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Medicaid

July 29, 2019 | Daily News

A federal judge on Monday (July 29) again ruled against Medicaid work requirements -- this time by striking down New Hampshire’s plan to adopt the controversial policy.

July 29, 2019 | Daily News

The Trump administration will not allow states to receive enhanced federal Medicaid funding under the Affordable Care Act if they only partially expand Medicaid, a CMS spokesperson confirmed Saturday (July 27), dealing a blow to Utah and other red states that were hoping to adopt limited versions of expansion and still receive the ACA’s full 90% federal match rate.

July 29, 2019 | Daily News

Freshman Democratic Rep. Katie Porter (CA) last week dived straight into an ongoing controversary over industry-funded premium assistance programs by asking HHS’ Office of Inspector General to investigate the American Kidney Fund and suspend the advisory opinion that lets AKF take contributions from dialysis firms without facing anti-kickback penalties.

July 26, 2019 | Daily News

A bipartisan introduced in the House Thursday (July 25) would authorize up to 25 grants to state and local entities seeking to tackle social determinants of health by offering new services to Medicaid enrollees, such as food and housing. The bill was introduced by Reps. Cheri Bustos (D-IL), Jim McGovern (D-MA), Tom Cole (R-OK) and Cathy McMorris Rogers (R-WA).

July 26, 2019 | Daily News

The Senate on Thursday (July 25) approved another short-term funding extension for a pilot program that provides enhanced Medicaid reimbursements to community-based clinics that treat mental illness and substance use disorders.

July 26, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) on Thursday (July 25) warned fellow GOP senators that the drug pricing bill he negotiated with ranking Democrat Ron Wyden (OR) is moderate compared to policies being considered by the Trump administration and House Democrats.

July 24, 2019 | Daily News

The Senate will not vote on drug pricing legislation before the August recess, key committee chairs said Wednesday (July 23).

July 23, 2019 | Daily News

The Trump administration on Tuesday (July 23) asked a federal judge to delay ruling on the legality of CMS’ approval of Medicaid work requirements in New Hampshire, but advocates for beneficiaries and a lawyer for New Hampshire urged the judge to rule quickly.

July 23, 2019 | Daily News

CMS has agreed to tighten reporting guidance and data requirements for state survey agencies on abuse and neglect in nursing homes, but the agency continues to resist calls from the HHS Office of Inspector General (OIG) to examine claims data.

July 23, 2019 | Daily News

The White House expressed support on Tuesday (July 23) for the Senate Finance Committee’s new drug-pricing bill as did the generic drug lobby, but the brand-drug lobby came out against it.

July 23, 2019 | Daily News

The Senate Finance Committee unveiled a long-awaited drug-pricing bill, to be marked up Thursday (July 25), that includes monumental changes to drug-pricing policy in Medicare and Medicaid -- including restructuring the Part D benefit, imposing controversial inflationary rebates in Medicare Parts B and D, and raising the rebate cap in Medicaid.

July 23, 2019 | Daily News

Lawmakers on the Senate Finance Committee did not hesitate to criticize the grand drug-pricing bargain Senate Finance Chair Chuck Grassley (R-IA) and ranking Democrat Ron Wyden (OR) rolled out Tuesday (July 23).

July 22, 2019 | Daily News

Expanding Medicaid coverage is associated with a reduction in mortality among low-income populations that benefit from expansion, according to a University of Michigan study published by the National Bureau of Economic Research Monday (July 22).

July 22, 2019 | Daily News

Justice in Aging says that so-called Duals Special Needs Plans look-alikes will interfere with CMS’ policy initiatives to improve care for those eligible for Medicare and Medicaid if the look-alike plans are left unchecked, and the group is urging CMS to force plans with majority duals enrollment to meet D-SNP requirements -- but the group says plans, not beneficiaries, should be the target of regulatory changes.

July 19, 2019 | Daily News

Executives from Pfizer, Genentech, Amgen and Alkermes met with White House officials Thursday (July 18) to discuss policies to control drug prices, according to sources familiar with the meeting.

July 19, 2019 | Daily News

The Trump administration told a federal appeals court Thursday (July 18) that states should be able to continue testing Medicaid work requirements even as the administration acknowledged problems in how Arkansas initially implemented its first-in-the-nation work requirement program.

July 19, 2019 | Daily News

CMS can accelerate the work of state Medicaid programs seeking to tackle social determinants of health by providing guidance and templates for how to obtain Medicaid waivers, providing a thorough evaluation of existing demonstrations to devise best practices, and facilitating information-sharing between states, according to Medicaid advocates.

July 19, 2019 | Daily News

The White House asked Democrats late Thursday (July 19) to include in a budget deal Senate Democratic drug-pricing policies that would save the government $115 billion, multiple sources say

July 18, 2019 | Daily News

Patients’ groups and some Medicaid policy experts are urging the Trump administration to backtrack from a planned CMS guidance letter that is expected to invite states to use 1115 waivers to accept federal Medicaid money through block grants.

July 17, 2019 | Daily News

The House Energy & Commerce Committee on Wednesday (July 17) unanimously approved legislation that would delay Disproportionate Share Hospital (DSH) cuts, reauthorize Medicaid funding to the territories with increased oversight of Puerto Rico’s funding, fund community health centers and other extenders for four years, and tackle surprise billing.

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