3PRC1SZ

Great new work from @kff.org -- When asked about the consequences of losing Medicaid, a 55-year old Trump voter from Oklahoma said "For me it would, it would probably lead to death, and that’s kinda harshly speaking, but it’s the way that it would be." www.kff.org/medicaid/rep...

We asked Medicaid enrollees who had voted for Trump and Harris about their Medicaid coverage, views on govt’s role in health care, and the recent election. Participants were also asked for their reaction to current proposals to reduce federal spending on Medicaid and impose work requirements. (1/9)

The @KFF #Medicaid team has been busy - check out our round-up of recently released resources: connect.kff.org/medicaid-top...

NEW @kff.org analysis finds a congressional proposal to eliminate the ACA Medicaid expansion could reduce total Medicaid spending by up to nearly one-fifth, or $1.9 trillion, over a 10-year period, and end Medicaid coverage for as many as 20 million people. www.kff.org/medicaid/iss...

The 5 largest companies operating Medicaid managed care organizations — Centene, CVS Health, Elevance, Molina, and UnitedHealth — account for half of Medicaid MCO enrollment nationally. A look at their recent enrollment and financial trends:

Our latest analysis outlines major Medicaid issues to watch in 2025. Potential funding cuts, work requirements, and state budget challenges could impact millions of enrollees. Explore what’s ahead:

New @kff.org poll: What SHOULD be a top priority for Congress & Trump? 1. Price transparency (MOST popular) 2. Chemicals in food 3. Drug price negotiations What SHOULD NOT be? 1. Medicaid cuts (LEAST popular) 2. Abortion limits 3. Less $ to schools w/vax mandates www.kff.org/health-costs...

Hawaii was approved for a Medicaid contingency management program last week. Contingency management uses motivational incentives to encourage recovery for substance use disorder, and is more frequently being eyed for stimulant use disorder (which has no FDA-approved medication treatment option)

In the past month CMS has approved 5 Medicaid waivers to provide reentry supports to individuals leaving incarceration, bringing the total to 16 states. Other major areas of activity include approving services targeting social determinants of health & behavioral health. For more, see KFF’s tracker:

Lots of CMS Medicaid waiver activity leading into the holidays, including new approvals or extensions in California, Kentucky, North Carolina, and West Virginia. Major themes in approvals include pre-release coverage, HRSN services, behavioral health services. See KFF's tracker and updated maps:

Earlier this week CMS approved an extension of North Carolina's Medicaid demonstration. This approval expands housing and nutrition supports for high-risk enrollees, introduces multi-year continuous eligibility for children, and provides reentry supports for individuals leaving incarceration.

Maybe lost in the fray of other election news: South Dakota just passed a ballot measure allowing the state to pursue a Medicaid work requirement. We recap other recent state activity and provide a refresher on the history of Medicaid work requirements

Washington Post confirms Medicaid is high priority target for draconian spending cuts in 2025. Congressional GOP and staff are meeting with Trump economic advisors about pairing Medicaid cuts (and SNAP cuts) with extension of 2017 tax cuts. #healthpolicy www.washingtonpost.com/business/202...

Data from the CDC shows vaccination rates for kindergarten children continue to decline in the U.S. Last school year, only 11 states had MMR vaccination rates above 95%, the "target" rate needed to prevent community transmission of measles. More in our NEW analysis: www.kff.org/policy-watch...

Our tracker and updated maps show the landscape of states adopting these policies, including these new approvals for multi-year continuous eligibility for children in CO, HI, MN, NY and PA:

ok well. In OTHER health news: CMS just approved 5 states' requests for multi-year continuous eligibility for young children enrolled in Medicaid and CHIP. Also approved 12 months continuous eligibility for individuals leaving incarceration in Colorado and Pennsylvania.

@cynthiaccox.bsky.social looked at this. Turns out new mothers have a lot of other expenses, and a little bit of cost-sharing is enough to push some into debt. www.healthsystemtracker.org/brief/medica...

If Medicare and Social Security cuts are off the table, Medicaid and the ACA will have targets on their backs to pay for tax cuts. But, don't underestimate powerful interests that will oppose those cuts, including hospitals, physicians, insurers, patient groups, and governors.

How half of states have taken steps to make it easier for children to get or maintain Medicaid and CHIP coverage since the start of the pandemic:

ICYMI: CMS approved 1115 waivers in Arizona, California, New Mexico, and Oregon to allow Medicaid and CHIP (for the first time ever!) to cover traditional health care practices provided by Indian Health Service facilities

New Mexico was also the latest state to be approved to provide Medicaid services that address housing and nutrition needs. For more on how the current administration has broadened the availability of Medicaid services to address health related social needs, see:

In July, CMS approved a total of 7 states’ requests to use Medicaid to provide pre-release supports and reentry services for individuals transitioning back to the community after incarceration. New Mexico was the most recent of these approvals. See KFF's waiver tracker:

Last week, CMS approved Medicaid waiver requests from Tennessee and Delaware to provide diapers to infants/children. These waiver initiatives aim to improve infant health and prevent avoidable health care use. See KFF's waiver tracker: www.kff.org/medicaid/iss...

For more information on this new waiver opportunity from CMS and how states are using Medicaid waivers to help incarcerated individuals get care and transition back into their communities, see our recent explainer:

Massachusetts is now the 4th state with approval to partially waive the Medicaid "inmate exclusion" policy and provide reentry services for individuals transitioning back to the community after release from incarceration. Colorado also submitted a reentry request last week. See KFF's waiver tracker:

Physician Céline Gounder traveled to India and Bangladesh to bring back unheard stories from the eradication of smallpox, many from health workers whose voices have been missing from the record.

Montana has been approved for limited Medicaid pre-release and re-entry services, making it the 3rd state with a waiver to facilitate re-entry for individuals who are incarcerated

Today's request from PA is the latest example of states looking to use Medicaid Section 1115 waivers to provide multi-year continuous enrollment for children up to age 6. See our summary of Medicaid continuous eligibility waivers for more info: 🩺📊

New KFF analysis looks at how the burden of medical debt opens floodgates to financial distress. 🩺💸 Medical debt is only a part of people's finances, but often compounds financial instability. www.healthsystemtracker.org/brief/how-fi... @cpalosky.bsky.social @cynthiaccox.bsky.social

In our new brief, we outline the different Medicaid authorities and flexibilities that states can use to address the social determinants of health

Not captured in our tracker, but also worth keeping an eye on the trend of state approval for workforce initiatives (e.g., student loan repayments for primary care/behavioral health providers) via 1115 waivers - NY was authorized for $694 million for workforce recruitment/retention 📊🩺

New York is the 8th state to be approved to provide health-related social needs services via a Medicaid 1115 waiver demonstration.    Approved to provide: housing supports (including short-term pre-procedure housing!), nutrition services, case management and transportation to HRSN services