From @adamsearing.bsky.social the latest on the budget reconciliation law rural health fund. Trump Admin is telling states they can’t use more than 15% of $ for provider payments including to rural hospitals & wants states to expand enrollment in short term plans. ccf.georgetown.edu/2025/09/19/u...

Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...

I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina: Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics? ccf.georgetown.edu/2025/09/19/u...

ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...

Buried in grant docs for HR1 Rural Health Fund: States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5 www.grants.gov/search-resul...

Commentary - Is West Virginia ready for Capito Care? westvirginiawatch.com/2025/07/31/i...

Messaging spin v. actual wording of the law that passed Congress: Coming federal Medicaid cuts hitting state budgets will not be negated by the newly-created but misnamed Rural Health Transformation Program. ccf.georgetown.edu/2025/09/02/u...

Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.

My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/t...

@adamsearing.bsky.social and I wrote a blog about the "One Big Beautiful Bill" -- its an attack on the vision of universal coverage of the Affordable Care Act - President Obama's legacy. ccf.georgetown.edu/2025/06/11/t...

Rural fund is thus a "fig leaf" to placate R Senators concerned about #Medicaid cuts. It's small/capped, temporary while the cuts are permanent, poorly targeted, gives discretion to Trump Admin to send $ to favored states, and may not even go to help rural hospitals actually hurt by the cuts (8/x)

The Senate version of the Medicaid work requirement in the "OBBB" doubles down and worsens a bad policy advanced by the House. It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies. 🧵

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)

Want to know what Congress did to Medicaid in the middle of the night? 🔥 off the presses our georgetownccf.bsky.com explains. ccf.georgetown.edu/2025/05/27/m...

Our new report on the role of Medicaid for women of child-bearing age in rural areas w/ state by state data is here Medicaid covers 47% births in rural areas Rural areas have been losing labor + delivery units. Medicaid cuts will make this scary situation even worse for moms and babies.

New blog from @joanalker1.bsky.social & me on the latest developments with the draconian #Medicaid cuts in the House GOP reconciliation bill including new CBO estimates and Rules Committee changes making the cuts even harsher: ccf.georgetown.edu/2025/05/20/m...

CNN: "House Republicans are pushing to slash nearly $1 trillion from two of the nation’s bedrock safety net programs, Medicaid and food stamps....millions of Americans could lose access to these benefits as a result of a historic pullback in federal support." www.cnn.com/2025/05/21/p...

My @georgetownccf.bsky.social colleague Leo Cuello's detailed overview of Medicaid and immigrant health coverage - and how kids and pregnant women who are legal immigrants are now being targeted for health coverage cuts by the House "big beautiful bill" ccf.georgetown.edu/2025/05/21/t...

Our new report on the role of Medicaid for women of child-bearing age in rural areas w/ state by state data is here Medicaid covers 47% births in rural areas Rural areas have been losing labor + delivery units. Medicaid cuts will make this scary situation even worse for moms and babies.

An under-appreciated aspect of a Medicaid work requirement is the enormous administrative expense involved in managing reporting by enrollees of their work hours or eligibility for an exemption.

Thursday May 15th at9:45 ET we release a new report on Medicaid's role for women of child-bearing age in rural America. Open to all. We have some great speakers including @katybkoz.bsky.social @edwincpark.bsky.social will share the latest from the House markup georgetown.zoom.us/webinar/regi...

My Georgetown CCF colleague Leo Cuello examines the harsh #Medicaid work requirement provision being considered in the House Energy and Commerce Committee as we speak: ccf.georgetown.edu/2025/05/13/h...

My new Georgetown CCF blog on harmful impact of the House Energy and Commerce Committee reconciliation bill’s restrictions on state use of #Medicaid provider taxes which will make it much harder for states to finance their share of Medicaid costs: ccf.georgetown.edu/2025/05/13/h...

My new @georgetownccf.bsky.social blog on some of the cuts (and an attempt to change state policy toward immigrants) targeting Medicaid expansion in the House’s budget reconciliation bill ccf.georgetown.edu/2025/05/13/c...

Citations/text of all Medicaid expansion trigger law provisions and text of all three Medicaid expansion constitutional amendments: How proposed federal Medicaid cuts will translate to coverage losses in these states. My new blog: ccf.georgetown.edu/2025/04/30/h...

My blog on new state-level estimates from @kff.org & @urbaninstitute.bsky.social of cost-shifts to states from imposing a #Medicaid per capita cap on federal expansion $, likely resulting in states terminating expansion as under direct cuts to the 90% match rate: ccf.georgetown.edu/2025/04/28/n...

As Congress considers proposals to reduce federal #Medicaid spending to offset tax cuts, proposals to target the expansion group may be on the table. Check our 5 Key Facts about the expansion group: www.kff.org/medicaid/iss...

House GOP now talking openly talking about "quarterly elig checks for Medicaid" This would repeal a vital protection for nearly 1/2 of the children in the US and lead to an ⬆️ in more children having periods of being uninsured.

This is an important new blog from my colleague Edwin Park looking at the direct impacts of potential Congressional Medicaid cuts under discussion right now.

Important new Georgetown CCF blog from my colleague @adamsearing.bsky.social on harmful impact of cutting federal #Medicaid expansion $ including how per capita caps would interact with state trigger laws and effect of enshrining expansion in state constitutions: ccf.georgetown.edu/2025/04/28/c...

Republican Medicaid cuts could shutter rural hospitals, maternity care wapo.st/4bxJosO

With his permission, I'm sharing Dean Treanor's response to Ed Martin's letter:

Here is CBO confirming the obvious. To meet House budget resolution's target that Energy and Commerce Committee make at least $880 billion in mandatory spending cuts and Medicare is excluded, deep #Medicaid cuts are absolutely necessary as there isn't much other spending. www.cbo.gov/publication/...

My new @nejm.org Perspective: Medicaid on the Chopping Block posted today, discussing the many essential roles #Medicaid plays and the major cuts now under consideration that could take away coverage and access from millions of low-income people. www.nejm.org/doi/full/10....

The movie is not over yet but the passage of the House Budget Resolution tonight with at least $880 billion of cuts to Medicaid/CHIP is an ugly scene to be sure. To understand what kinds of proposals to cut Medicaid are on the table read my colleague @edwincpark.bsky.social blog.

With House passage of its budget resolution and its requirement of at least $880b in #Medicaid cuts, here again is my writeup from January of all of the deeply damaging Medicaid proposals under consideration to meet that target amount of cuts: ccf.georgetown.edu/2025/01/20/h...

New Urban Institute report on impact of cutting federal $ for #Medicaid expansion. If in place in 2026, states must increase their spending by $44b in that year (+26%) or drop expansion with 16m losing coverage. 3.4m would lose coverage right away due to trigger laws: www.urban.org/research/pub...

With House Republican leadership trying to falsely claim their draconian $880b in #Medicaid cuts is only about curbing fraud, read this essential blog from my colleague Andy Schneider: ccf.georgetown.edu/2025/01/10/t...

So misleading. Budget resolution requires Energy & Commerce to come up with at least $880b/10 years in savings. If you're protecting Medicare than based on E&C's jurisdiction, most or all of the cuts have to come out of #Medicaid. The math is the math. And the cuts are then locked in moving forward!

As soon as Tuesday the House may vote on a budget resolution with at least $880b in #Medicaid cuts. The major cuts being considered are from the same tired playbook used for failed 2017 ACA repeal bills despite new claims that they are only about combating fraud. ccf.georgetown.edu/2025/02/24/s...

New Georgetown CCF issue brief on the importance of #Medicaid for active-duty military families and for readiness: ccf.georgetown.edu/2025/01/27/m...

"If all states drop Medicaid expansion in response to [federal funding cuts: Medicaid/Children's Health Insurance Program enrollment would decline by 15.9 million people, or 21.8 percent, and the number of uninsured people would rise by 10.8 million, or 37.9 percent." www.urban.org/research/pub...

The House GOP budget resolution target of $880 billion in #Medicaid cuts is a floor not a ceiling. It is AT LEAST $880b in cuts. The Energy & Commerce Committee could report even deeper cuts and there would be pressures to do that because of the priority of making the tax cuts as large as possible.

Medicaid has bipartisan support, especially in a state with lots of rural areas and small towns. dailymontanan.com/2025/02/20/m...

Yes, hundreds of billions in cuts to Medicaid would mean millions of Americans would lose health coverage - regardless of party or if they live in a red or blue or purple or magenta whatever state. www.npr.org/sections/sho...

As Trump, GOP grow leery of #Medicaid cuts, here’s who may foot tax-cut bill www.marketwatch.com/story/as-tru...

As Congress considers very large cuts to Medicaid did you know that ten percent of children in active duty military families who are covered by TriCare are also covered by Medicaid? #LearnAboutMedicaid

t's been a while, but the impact on local folks and our town budget of the cuts and craziness happening in Washington DC at the moment got me cranking out yet another edition of my Chapel Hill newsletter.... mailchi.mp/adam4chapelh...

New from CCF on how #Medicaid supports children in foster care and other at-risk children, youth and families: ccf.georgetown.edu/2025/02/13/h...

that stream might not usually be there on the hike at Twin Creeks, but you've just got to keep moving even if it is 38 degrees