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Attention, brief subscribers: MHPA has returned to publishing two issues of the brief every week, once on Tuesday and again on Thursday.
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The Hill
Healthcare lobbying is about to shift into overdrive in Washington. With Republicans moving full-speed ahead with the repeal of Obamacare, lobbyists on K Street are scrambling to come up with ways to influence the result.
"My sense is that the confusion on the administration side has bled into the legislative side for some associations that did not expect this or did not plan for this," said Jeff Myers, the CEO of Medicaid Health Plans of America. His group has been laser-focused for the better part of a year and a half on talking to lawmakers about how to reform Medicaid, which represents a growing portion of state and federal budgets — something that Republicans are likely to include in their repeal and replace legislation. "We're not sitting on our hands," he said.
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The Hill
The Senate took a first step toward repealing Obamacare and fulfilling a long-time campaign pledge in the early morning hours Thursday. Senators voted 51-48 to pass a budget resolution that is being used as a vehicle for rolling back the Affordable Care Act, with the House expected to vote on Friday.
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The Associated Press via St. Louis Post-Dispatch
Not waiting for President-elect Donald Trump to act first, some Missouri Republican lawmakers are pressing for a healthcare overhaul that could convert the state's Medicaid program into a block grant from the federal government. A Republican-led Senate committee heard testimony Wednesday on legislation that would direct the state to seek a rarely granted "global waiver" from federal Medicaid requirements to reshape the state's healthcare program for the poor. The intent is to seek a block grant that would provide the state greater flexibility on how to spend it.
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Tampa Bay Times
Florida Gov. Rick Scott will name Justin Senior the secretary of the Agency for Health Care Administration, his office confirmed Wednesday. Senior, 45, has been serving in the job as interim secretary since October, when the previous secretary, Liz Dudek, left the agency.
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KCUR-FM
Think twice, and don't be in such a hurry to repeal Obamacare. That's the message that an alliance pushing for Medicaid expansion in Kansas is sending to members of the state's congressional delegation. The Alliance for a Healthy Kansas, a nonprofit advocacy organization with more than 100 members, on Tuesday began distributing a letter to its members and asking them to send it to the state's two U.S. senators and four House members, whom the letter urges to "avoid repealing the Affordable Care Act without putting in place an adequate replacement."
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The Salt Lake Tribune
When President-elect Donald Trump is inaugurated Jan. 20, the fate of Utah's small-scale Medicaid expansion plan will be up to his administration. And health officials say that probably means approval of the plan is still far away.
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Wisconsin Public Radio
Wisconsin hopes to change Medicaid in several ways. The Walker administration would like participants to undergo drug testing, charge smokers more and put time limits on how long people could use Medicaid. At a capitol forum Wednesday put on by the Evidence-Based Health Policy Project, State Medicaid Director Michael Heifetz said Wisconsin would need a waiver from federal health officials to make the proposed changes. Heifetz noted Gov. Scott Walker's entitlement reforms come as top Republicans in Washington, D.C., are pushing for states to get federal block grants they could spend as they wish on Medicaid.
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Wisconsin State Journal
Plans by President-elect Donald Trump and Congress to overturn the Affordable Care Act and alter Medicaid could have a significant impact in Wisconsin, where much of a recent 38 percent drop in the uninsured rate came from the health law's exchange, healthcare experts said Wednesday.
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Grand Forks Herald
With uncertainty looming over the fate of a major federal healthcare law, North Dakota lawmakers are weighing their options over the Medicaid expansion program that's set to expire later this year. Medicaid expansion is available to adults younger than 65 with household incomes of up to 138 percent of the federal poverty level. As of September, there were 19,358 North Dakotans enrolled in Medicaid expansion, a cornerstone of President Barack Obama's signature healthcare law, the Affordable Care Act.
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