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Politico
The Senate health care bill, if it becomes law, would set in motion a massive rollback of Medicaid funding beginning in three years. But even some Republican supporters acknowledge the full cuts might never happen. Instead, they say it could become another Washington fiscal cliff, where lawmakers go to the brink of radical spending changes only to pull back — or have their successors pull back — just before the point of inflicting real pain in the face of intense pressure.
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The New York Times
Frances Isbell has spinal muscular atrophy, a genetic disorder that has left her unable to walk or even roll over in bed. The care she gets is an optional benefit under federal Medicaid law, which means each state can decide whether to offer it and how much to spend. Optional services that she and millions of other Medicaid beneficiaries receive would be particularly at risk under Republican proposals to scale back Medicaid as part of legislation to repeal and replace the Affordable Care Act.
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Politico
Congressional Republicans and Trump administration officials were at odds Sunday over how close the Senate is to a deal on an Obamacare repeal package and what the legislation should look like — an indication that the upper chamber may be further from agreement than some politicians let on.
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The Wall Street Journal
Republican senators back home on recess this week are hearing from some influential critics of their health-law effort: GOP governors, many of whom are urging them to push back on the legislation because it would cut Medicaid funding.
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Los Angeles Times
In today's political climate, it's rare to find bipartisanship. But as President Donald Trump calls on Senate Republicans to pass a bill in the coming weeks that would overhaul the Affordable Care Act, governors from both sides of the aisle are unified in opposition. The Senate GOP healthcare bill would cut Medicaid spending by $772 billion over the next decade, leaving millions of low-income people uninsured in states where Medicaid was expanded under the Affordable Care Act.
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The Hill
Kentucky is asking the Trump administration for permission to impose stricter work requirements for Medicaid beneficiaries than originally requested, according to an updated plan to overhaul the state's Medicaid program. Gov. Matt Bevin submitted an amended plan that would eliminate the phase-in period for a controversial work requirement. The waiver would require able-bodied adults without dependents to work at least 20 hours a week to qualify for coverage.
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Chicago Sun-Times
As the deadline to pass a budget before another credit downgrade approached, a federal judge ordered the State of Illinois to make more than $500 million each month in Medicaid payments. U.S. District Judge Joan Lefkow ordered the state to pay $586 million a month for Medicaid vouchers that come in after June 30. On top of that, Lefkow ordered the state to pay another $2 billion toward the more than $3 billion Illinois owes to managed care organizations, which process payments to Medicaid providers, according to court records.
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The Boston Globe
Massachusetts Gov. Charlie Baker has been a vocal opponent of Republican legislation in Congress that would sharply curtail Medicaid funding, cuts that would hit the state’s poor, disabled, and elderly residents. But a lengthy list of proposals unveiled by the Baker administration last week includes significant changes to the state Medicaid program, known as MassHealth, that many advocates say would also hurt low-income working parents.
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Helena Independent Record
Montana's Republican Sen. Steve Daines said in a call with constituents Wednesday night that Medicaid expansion, which now covers about 79,000 around the state, would likely end in 2019 regardless of a U.S. Senate bill expected to terminate the program by 2026. When Montana chose to join with 31 other states and expand Medicaid coverage to the working poor in 2015, the legislature included a sunset clause that requires lawmakers in 2019 to reassess the program.
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Politico
One of the unintended effects of the Senate's Obamacare repeal bill would be to slash money that pays for a project popular among Republicans — using long-distance video hookups called telemedicine to connect sick kids in rural schools to big-city medical experts. In poor and rural areas, many in deep-red Trump Country, the school nurse is not just handing out bandages anymore; she's become a de facto medical guide, marshaling medical care for poor kids with obesity, asthma and diabetes, while on the lookout for issues like child abuse and teen pregnancy.
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The Washington Post
Ohio Republican Gov. John Kasich lectured congressional leaders of his party on Sunday for being shortsighted, disingenuous and, ultimately, doomed to be forgotten by history if they persist with their approach to healthcare legislation. "Sometimes my party asks too much," Kasich said on ABC's "This Week," saying he and others would not be fooled by "efforts to try to buy people off" with little fixes to the Senate bill to increase spending to combat opioid addiction or give more financial support to low-income people seeking health coverage.
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Urban Institute
This brief gives policymakers and the public perspective on the scope of potential Medicaid spending increases needed to address the opioid crisis. Between 2011 and 2016, spending on Medicaid-covered prescriptions used to treat opioid addiction and overdoses increased from $394 million to $930 million, an average annual increase of 19 percent. Spending grew faster in later years, with a 30 percent increase between 2015 and 2016.
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