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January 02, 2020 | Daily News

Stakeholders will have an additional 15 days to weigh in on a controversial proposed rule that seeks to prevent states from manipulating Medicaid supplemental payments in order to receive extra federal funding.

January 02, 2020 | Daily News

CMS approved a waiver allowing Indiana to use Medicaid to fund inpatient treatment for serious mental illness in late December. The state joins Vermont and the District of Columbia in using Medicaid to fund inpatient treatment in certain large facilities for both serious mental illness and substance use disorder.

December 30, 2019 | Daily News

The nursing home industry says an expected recommendation from Congress’ Medicare advisors for fiscal 2021 would hurt long-term and post-acute care providers, as the recommendation would come amid other CMS Medicaid proposals about which the industry is also concerned.

December 20, 2019 | Daily News

CMS awarded grants to 10 states to implement a model to improve health care for pregnant and postpartum Medicaid beneficiaries with substance-use disorders on Thursday (Dec. 19).

December 19, 2019 | Daily News

CMS is reviewing Nebraska’s proposal to adopt a two-tiered version of Medicaid expansion in which beneficiaries would have to satisfy a work requirement and other criteria in order to qualify for full Medicaid benefits.

December 16, 2019 | Daily News

The end-of-year spending deal released Monday (Dec. 16) includes funding for five months for several Medicare and Medicaid extenders, as well as two years of Medicaid funding for the territories and an even longer extension for the Patient-Centered Outcomes Research Trust Fund, as previously anticipated.

December 16, 2019 | Daily News

Kentucky’s new Democratic governor revoked the state’s controversial Medicaid waiver on Monday (Dec. 16), ending the state’s two-year effort to impose work requirements, premiums and new coverage restrictions on hundreds of thousands of beneficiaries.

December 16, 2019 | Daily News

Congress is slated to fully repeal three controversial health care taxes after congressional leaders agreed to include the repeals in an end-of-year spending package, sources familiar with the talks say.

December 13, 2019 | Daily News

The HHS Office of Inspector General plans to look at whether state Medicaid agencies are incorrectly paying Medicaid managed care plans for beneficiaries that have moved to a different state and may be part of two different Medicaid programs, but the head of the National Association of Medicaid Directors says it’s not clear why OIG is taking this up now since the payments have been relatively minor and the issue has been going on for some time.

December 12, 2019 | Daily News

House Democrats on Thursday (Dec. 12) unanimously voted to pass Speaker Nancy Pelosi’s drug pricing bill, and two Republicans crossed party lines to support H.R. 3, too.

December 12, 2019 | Daily News

South Carolina became the first non-expansion state on Thursday (Dec. 12) to receive CMS approval for a work requirements program that specifically targets parents -- though the state at the same time also expanded the number of parents eligible for Medicaid coverage.

December 11, 2019 | Daily News

Mental health and community health center advocates are pushing for passage of surprise billing and drug pricing legislation since the various bills include funding extensions for community health centers and mental health clinics -- a move one congressional staffer close to the Senate Finance Committee bill said was meant to bolster the overall package.

December 10, 2019 | Daily News

GOP lawmakers on a House Energy & Commerce subcommittee took advantage of a Tuesday (Dec. 10) hearing meant to explore ways to move to universal health care to instead blast Democrats’ drug pricing legislation that heads for a vote this week.

December 09, 2019 | Daily News

A second federal appeals court ruled Monday (Dec. 9) that the Trump administration should be allowed to enforce its so-called public charge rule while litigation over the rule proceeds, but a nationwide injunction blocking implementation of the rule remains in effect for now.

December 09, 2019 | Daily News

The House Energy & Commerce Committee is now set to examine nine health care bills at a Tuesday hearing, having added a bill that would incentivize Medicaid expansion and another that would create a federal public option to the list of seven bills that aim to expand health coverage to more Americans.

December 06, 2019 | Daily News

Senate Finance Committee leaders are wrapping Medicare and Medicaid extenders into their updated drug pricing plan released Friday (Dec. 6), a move that comes one day after Democratic House leaders announced the savings from House Speaker Nancy Pelosi’s (D-CA) drug pricing bill would be reinvested into additional Medicare benefits and extenders.

December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 05, 2019 | Daily News

Virginia will no longer pursue an 1115 waiver to impose work requirements on Medicaid beneficiaries in the state’s new expansion population, Gov. Ralph Northam (D) said Wednesday (Dec. 4).

December 04, 2019 | Daily News

The Energy & Commerce health subcommittee will hold a hearing next Tuesday (Dec. 10) to review a slate of bills that aim to achieve universal coverage either through a public option, Medicare or Medicaid buy-ins, or providing Medicare for all residents with or without maintaining private alternatives.

December 03, 2019 | Daily News

The Republican leaders of Michigan’s legislature on Tuesday (Dec. 3) rejected a call from the Democratic governor to suspend the state’s Medicaid work requirements in light of a new lawsuit challenging their legality.