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Roll Call
The White House Budget Office is considering its first update to inflation adjustment guidelines for poverty thresholds since 1978, with potential consequences for benefit programs serving low-income households.
The initiative is part of a re-evaluation of six inflation indexes used to track the impact on consumers of rising or falling prices. One of the indexes is used to adjust poverty thresholds, which underlie the calculation of eligibility for a number of benefit programs including Medicaid, food stamps and school lunches and breakfasts for poor children.
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Modern Healthcare
Montana Republicans and Democrats reached a compromise to extend the state's Medicaid expansion program for six years and add an 80-hour monthly work requirement for enrollees.
The complicated Medicaid Reform and Integrity Act, signed by Democratic Gov. Steve Bullock Thursday, would require a reevaluation of the work program if more than 5% of the 96,000 low-income adults currently enrolled were dropped from coverage due to not complying with the new work and reporting requirements.
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Reuters Health
States that require adults on Medicaid to work a set number of hours to get benefits may find many people lose coverage because behavioral health conditions and other chronic health problems make it hard for them to work, a U.S. study suggests.
Medicaid, a joint federal and state health program for the poor, allows states to seek waivers from the federal government to create work requirements. As of February 2019, six states have received approval for work requirement waivers, eight state programs are awaiting approval and one state waiver is facing legal challenges in court, researchers note in Health Affairs.
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Houston Chronicle
A bill that sought to prevent low-income children from losing Medicaid coverage mid-year, over paperwork issues, never made it to the House floor. It means the measure, which had bipartisan support, is likely dead. Each year, about 50,000 Texas children are losing Medicaid coverage because their families fail to quickly send proof to the state they are still poor enough to qualify during regular income checks, according to state data.
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Tulsa World
A proposed initiative petition to expand Medicaid drew a legal challenge.
The Oklahoma Council of Public Affairs, its president Jonathan Small, Dr. Douglas P. Beall and nurse Jennifer Witherby filed suit in the Oklahoma Supreme Court.
Under the Supremacy Clause of the U.S. Constitution, the Affordable Care Act allows states to expand Medicaid to adults up to 138% of the federal poverty level, said Travis Jett, an attorney for the plaintiffs.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
We effectively identify and reclassify eligible super-utilizers from TANF/ACA to ABD.
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MLive
The Michigan House-passed plan to give drivers the option of opting out of unlimited personal injury protection coverage would likely lead to a gradual increase in Medicaid costs for the state, a Senate Fiscal Agency analysis of the bill found.
As passed, the House legislation, House Bill 4397, would allow drivers to pick from five levels of personal injury protection, or PIP, coverage options: Unlimited, $500,000, $250,000, $50,000 and a complete opt-out option for people with health insurance that covers vehicle accidents.
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Florida Division of Elections records via Florida Politics
A proposed constitutional amendment that would expand Medicaid coverage in Florida has turned in another 10,000 signatures.
According to Florida Division of Elections records, political committee Florida Decides Healthcare Inc. has now submitted 63,714 valid petition signatures to county supervisors of elections.
On May 7, it had collected 53,258 signatures.
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The Hill
Freshman Grand Old Party Rep. Mark Green is slated to introduce a bill that would authorize states to launch pilot programs to test an alternative Medicaid program.
Under the Medicaid Improvement and State Flexibility Act, Medicaid recipients would receive a card — similar to EBT cards used by Supplemental Nutrition Assistance Program recipients — intended for medical purchases. Funds that aren’t used by the end of the year would then be returned to individuals through an earned income tax credit.
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WTMJ-TV
Advocates for Medicaid expansion say accepting the federal money as Gov. Tony Evers has proposed would make treatment for opioid addiction more affordable.
Citizen Action of Wisconsin recently released a report documenting cheaper treatment options through the state's BadgerCare Medicaid program versus private insurance.
The report comes a day before the Legislature's Republican-controlled budget-writing committee was to vote on killing Evers' Medicaid expansion plan.
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Chicago Sun-Times via Illinois Public Media
Tens of thousands of Illinois residents have been waiting beyond the 45-day limit for their Medicaid applications to be processed, the Chicago Sun-Times reports.
The backlog at the state level has caused many low-income people in central Illinois who might be eligible for Medicaid to forgo health care out of fear that they won’t be able to pay the bill, said Adani Sanchez, client services coordinator with the nonprofit Champaign County Health Care Consumers.
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A commercial Medicaid plan in Nevada leveraged MCG solutions in its community health program and reduced ER visits by 20% and hospital readmissions by 30%. Click here to learn more about how MCG can support improved member outcomes and cost control.
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Albuquerque Journal via Government Technology
New Mexico is engaged in a “high-risk” computer upgrade aimed at improving the delivery of Medicaid services — a $201 million project endangered by repeated delays and other problems, legislative analysts say.
Replacing the Medicaid information system is required by the federal government, analysts said, but the state has repeatedly missed targets for awarding contracts and encountered staffing problems since the work began in 2014, making it a high-risk project.
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