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Inside Health Policy (subscription required)
Mental health advocates are blasting the Senate Republican proposal to set up a separate funding pool for the care of opioid addicts currently covered through Medicaid expansion but who under the American Health Care Act would not be allowed to re-enroll in Medicaid once they cycle off.
Jeff Myers, president and CEO of Medicaid Health Plans of America, said that the diversity of people who need treatment for opioid abuse will make a siloed approach difficult. "Opioid deaths cut across every age and geographic demographic," Myers said. Myers said the biggest challenge for Medicaid plans on the front lines of treating opioid abuse has been building networks of providers and clinics that can adequately address the epidemic. "It seems highly unworkable to me to create a free-standing pillar that is not going to be integrated with Medicaid or commercial platforms to focus on opioid addiction," Myers said.
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Kaiser Health News
Republicans in both the House and the Senate are considering big cuts to Medicaid. But those cuts endanger addiction treatment, which many people receive through the government health insurance program.
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The Hill
Sen. Rand Paul (R-Kentucky) sharply criticized central elements of the emerging Senate Republican healthcare bill on Thursday, indicating that he will vote against it unless dramatic changes are made. Paul denounced as "new entitlements" two core elements of the Republican bill in both the House and Senate — a refundable tax credit to help people buy insurance and a "stabilization fund" of money to help bring down premiums.
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The Associated Press via ABC News
President Donald Trump's labeling of a House-passed health care bill as "mean" is aggravating some of the conservatives he pressed to back it, even as Senate attempts to reshape the measure increasingly threaten to spill into July.
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Morning Consult
With the House of Representatives' vote to repeal the Affordable Care Act and replace it with a slimmed down version of the American Health Care Act that was filed earlier this year, all eyes are now on the Senate to see what will emerge from that chamber. Regardless of the outcome, one thing is certain: Medicaid costs are ballooning for states that broadened eligibility under the Affordable Care Act, and the Trump administration and Congress are going to look for ways to rein in federal spending on Medicaid.
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The Hill
Nevada's Republican governor, Brian Sandoval, is breaking with Sen. Dean Heller (R-Nevada) and calling for Obamacare's Medicaid expansion to be preserved. Heller, who could be a key vote on the healthcare bill and is up for re-election next year, said last week that he supports a seven-year phase-out of the additional federal funding for Medicaid expansion.
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Los Angeles Times
With his signature on a novel Medicaid-for-all-type bill, Nevada Gov. Brian Sandoval could rewrite the way many of his constituents get healthcare, and establish a model that other states might eventually follow in the absence of congressional action to fix or replace Obamacare. He got the bill delivered to his desk Monday. He hasn't said what he will do with it. If he doesn't sign or veto it by June 16, it will automatically become law.
The Nevada Care Plan, as the bill is known, currently has no way of being sold on the state's healthcare exchange. It has no established cost to the state and customers. It doesn't have permission from the federal government to allow for the use of federal income tax credits for it to be purchased. It does have a moniker, though: Sprinklecare.
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The Washington Post
The combination of deep tax cuts and austere spending that was supposed to ignite economic growth and reduce dependency have hit hard in the southeastern corner of Kansas, a collection of some of the poorest and sickest counties in the state that is sometimes branded the Appalachia of the Midwest.
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NPR
It's morning meeting time at Our Place Day Services, a day center for adults with disabilities, housed in a small concrete and glass building on Lovers Lane in Slinger, Wisconsin. A modest operation based north of Milwaukee, on Interstate 43, Our Place serves as a safe place for people with severe cognitive disabilities to spend their days and learn news skills while the family members who usually care for them are at work.
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Kaiser Health News
States are making tepid progress helping millions of elderly and disabled people on Medicaid avoid costly nursing home care by arranging home or community services for them instead, according to an AARP report released Wednesday.
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The Hill
Manufacturers of copycat "biosimilar" medical products will be able to bring their drugs to the market faster after a unanimous U.S. Supreme Court decision Monday. The court in Sandoz v. Amgen ruled 9-0 in favor of generic drugmaker Sandoz in a dispute with rival company Amgen. The court ruled that manufacturers of low-cost biosimilars don't need to wait an extra six months after FDA approval to launch their product. The ruling is expected to save consumers — and the U.S. health system — billions of dollars.
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