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The Fiscal Times
The latest Congressional Budget Office (CBO) analysis of the House Republicans' American Health Care Act (AHCA) could leave millions of Medicaid beneficiaries without health insurance in the coming years. When the Affordable Care Act was passed in 2010, the Obama administration included a provision to expand Medicaid to single, able-bodied adults who were too poor to afford subsidized Obamacare. The new health plan would repeal and replace the ACA, including expanded Medicaid.
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Modern Healthcare
Behind closed doors, Senate Republicans are struggling to agree on how to restructure Medicaid as part of their quest to repeal and replace Obamacare. One of the biggest points of contention for the sequestered senators is whether and how to convert open-ended federal funding for all Medicaid beneficiaries into a system of capped payments to the states that would cut the growth of those contributions.
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The Hill
The Republican healthcare bill would result in 23 million fewer people with insurance over a decade, steep premium increases for older people and price hikes for many people with pre-existing conditions, the nonpartisan Congressional Budget Office (CBO) said Wednesday. The long-awaited analysis of the Obamacare repeal bill found that a controversial amendment from Rep. Tom MacArthur (R-New Jersey) — added at the last minute to secure conservative votes — would have a significant effect despite Republican assurances to the contrary.
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The Record
Rep. Tom MacArthur's efforts to broker an agreement that led to House passage of a health insurance overhaul riled enough of his colleagues in a moderate caucus that he stepped down Tuesday as their co-chairman. MacArthur became co-chairman of the Tuesday Group at the beginning of this year. A former insurance executive now in his second term in the House, he was the first New Jersey Republican to support House leaders' bill to repeal and replace Obamacare.
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The Kansas City Star
Two of farmers' most powerful Republican advocates in the Senate slammed President Donald Trump's proposal Tuesday to slash crop insurance, warning those and other budget cuts would badly wound one of the president’s most loyal constituencies. Voters who live in rural areas gave Trump a 61-34 percent advantage over Democrat Hillary Clinton in November, according to network exit polls. Kansans voted overwhelmingly for Trump, by 56-36 percent.
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Los Angeles Times
President Donald Trump's proposed budget would likely result in billions of dollars of cuts to vital health and human services programs in California, state Democratic lawmakers and advocates for the poor said Tuesday. The president's plan unveiled Tuesday proposes a number of cuts in domestic spending while boosting funding for defense programs. Critics said those changes, coupled with the early outlines of GOP efforts on a tax overhaul, would result in a major — and unfair — shift in the burden as to who ultimately pays.
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The Kansas City Star
Federal officials have accepted a corrective action plan for Kansas' privatized Medicaid program, an important hurdle in ensuring the program can continue to operate next year. The federal Centers for Medicare & Medicaid Services had rejected the state's request to extend its KanCare program through 2018 in January after finding that the program was "substantively out of compliance" with federal regulations.
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The Washington Post
Wisconsin is preparing to recast its Medicaid program in ways that no state has ever done, requiring low-income adults to undergo drug screening to qualify for health coverage and setting time limits on assistance unless they work or train for a job. The approach places BadgerCare, as the Wisconsin version of Medicaid is known, at the forefront of a movement by Republican governors and legislatures that is injecting a brand of moralism and individual responsibility into the nation’s largest source of public health insurance.
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The Indianapolis Star
Gov. Eric Holcomb is seeking permission from the federal government to require some Medicaid recipients to work or do work-related activities. Indiana's governor announced Wednesday he’s amending the state's January application for its alternative Medicaid program to ask for that — and other changes — as the federal government decides whether to keep the Healthy Indiana Plan going past this year.
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The Associated Press via U.S. News & World Report
Gov. Scott Walker wants to make Wisconsin the first state in the country to require childless adults applying for Medicaid to undergo drug screening, a move that could serve as a national model. Walker's plan, which needs federal approval, comes as he prepares to run for a third term next year. Wisconsin's Republican-controlled Legislature approved Walker's request for a waiver to do the drug tests two years ago, but is now digging into the details of how it would actually work.
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Omaha World-Herald
Nebraska has gotten good news from the federal government about services for people with developmental disabilities. Courtney Miller, director of the state developmental disabilities division, said Wednesday that federal officials approved both of the state’s Medicaid waiver applications. The approvals mean that federal Medicaid dollars will continue flowing to Nebraska to help pay for community-based services for developmentally disabled people. The approvals also mean that providers whose payments for some services were cut in half last year will now get full funding for that care.
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The Pew Charitable Trusts
By the time Illinois decided to crack down on Medicaid fraud in 2012, state officials knew that many people enrolled in the program probably weren't eligible. For years, caseworkers hadn't had the time or resources to check. To catch up, the state hired a private contractor to identify people who might not be eligible for the low-income health program and to make recommendations for whose benefits should be canceled. Within about a year, Illinois had canceled benefits for nearly 150,000 people whose eligibility could not be verified — and saved an estimated $70 million.
Now, faced with growing Medicaid enrollment and tight budgets, Republican lawmakers in several other states are taking similar steps to ensure that people receiving welfare benefits are eligible for them. Under their proposals, which are modeled on legislation drafted by a national conservative group, recipients would face tougher and more frequent eligibility checks. And the checks could be conducted by private contractors who are motivated to justify their hiring by knocking as many people as possible off the rolls.
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