• Fate of Medicaid Expansion May Once Again Depend on the Outcome of State Elections

    This post examines the potential for this year’s midterm elections to decide the fate of Medicaid expansion, with gubernatorial races in 10 of the 12 states that have not expanded, including Georgia, Kansas and Wisconsin, where the gubernatorial race is considered a toss-up. South Dakota voters also will decide a Medicaid expansion ballot initiative.

  • As 2022 Legislative Sessions End, Most States Are Adopting New Option to Extend Medicaid Postpartum Coverage

    Two-thirds of states (33 + DC) have extended or plan to extend Medicaid postpartum coverage to 12 months. We review recent action as the rollback of abortion rights has refocused attention on the importance of coverage for pregnancy and postpartum care..
  • Recent Developments and Key Issues to Watch with Medicaid Section 1115 Waivers

    This policy watch summarizes recent developments and issues in Medicaid Section 1115 waivers, including key provisions to watch in waivers that expire at the end of September 2022.  As of September 20, 47 states have a total of 65 approved Section 1115 Medicaid waivers, while 28 states have a total of 32 pending waivers.
  • Medicaid and the Inflation Reduction Act

    While the prescription drug reforms in the Inflation Reduction Act mostly apply to Medicare, some provisions interact with the Medicaid Drug Rebate Program and could increase overall Medicaid prescription drug spending, which totaled $33 billion (net) in FY 2020. 
  • 10 Things About Long-Term Services and Supports

    Nearly $1 in every $10 spent on health care in the U.S. in 2020 went to long-term services and supports (LTSS). Medicaid was the single largest payer, accounting for 54% of the more than $400 billion spent on LTSS that year. Spending on home and community-based services was $245 billion, while $157 billion was spent on institutional LTSS such as nursing facility care.

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