Filling the need for trusted information on national health issues…

In 2017, President Donald Trump and Republicans in Congress unsuccessfully sought to repeal and replace the Affordable Care Act and switch Medicaid to a system of per capita cap financing. They may pursue such policy goals again this year. At the same time, the Trump administration has signaled a willingness to allow states to use Section 1115 waiver authority to reshape Medicaid, with several states seeking waiver provisions not previously approved by any administration, including work requirements, drug screening and testing, eligibility time limits, and premiums with disenrollment for non-payment for traditional Medicaid populations. And continuing efforts to combat the opioid epidemic are likely to focus attention on Medicaid’s role in the fight.
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Medicaid Waiver Tracker: Which States Have Approved and Pending Section 1115 Medicaid Waivers?

This resource tracks states with approved Section 1115 Medicaid waivers and pending waivers (which include new waiver applications, waiver amendments, and renewals). View approved and pending waivers according to waiver category. Related waiver resources are available by topic at the bottom of the page, as are additional details on each approved and pending waiver.

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The Henry J. Kaiser Family Foundation

Web Briefing For Journalists: A Closer Look at the Evolving Landscape of Medicaid Waivers

On Thursday, February 23, the Kaiser Family Foundation will host a web briefing for journalists to explain how block grant and per capita cap spending proposals for Medicaid would work and what the possible implications are.

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A Guide to the Lawsuit Challenging CMS’s Approval of the Kentucky HEALTH Medicaid Waiver

On January 11, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a State Medicaid Director letter announcing a new policy that, for the 1st time, allows states to condition Medicaid on participation in a work or “community engagement” program. The next day, CMS approved a new Medicaid waiver in Kentucky. The waiver includes a program called Kentucky HEALTH, which encompasses a work requirement as well as coverage lockouts of up to 6 months for failure to pay monthly premiums (up to 4% of income), timely renew eligibility, or timely report a change in circumstances, among other provisions. Kentucky HEALTH applies to most nonelderly adults, including low-income parents and expansion adults. The state plans to implement Kentucky HEALTH by July, 2018. On January 24, 2018, 15 Kentucky Medicaid enrollees filed a lawsuit in the U.S. District Court for the District of Columbia challenging CMS’s authority to issue the work requirement policy and approve the Kentucky waiver. This issue brief answers 5 key questions about the case.

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Kaiser Health Tracking Poll – January 2018: The Public’s Priorities and Next Steps for the Affordable Care Act

With the 2018 midterm elections still about ten months away, the January Kaiser Health Tracking poll examines what issues voters most want 2018 midterm candidates to talk about during their upcoming campaigns. Health care is at the top of a group of issues but health care is less important to Republicans and among voters in battleground states. While Congress is currently debating a budget to keep the government funded beyond February 8, 2018, the poll also examines the public’s priorities for President Trump and Congress and measures support for reducing federal funding for government programs.

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The Henry J. Kaiser Family Foundation

Health Care Ranks Among Voters’ Top Issues for the 2018 Midterm Elections, But It’s a Lower Priority Among Voters in Battleground States and Districts

Only One in Three Know the Tax Reform Law Repeals the ACA’s Unpopular Individual Mandate Health care and the economy and jobs top voters’ list as “the most important issue” for Congressional candidates to talk about ahead of November’s midterm elections, but the lineup shifts among voters in states and…

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Medicaid: What to Watch in 2018 from the Administration, Congress, and the States

Medicaid provides health insurance coverage for about one in five Americans and is the largest payer for long-term care services in the community and nursing homes. Efforts in 2017 to repeal and replace the Affordable Care Act (ACA) and cap federal financing for Medicaid were unsuccessful but help to set the stage for 2018. As 2018 begins, there is a focus on administrative actions using Medicaid Section 1115 demonstration waivers, state actions on Medicaid expansion, and funding for the Children’s Health Insurance Program (CHIP) and other federal health care priorities. Medicaid in 2018 is also likely to continue to be part of both federal and state budget deliberations. Pressures to control the federal deficit may reignite efforts to reduce or cap federal Medicaid spending. In addition, Governors will soon release proposed budgets for state FY 2019 that will need to account for uncertainty around CHIP and Medicaid, changes in the economy and the effects of the recent tax legislation as well as funding for rising prescription drugs and initiatives to combat the opioid epidemic. This brief examines these issues.

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The Henry J. Kaiser Family Foundation

Medicaid’s Role in Addressing the Opioid Epidemic

This infographic provides information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.

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The Henry J. Kaiser Family Foundation

New KFF Resource Tracks Developments in States’ Section 1115 Medicaid Waivers

A new resource from the Kaiser Family Foundation enables users to keep abreast of Section 1115 Medicaid waivers that are pending or have been approved by the Centers for Medicare and Medicaid Services. KFF’s Medicaid waiver tracker includes interactive maps that allow users to view states’ approved and pending waivers…

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Understanding the Intersection of Medicaid and Work

Recent state requests for waivers of federal Medicaid law seek to make Medicaid eligibility contingent on work, and the Trump Administration has indicated a willingness to approve such waivers. This issue brief provides data on the work status of the nearly 25 million non-elderly adults without SSI enrolled in Medicaid to understand the potential implications of work requirement proposals in Medicaid. It shows that the majority of adults in this group are already working, and those who are not report major impediments to their ability to work such as illness or care-giving responsibilities.

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The Henry J. Kaiser Family Foundation

How do Health Care Costs fit into Family Budgets? Snapshots from Medicaid Enrollees

This brief examines family budgets of Medicaid enrollees, how health care costs fit into these budgets, and views on how potential changes to health care could affect them based on 21 interviews with Medicaid enrollees in five cities.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.