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Morning Consult
Republicans are eyeing how they can reform Medicaid, but health insurers that offer Medicaid plans are also pushing lawmakers to consider broader Medicaid reforms, beyond any changes tied to Obamacare, said Jeff Myers, president of Medicaid Health Plans of America. He said the trade group had talked to congressional leaders, key committees and the Trump administration.
"All of them realize that it is frankly a non-sequitur to cut the (federal) money and then leave the program as it exists because that guarantees it will fail," he said in an interview.
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The Hill
Key Republican lawmakers are shifting their goal on Obamacare from repealing and replacing the law to the more modest goal of repairing it. It's a striking change in rhetoric that speaks to the complexities Republicans face in getting rid of the Affordable Care Act. Many of the law's provisions are popular, and some parts of the law that the GOP does want to repeal could have negative repercussions on the parts seen as working.
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Modern Healthcare (Registration required)
Democratic lawmakers say a key GOP talking point that Medicaid expansion is leaving disabled and mentally ill individuals without care is an example of "alternative facts" and has no bearing on reality. During a House Subcommittee on Oversight and Investigations hearing Tuesday, a witness chosen by GOP lawmakers appeared to link the decision of 31 states to expand Medicaid to a phenomenon in which disabled adults and children are left waiting to access home and community-based services.
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The Hill
Senate Finance Committee Chairman Orrin Hatch (R-Utah) is calling for all of Obamacare's taxes to be repealed, a potentially key moment in an internal Republican debate on the issue.
"We need to definitively answer the question about what to do with the Obamacare taxes," Hatch said in a speech at the U.S. Chamber of Commerce on Wednesday. "Some have argued that we should keep all or some of them in place and use them to pay for our eventual replacement package."
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The Columbus Dispatch
Ohio Gov. John Kasich plans to move the last group of Medicaid beneficiaries into private managed care plans, more than 150,000 mostly elderly and disabled Ohioans receiving long-term care services at home or in nursing facilities.
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Kaiser Health News
As Congress weighs repeal of the Affordable Care Act, the home state of Vice President Mike Pence Tuesday sought to keep its conservative-style Medicaid expansion under the federal health law. Indiana applied to the Trump administration to extend a regulatory waiver and funding until Jan. 31, 2021, for its innovative package of incentives and penalties that are intended to encourage low-income Hoosiers on Medicaid to adopt healthy behaviors. Beneficiaries pay premiums, get health savings accounts and can lose their benefits if they miss payments.
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The Arizona Republic
State officials again will seek to tighten Medicaid eligibility with new restrictions that could affect tens of thousand of adults enrolled in the government insurance program for low-income Arizonans. The state's Medicaid agency is preparing to seek federal permission to require "able-bodied" Medicaid recipients to either be employed or searching for a job while enrolled. The state also proposes to cap lifetime eligibility for Medicaid at five years.
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The Santa Fe New Mexican
Despite uncertainty about future federal Medicaid funds, more and more low-income New Mexicans are expected to receive health care under the government insurance program, Health and Human Services Secretary Brent Earnest told state lawmakers Wednesday. By the end of the current fiscal year on June 30, Medicaid is expected to cover about 44 percent of the state's population, or 922,000 residents, including 388,000 enrolled children.
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Knoxville News Sentinel
Approximately 5,500 women and men statewide, and about 500 in East Tennessee, would most likely have to find another provider for wellcare, birth control and screenings if proposals to strip Planned Parenthood of federal funding go through. That's the number of TennCare/Medicaid patients who use the organization for breast and cervical cancer screenings, tests for sexually transmitted diseases, pre- and post-natal care and birth control services, according to Jeff Teague, president and CEO at Planned Parenthood of Middle and East Tennessee.
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Governing
For all the debate about whether states should expand eligibility for Medicaid under the Affordable Care Act, it’s unclear whether doing so actually makes people healthier. Initial research into the impact of expansion is at the same time exhaustive and scarce, as well as seemingly contradictory in some cases. But what we do know for certain is that as a result of the federal law about 16 million Americans have gained health coverage through Medicaid. And for the states that chose to expand their programs, there is ample evidence of increased usage of health services and improved affordability of care.
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