Administration Proposes Billions in Medicaid Cuts

Building on their Thursday, January 30, 2020, their Medicaid Healthy Adult Opportunity waiver proposal, the Administration proposes cuts to Medicaid of $920 billion over the next ten years. The reductions are the result of various restrictions, new requirements (such as work), and various block grant options, as evidenced by January waiver notice to states. Both

A Threat to America’s Children: The Trump Administration’s Proposed Changes to SNAP

On Thursday, February 6, 2020, the Subcommittee on Economic and Consumer Policy, held a hearing entitled A Threat to America’s Children: The Trump Administration’s Proposed Changes to Broad-Based Categorical Eligibility for the Supplemental Nutrition Assistance Program. Five witnesses gave testimony: Lisa Davis, Senior Vice President of the No Kid Hungry Campaign, Zach Pethan, Principal of

Administration Moves on Optional Medicaid Block Grant

On Thursday, January 30, the Trump Administration followed up on last week’s reports with their Medicaid Healthy Adult Opportunity proposal. The announcement came through CMS Administrator Seem Verma with careful avoidance of using the term block grant. The Administration is attempting to use their waiver authority to allow a more limited Medicaid block grant. In

MACPAC report on IMDs

The Medicaid and CHIP Payment and Access Commission (MACPAC) produced a report to Congress on the oversight of Institutions of Mental Diseases (IMDs). “MACPAC serves as a non-partisan legislative branch agency and independent source of information for Medicaid and CHIP and are responsible for reporting to Congress.” Federal definition for IMD are a “hospital, nursing

ACA Path to Full Coverage Outlined

Last week, Dr. Ezekiel Emanuel, a key Obama Administration advisor on health care reform, described how several states, using the ACA, have achieved near-universal coverage. At the same time, the Trump Administration moved forward on a proposal that would turn the Medicaid program into a partial state block grant. Emanuel writing in Politico said that

Maternal and Infant Health Crisis in America

On Tuesday, January 28, two subcommittees of the House Committee on Education and Labor, the Subcommittee on Health, Employment, Labor, and the Subcommittee on Pensions and Workforce Protections conducted a hearing entitled Expecting More: Addressing America’s Maternal and Infant Health Crisis. Testimony was given by three witnesses: Stacey Stewart, CEO of March of Dimes, Nikia

NIH Study Finds Prenatal Smoking and Drinking Increase Risk for SIDS

The Centers for Disease Control (CDC) Prevention found that in 2017 there were 1,400 deaths sue to sudden infant death syndrome (SIDS) in the United States. SIDS is the leading cause of postneonatal mortality, with an overall rate of 0.39/1000 births. The National Institutes of Health (NIH) supported study, Concurrent prenatal drinking and smoking increases

Suicide Rates Are the Highest in the U.S. Compared to Wealthy Countries

The Commonwealth Fund published a new report that analyzes health care data in the United States and offers a cross-national comparison. The report looks at how the United States compares to wealthy countries, including Canada, Norway, and the United Kingdom, and found that the U.S. holds the highest suicide rates and lowest life expectancy, despite

Medicaid Block Grant Resurface For 2020

In the past week, several publications have reported that the Administration is readying a proposal to allow states to take a block grant of Medicaid funding. Publications, including the Wall Street Journal and Politico, are describing efforts by CMS Administrator Seema Verma to develop the policy. The proposal would be issued through a letter to

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