“If you want to fight fraud, don’t take away money from states’ fraud control units. I chalk this up to more political theater to distract voters from historic Medicaid cuts before the midterms.” @joanalker1.bsky.social

From @ewburak.bsky.social & @joanalker1.bsky.social Young Children’s Uninsurance is On the Rise – What Can Be Done to Protect Child Health? ccf.georgetown.edu/2026/06/26/y...

Today Montana becomes the second state after Nebraska to implement Medicaid work reporting requirements. Given the rule was finalized just one month ago and had many changes there is no way the system there is ready.

Color me skeptical. Taking away a state's funding to prosecute Medicaid fraud is not a good way to reduce Medicaid fraud.

Still time to sign up - come learn about Medicaid and upcoming changes to financing.

Important news.

Federal law guarantees 12 months of continuous coverage in Medicaid and CHIP for children. Preventing young children from falling through the cracks as states implement HR1 requires the attention of already-overextended state officials. w/ @joanalker1.bsky.social ccf.georgetown.edu/2026/06/26/y...

@edwincpark.bsky.social and I blogged about new federal guidance on budget neutrality in Medicaid Section 1115 waivers. This is part of the tsunami of Medicaid cuts and changes hitting states in 2027 ccf.georgetown.edu/2026/06/25/t...

There are some uncomfortably eugenicist vibes in Trump’s latest disability policy, which authorizes states to institutionalize more Americans. open.substack.com/pub/thebulwa...

@GeorgetownCCF will be holding a webinar on the basics of Medicaid financing next Tuesday June 30 at 230p ET. I say basics, but it’s complicated so come learn with us. The webinar is free and open to all. Register here: georgetown.zoom.us/webinar/regi...

NEW! 🎧@mrbimpact.bsky.social @joanalker1.bsky.social @georgetownccf.bsky.social on the increasing rate of uninsured young children PLUS Heidi Heitkamp @onecountryproject.bsky.social on land preservation & Farm Bill. Listen anywhere or here: tinyurl.com/y9c94v2y

Great blog from our colleague Adam Searing. ccf.georgetown.edu/2026/06/18/w...

The pattern continues of CMS doubling down on Medicaid cuts and making them worse as they implement HR 1 HR 1 language requires actuarial analysis of longstanding and new budget neutrality agreements. The sentence from new CMS guidance says it all – Secretary wants budget CUTS not budget neutrality

"California, Texas, Indiana, Florida, Georgia, Illinois, Ohio, Arizona, Virginia and Kentucky accounted for 67% of enrollment losses. The geographic and political diversity of these states underscores that this is a widespread problem." #Medicaid #CHIP #healthpolicy

My latest blog explores the 2 million decline in child Medicaid enrollment and which states are seeing the largest declines. ccf.georgetown.edu/2026/06/10/w...

The R talking point on Medicaid “fraud” unvarnished version.

White House's 11th hour intervention into the Medicaid work reporting requirement regulation issued last week puts coverage in jeopardy for patients with serious and life threatening conditions such as cancer, lupus etc Patient groups say Congress broke their promise www.lung.org/media/press-...

Wow, what a great piece from Public News Service. Take a look!! app.publicnewsservice.org/story/younge...

The number of uninsured young children has risen across the U.S., report finds, but Texas has the most www.dallasnews.com/news/public-...

My statement on the new Medicaid work reporting requirement regulation is below. Short take: Winners = tech vendors Losers = 1. people with chronic and acute conditions like cancer and SUD; 2. states trying to implement the rule responsibly. ccf.georgetown.edu/2026/06/02/n...

Trump Administration Announces Stricter Rules for Medicaid Work Requirement www.nytimes.com/2026/06/01/u...

I haven't seen a read of the literature this selective since, well, 2018 when the first Trump administration tried to argue that work requirements would improve health because people who worked were healthier on average aspe.hhs.gov/reports/medi...

Our new report breaks down the rise in child uninsured rate from 2022-2024 by age Tragically babies, toddlers and preschoolers lost coverage at a higher rate than older kids. And b/c Medicaid child enrollment is ⬇️ so quickly now the child uninsured rate is likely still rising.

Our monthly call for the media is tmrw, Monday June 1st at noon ET. We're releasing a report on uninsured rates for littles under age 6 with state by state data. Our experts are available to take q's on recent Medicaid SDP regs + other actions by the Trump Admin. Contact @gothope.bsky.social

C $5 billion spent on extra judicial killings that have accomplished nothing and soon many people with SUD will lose Medicaid due to shoddy implementation of work reporting requirements. Boat Strikes Have Failed to Curb Flow of Cocaine to U.S., Experts Say www.nytimes.com/2026/05/29/w...

Our updated @georgetownccf.bsky.social tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children. This is very bad news b/c the child uninsured rate is likely going up as a result. And this is before HR 1 Medicaid cuts kick in.

👀 New Proposed Medicaid rule from Trump Administration goes way beyond what Congress put in HR1 and ⬆️ the cuts from $149B to $510B👀 New blog from Leo Cuello: CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule ccf.georgetown.edu/2026/05/28/c...

Some good news for a change! ccf.georgetown.edu/2026/05/22/f...

👀👀 New from CBO - 3 million kids will lose Medicaid bcuz of the Trump budget bill last year with huge cuts to Medicaid. Remember the rhetoric that kids would be protected? Not so. When kids lose Medicaid the child uninsured rate goes up. cbo.gov/system/files...

Kudos to @georgetownccf.bsky.social CCF team - our 43 state tracker on implementating Medicaid work reporting requirements is live! We'll be tracking enrollment, state policy choices and operations, vendors and admin $, materials for consumers. Here's Montana. ccf.georgetown.edu/feature/trac...

👀 in other Medicaid news today a proposed rule by the Trump Administration is now at OMB for final review on weedy but critical topics like budget neutrality for waivers, state directed payments and more.. Expect more restrictions on state's Medicaid spending here. reginfo.gov/public/do/eA...

I wonder if they checked the math this time since they had to retract their claims about alleged Medicaid fraud in NY which were grossly inaccurate. apnews.com/article/new-...

A very informative blog from my colleagues Adriana Kohler and Jade Little about state outreach materials so far on Medicaid work reporting requirements for consumers. Nebraska and Montana the two early adopters do not inspire confidence. ccf.georgetown.edu/2026/05/07/w...

In other Nebraska news... The plaintiff in this case is a person with developmental disabilities whose Medicaid services were reduced arbitrarily by an algorithm.

Nebraska rushes to put the federal Medicaid work reporting mandate in place. People will likely fall through the cracks, leading to more uninsured people. That will put additional strain on ERs as uninsured people have nowhere else to turn to for care. @joanalker1.bsky.social @neappleseed.org

On #StarWarsDay this from #Andor is relevant today and every day: “The distance between what is said and what is known to be true has become an abyss. Of all the things at risk, the loss of an objective reality is perhaps the most dangerous.” -Mon Mothma (1/2)

"Nebraska Health Center Association CEO Amy Behnke noted that getting documentation to satisfy new work requirements for Medicaid eligibility could be particularly tough for seasonal workers. This is no small issue in such a farm-heavy state as Nebraska."

While planning for Medicaid work requirement implementation continues, states have reported making several policy choices that can affect paperwork and staff capacity. More in our survey: https://on.kff.org/4cUFJWX

From my Georgetown CCF colleagues Hannah Green and Anne Dwyer, New Report Shows How States Can Leverage School Medicaid Programs to Protect K-12 Education Funding ccf.georgetown.edu/2026/05/01/n...

Today, Nebraska becomes the 1st state to launch Medicaid work requirements ahead of the mandate on 1/1/27. Work requirements sound good to some, but they don't work at promoting work. In fact, the opposite is true. Work requirements are v. effective at taking away needed health coverage though.

It is now May 1st and Nebraska's website no longer says it may have outages this weekend after the Medicaid director was asked about this by reporters. HMMM.

Unfortunately for the many Americans who rely on Medicaid for their health coverage including 40-50% of kids and pregnant women the only “max Medicaid” they’re getting from this President is the biggest cuts in history.

From @joanalker1.bsky.social Congress Wanted to Protect People Living in Areas with High Unemployment from Losing Health Care Due to Work Reporting Requirements. Will it Actually Happen? ccf.georgetown.edu/2026/04/23/c...

It is almost here! The annual Medicaid/CHIP eligibility and enrollment 50-state survey from @kff.org and @georgetownccf.bsky.social is being released tomorrow Thursday April 30. This year the survey asked many questions about state plans' to implement mandatory Medicaid work reporting requirements.

👀Nebraska has chosen to go early with implementing Medicaid work reporting requirements on every state 5/1 -- which is Friday! Screenshot below just taken at 4:15 ET 4/29. The state's Medicaid website is going down for maintenance Friday. Scary.

Florida has 2nd highest # of uninsured kids in the U.S. yet the Governor refuses to expand CHIP and continues to violate federal law and make more kids uninsured The Trump Administration is not enforcing federal law Dr Oz talks about his "moral duty" but apparently kids aren't it wapo.st/4mTZHG8

Latest data from federal CMS show a continued ⬇️ in child Medicaid + CHIP enrollment which is troubling. From 1/25 to 1/26 1.5 million fewer kids enrolled. When this happens it typically means the child uninsured rate is going up. medicaid.gov/resources-fo...

Make no mistake: CBO continues to estimate huge cuts to #Medicaid from OBBBA, last year’s reconciliation bill, despite Trump Admin officials’ false claims otherwise. In fact, CBO projects that 7 million ppl will lose #ACA Medicaid expansion coverage from 2025 to 2032.

Reminder: In December 2025, buried in highly technical guidance on state reporting for Medicaid + CHIP, Sec. Kennedy quietly DROPPED mandatory reporting of child and adolescent immunization rates for half the kids in the U.S. A radical move away from transparency. www.medicaid.gov/federal-poli...