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The Hill
Speaker Paul Ryan (R-Wisconsin) pledged Saturday to focus on passing a spending bill to keep the government open in the coming week, while Republicans continue to work on legislation to repeal and replace Obamacare. During a conference call, Ryan told House Republicans that while healthcare is still a priority, the spending bill will be the "primary focus" of the coming week, according to a GOP source on the call.
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The Hill
Republicans hoping to revive their ObamaCare repeal effort within President Donald Trump's first 100 days have learned nothing from their stunning failure to pass a healthcare bill last month, House Minority Leader Nancy Pelosi charged Thursday. The California Democrat, who as House Speaker was vital in passing the Affordable Care Act in 2009 and 2010, said Republicans' arbitrary deadlines ignore the reality that GOP leaders have been unable to rally their party behind specific legislation.
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The Associated Press
A simple question — should adults who are able to work be required to do so to get taxpayer-provided health insurance? — could lead to major changes in the social safety net. The federal-state Medicaid program for low-income and disabled people covers more than 70 million U.S. residents — about 1 in 5 — including an increasing number of working-age adults. In a break from past federal policy, the Health and Human Services Department under Secretary Tom Price has already notified governors it stands ready to approve state waivers for "meritorious" programs that encourage work.
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Modern Healthcare
Several states may soon have to suspend programs that provide healthcare coverage for children unless Congress reauthorizes funding for the Children's Health Insurance Program, according to a government agency. Arizona, California, Minnesota, North Carolina and the District of Columbia will run out of CHIP funding by December 2017 unless Congress approves additional funds for the program, according to a report by the Medicaid and CHIP Payment and Access Commission (MACPAC) discussed during a Thursday panel meeting. By March 2018, more than half of states are projected to exhaust their federal CHIP funds.
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The Plain Dealer
Ohio's nursing home lobby is pushing back on proposed budget changes that would make managed care health plans, rather than nursing homes, responsible for overseeing the care of 150,000 Ohioans on Medicaid. Currently, nursing homes and assisted living centers take responsibility for ensuring all aspects of a patient's care, both in and out of the facility, and bill Medicaid directly for services.
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The Columbus Dispatch
A change in a federal Medicaid rule that has stood for 52 years is expected to allow more Ohioans to get badly needed mental health services. Effective July 1, Medicaid recipients ages 21 to 64 who are in a managed-care plan will be eligible for up to 15 days of inpatient mental health treatment. The program specifically exempted that group from inpatient coverage since it was founded in 1965. Medicaid now insures 3 million poor and disabled Ohioans.
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The Courier-Journal
Kentucky is moving closer to an overhaul of the state's Medicaid program Gov. Matt Bevin has said is aimed at controlling costs and encouraging more personal responsibility in consumers, changes that include elimination of basic dental and vision benefits for most "able-bodied" adults who instead would have to earn them through a "rewards" program.
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The Boston Globe
Low-income residents seeking government help in Wisconsin often slog through a frustrating, outdated bureaucracy at a run-down state building in Milwaukee, enduring a process that generates complaints about the difficulties of signing up for food assistance, unemployment benefits, and Medicaid. Now, in a first-in-the-nation experiment, Wisconsin Gov. Scott Walker plans to raise the bar higher for people seeking Medicaid, with an expansive program of mandatory drug screening, testing and treatment as a condition of receiving benefits.
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Arkansas Times
KNWA's Curt Lanning reports that Rep. DeAnn Vaught, chair of the Arkansas House Management Committee, sent an email to legislators stating that the legislature will likely immediately reconvene for a special session focusing on healthcare after adjourning sine die on May 1. Gov. Asa Hutchinson is expected to call the special session to get legislative approval of his proposed alterations to the private option (now known as "Arkansas Works") — the state's unique version of Medicaid expansion, which uses Medicaid funds to purchase health insurance for low-income Arkansans.
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Avalere
New modeling from Avalere finds that proposals to limit per capita federal Medicaid funding growth based on medical inflation could lead to a $44 billion spending cut for dual eligible beneficiaries — or people who qualify for both Medicaid and Medicare — over the next 10 years. Capped funding proposals have been included as part of recent Affordable Care Act (ACA) repeal conversations in Congress. While the future of these legislative initiatives remains uncertain, policymakers are expected to continue considering Medicaid reforms, which could have a significant effect on beneficiaries, states and Medicare.
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The Henry J. Kaiser Family Foundation
This report provides Medicaid highlights from governors' proposed budgets for state fiscal year (FY) 2018, which runs from July 1, 2017, through June 30, 2018, in most states. Proposed budgets reflect the priorities of the governor and are often blueprints for the legislature to consider. As of the 2017 legislative session, 31 governors are from the same party as their legislatures (24 Republican and seven Democratic states) and 18 governors are from different parties than their legislatures.
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