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Medicaid

June 24, 2019 | Daily News

CMS appears to be postponing its plan to undo a longstanding regulation that requires state Medicaid programs to provide transportation for beneficiaries to travel to and from non-emergency medical appointments.

June 21, 2019 | Daily News

A campaign to expand Medicaid in Oklahoma through a ballot initiative cleared its first legal hurdle when the state’s highest court ruled that the proposed text of the ballot measure is valid.

June 20, 2019 | Daily News

The first major academic study of Medicaid work requirements concludes that, after work requirements took effect in Arkansas last year, the policy caused thousands of people to lose health insurance but did not boost employment among low-income people.

June 20, 2019 | Daily News

CMS on Thursday (June 20) released guidance that makes clear CMS’ expectations for how states should make sure they correctly determine Medicaid eligibility for the expansion population after lawmakers raised concerns following recent audits from the Office of Inspector General and others that found some states did not correctly determine eligibility.

June 20, 2019 | Daily News

The House passed legislation Tuesday (June 18) to stop authorized generics from lowering the rebates that drug companies must pay in Medicaid. The rebate measure was also included in the president’s budget request.

June 19, 2019 | Daily News

The House late on Tuesday (June 18) passed legislation that would fund the Money Follows the Person demonstration through 2024, preserve asset protections for the spouses of Medicaid beneficiaries who receive long term care benefits and extend the Community Mental Health Services Demonstration.

June 17, 2019 | Daily News

Former FDA Commissioner Scott Gottlieb named payer tactics as one of the biggest obstacles facing the gene therapy space, as novel drugs seeking coverage after receiving FDA approval are often viewed by payers as not having enough data on which to base a coverage decision.

June 14, 2019 | Daily News

CMS will allow Washington to enter outcomes-based contracts with drug makers in Medicaid under a State Plan Amendment that facilitates use of a subscription model for purchasing hepatitis C drugs, the agency announced Wednesday (June 12).

June 13, 2019 | Daily News

Former Senate Majority Leader Tom Daschle (D-SD) said the Bipartisan Policy Center’s rural health task force plans to release policy recommendations in 2020 and hopes to bring rural health issues to the forefront of candidates’ agendas -- but two former GOP lawmakers on the task force said rural health proposals shouldn't become a part of a presidential debate or they could become too divisive to get through Congress.

June 13, 2019 | Daily News

CMS is auditing California, Kentucky and New York — and will soon begin an audit of Louisiana — following reports that those states incorrectly determined Medicaid eligibility for some beneficiaries who received coverage through the Affordable Care Act’s Medicaid expansion, CMS Administrator Seema Verma said in a letter to Senate Finance Committee leaders.

June 12, 2019 | Daily News

CMS Administrator Seema Verma and senior advisor to the president Kellyanne Conway touted efforts by CMS and the Trump administration to improve maternal health in rural areas by extending Medicaid coverage for postpartum women with substance use disorders, but advocates said Medicaid coverage should be extended for all postpartum women and more states should expand Medicaid, speaking at a Kaiser Family Foundation event Wednesday (June 12).

June 10, 2019 | Daily News

CMS on Monday (June 10) opened a federal public comment period on South Carolina’s request to join other conservative states in adding work requirements to their Medicaid programs.

June 07, 2019 | Daily News

New Hampshire told a federal judge Thursday (June 6) that imposing Medicaid work requirements and rolling back retroactive eligibility are “common-sense measures designed to provide medical assistance to eligible populations in a fiscally responsible and sustainable manner.”

June 06, 2019 | Daily News

The White House Office of Management and Budget has begun its review of a planned CMS guidance letter that stakeholders expect will allow states to convert their federal Medicaid funding into some form of a block grant.

June 06, 2019 | Daily News

A proposed ballot measure to expand Medicaid in Florida has cleared an early hurdle on the path to be added to next year’s ballot.

June 06, 2019 | Daily News

Members of the House Energy & Commerce health subcommittee agreed that extending funding for community health centers, the National Health Services Corps, and the Teaching Health Center Graduate Medical Education program for more than two years is a priority, but some House Republicans at a hearing on Tuesday (June 4) expressed concern about paying for the programs.

June 05, 2019 | Daily News

The bipartisan National Governors Association wants the federal government to let states import drugs and exclude Medicaid coverage of fast-tracked, first-in-class drugs while additional tests are done on them.

June 05, 2019 | Daily News

A key racial disparity in timely cancer treatment virtually disappeared in states that expanded Medicaid, according to a new study from Yale University.

June 05, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) said Wednesday (June 5) that he wants drug makers to take on a share of costs in the catastrophic phase of Medicare Part D, and health insurance plans to also pay more.

June 04, 2019 | Daily News

House Republicans on Tuesday (June 4) warned against repealing the Medicaid disproportionate share hospital (DSH) cuts that are scheduled to take effect in September, instead calling for another delay of the cuts or a restructuring of the formula that is used to calculate Medicaid DSH payments.

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