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The Hill
Two Republican lawmakers say they are nearing a deal on changes to the Obamacare replacement bill that could move the measure closer to passage, though doubts remain. The compromise is being brokered between Rep. Mark Meadows (R-North Carolina), the chairman of the conservative House Freedom Caucus, and Rep. Tom MacArthur (R-New Jersey), a co-chairman of the moderate Tuesday Group.
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USA Today
Far more people may also have to adjust to the new reality of formerly free health coverage through Medicaid: It will cost money. As once-reluctant Republican governors consider expanding Medicaid under the Affordable Care Act (ACA) to their lowest income residents, the Medicaid plan developed by the now-head of the Centers for Medicare and Medicaid Services (CMS) and approved by former Indiana governor — now vice president — Mike Pence is the one many are expected to model.
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Modern Healthcare (Free registration required)
A Michigan Senate subcommittee voted Tuesday for budget language that instructs the state Department of Health and Human Services to develop pilot projects for Medicaid health plans to integrate behavioral and physical health and work toward a single contracting model by Sept. 30, 2020. Under the plan, which has been heavily opposed by the state's current public system of mental health providers and advocates, Michigan's 11 Medicaid HMOs could eventually manage both the state's $9 billion physical health and $2.6 billion behavioral health system. Before the new integrated Medicaid financing and delivery system could be fully rolled out, however, a future state Legislature would have to approve the final plan.
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Modern Healthcare (Free registration required)
The CMS will evaluate Montana's Medicaid expansion program despite past protests from key Trump administration officials against similar audits.In 2015, the state received CMS approval for a waiver to expand Medicaid coverage to individuals who earn up to 138% of the poverty line starting Jan 1, 2016. The initiative, known as the Montana Health and Economic Livelihood Partnership, or HELP, was expected to provide coverage to approximately 70,000 people.
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Modern Healthcare (Free registration required)
Wisconsin on Monday unveiled plans to overhaul Medicaid by requiring members to pay insurance premiums and undergo a drug screening to participate in the program. The state's Department of Health Services said it will submit a waiver request to the CMS on May 26, following public comment.
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The Kansas City Star
The possible closure of a hospital down the street from the Capitol has renewed calls to expand Medicaid in Kansas, even though lawmakers earlier failed to overcome Gov. Sam Brownback's opposition and seem unlikely to be able to do so anytime soon. Brownback said in a statement Tuesday morning that he had been told by Mike Slubowski, CEO of SCL Health, which owns the St. Francis Health Center in Topeka, that they would not announce the closure of St. Francis on Tuesday "and that they would work with us to find a solution that keeps St. Francis open."
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KCUR-FM
Renewed attention to the financial struggles of several Kansas hospitals is giving supporters of Medicaid expansion a potentially powerful argument as they work to build a veto-proof majority for a new bill.
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The Clarion-Ledger
Wayne Williams, director of clinical operations and services for the Mississippi Center for Autism and Developmental Disabilities, took a mental note as he watched parents in the D'lberville-based clinic's reception area wrangling over the phone with representatives of the state Medicaid division. Cellphone usage is generally restricted, if not outright banned, in these type of settings.
But Williams knew the families had good reason to deviate from traditional waiting room culture. Because more than half of the clinic's young patients are on Medicaid. And almost two years after Mississippi enacted a mandate requiring insurers to cover a type of autism therapy known as applied behavior analysis, providers say the state's largest insurer of children is not reimbursing services.
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Modern Healthcare (Free registration required)
Democratic lawmakers in Oregon are considering ending the state's Medicaid expansion in an effort to address a $1.6 billion budget shortfall. The state's Ways and Means committee, which includes both senators and representatives, suggested cutting Medicaid expansion in an effort to curb Oregon's $1.6 billion budget deficit.
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