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Adam Searing @adamsearing.bsky.social · 29/05/2026

Read my colleague Leo Cuello's latest on Trump Administration's proposed Medicaid rule going far beyond what Congress mandated in last year's bill cutting Medicaid to make even more unilateral (and likely illegal) large cuts to state Medicaid funding... ccf.georgetown.edu/2026/05/28/c...

ccf.georgetown.edu

CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule

Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on...

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Joan Alker @joanalker1.bsky.social · 29/05/2026

The # of kids enrolled in Medicaid is declining much more quickly than during Trump’s 1st term when the child uninsured rate rose For families facing cost pressures, even 1 month of a child going uninsured exposes them to dangerous choices My new blog explains: ccf.georgetown.edu/2026/05/28/t...

ccf.georgetown.edu

Two Million Fewer Children are Enrolled in Medicaid Since Trump Took Office

Child uninsured rate likely on the rise Our state-by-state Medicaid/CHIP enrollment tracker now indicates that 2 million fewer children were enrolled in Medicaid and CHIP as of April, 2026 as compared...

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Joan Alker @joanalker1.bsky.social · 29/05/2026

Our updated @georgetownccf.bsky.social tracker finds that 16 months into President Trump’s 2nd term, Medicaid is covering 2 million fewer children. This is very bad news b/c the child uninsured rate is likely going up as a result. And this is before HR 1 Medicaid cuts kick in.

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Adam Searing @adamsearing.bsky.social · 01/05/2026

My latest: The "big beautiful bill" passed by Congress last year with nearly $1 trillion in cuts to Medicaid is starting to result in significant closures of rural health and hospital services around the US. And the "rural health fund" isn't a replacement ccf.georgetown.edu/2026/05/01/r...

ccf.georgetown.edu

Rural Hospitals and Communities Feeling Impact of H.R. 1 Medicaid Cuts, Rural Health Fund Falls Short

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Edwin Park @edwincpark.bsky.social · 01/04/2026

CCF now has updated its data on #Medicaid and CHIP coverage rates by individual school districts using 5-year American Community Survey estimates. Click on the state and then search by district name: ccf.georgetown.edu/feature/medi...

ccf.georgetown.edu

Medicaid/CHIP Coverage by School Districts, 2020-2024

[Editor’s Note: This page was last updated March 20, 2026] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana I...

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Adam Searing @adamsearing.bsky.social · 01/04/2026

After listening to the Supreme Court argument around citizenship and the 14th Amendment this morning, my main thought is that @aclu.org's Cecillia Wang makes me very proud to be both a lawyer and an American.

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Joan Alker @joanalker1.bsky.social · 05/03/2026

@georgetownccf.bsky.social is thrilled to welcome a new colleague this week (though she is not new to many of us). ccf.georgetown.edu/2026/03/05/c... Adriana will be working full time tracking the implementation of Medicaid work reporting requirements.

ccf.georgetown.edu

CCF Welcomes Adriana Kohler to Our Team

Earlier this week, CCF welcomed Adriana Kohler to our team. Many of us know Adriana from her years as one of our state Finish Line partners in Texas where she served as the Policy Director of Texans C...

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Joan Alker @joanalker1.bsky.social · 25/02/2026

A serious effort to detect fraud against Medicaid would not dump data online with no context. CMS itself indicates elsewhere on their website that in 22 states the underlying data that was dumped by the Trump Administration was “unusable” or of “high concern”.

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Joan Alker @joanalker1.bsky.social · 07/02/2026

Rural health transformation fund” in HR1 was peddled as saving rural hospitals from draconian federal Medicaid cuts. Yet a rural hospital in Idaho is already on the brink and the fund won’t save them And this in Sen. Crapo Ch. Senate Finance Ctte’s home state www.eastidahonews.com/2026/01/perf...

eastidahonews.com

'Perfect storm': Why Teton Valley Health Care chose to lay off staff, close infusion clinic - East Idaho News

DRIGGS — Facing difficult decisions as state and federal funding stalls, Teton Valley Health Care administrators made the decision to lay off dozens of employees and close an infusion clinic. In all, ...

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Edwin Park @edwincpark.bsky.social · 20/09/2025

From @adamsearing.bsky.social the latest on the budget reconciliation law rural health fund. Trump Admin is telling states they can’t use more than 15% of $ for provider payments including to rural hospitals & wants states to expand enrollment in short term plans. ccf.georgetown.edu/2025/09/19/u...

ccf.georgetown.edu

Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals

I grew up in North Carolina and often split my time between the urban center of the state and some of its most beautiful and rural areas on the back sounds “Down East.” This part of NC is so rural …

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Sheldon Weisgrau @acaresource.bsky.social · 19/09/2025

Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...

apnews.com

Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs

A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.

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Adam Searing @adamsearing.bsky.social · 19/09/2025

I‘m thinking today about Saint Ignatius, the Budget Reconciliation Bill’s “Rural Health Transformation Fund” and Down East North Carolina: Will the Trump Administration use the Rural Health Fund to try and improve rural health or is it all politics? ccf.georgetown.edu/2025/09/19/u...

ccf.georgetown.edu

Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts on Rural Hospitals

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Edwin Park @edwincpark.bsky.social · 19/09/2025

ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget reconciliation law's draconian #Medicaid, CHIP, ACA Marketplace cuts as well as other health provisions. We now have an easier-to-print PDF version. ccf.georgetown.edu/2025/07/22/m...

ccf.georgetown.edu

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained

Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with…

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Adam Searing @adamsearing.bsky.social · 15/09/2025

Buried in grant docs for HR1 Rural Health Fund: States more likely to get $ by passing GOP priorities like getting rid of CON laws, expanding skimpy health plans, limiting SNAP and changing scope of practice. Plus Govs rqd to agree in writing - by 11/5 www.grants.gov/search-resul...

grants.gov

Lock

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Robin Rudowitz @robinr.bsky.social · 01/07/2025

Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.

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Edwin Park @edwincpark.bsky.social · 28/06/2025

Rural fund is thus a "fig leaf" to placate R Senators concerned about #Medicaid cuts. It's small/capped, temporary while the cuts are permanent, poorly targeted, gives discretion to Trump Admin to send $ to favored states, and may not even go to help rural hospitals actually hurt by the cuts (8/x)

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Joan Alker @joanalker1.bsky.social · 28/06/2025

The Senate version of the Medicaid work requirement in the "OBBB" doubles down and worsens a bad policy advanced by the House. It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies. 🧵

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Edwin Park @edwincpark.bsky.social · 28/06/2025

One more thread on a new provision in Senate reconciliation bill that Senate GOP will misleadingly tout as expanding access to home- and community-based services for seniors and people with disabilities (section 71123) but in context of the bill, it won't be meaningful (1/x)

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Joan Alker @joanalker1.bsky.social · 28/05/2025

Want to know what Congress did to Medicaid in the middle of the night? 🔥 off the presses our georgetownccf.bsky.com explains. ccf.georgetown.edu/2025/05/27/m...

georgetownccf.bsky.com

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Joan Alker @joanalker1.bsky.social · 16/05/2025

Our new report on the role of Medicaid for women of child-bearing age in rural areas w/ state by state data is here Medicaid covers 47% births in rural areas Rural areas have been losing labor + delivery units. Medicaid cuts will make this scary situation even worse for moms and babies.

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Adam Searing @adamsearing.bsky.social · 21/05/2025

CNN: "House Republicans are pushing to slash nearly $1 trillion from two of the nation’s bedrock safety net programs, Medicaid and food stamps....millions of Americans could lose access to these benefits as a result of a historic pullback in federal support." www.cnn.com/2025/05/21/p...

cnn.com

House GOP lawmakers are proposing $1 trillion in cuts to Medicaid and food stamps. Here’s who could be impacted | CNN Politics

House Republicans are pushing to slash at least $1 trillion from two of the nation’s bedrock safety net programs, Medicaid and food stamps, as part of their sweeping package aimed at enacting Presiden...

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Adam Searing @adamsearing.bsky.social · 21/05/2025

My @georgetownccf.bsky.social colleague Leo Cuello's detailed overview of Medicaid and immigrant health coverage - and how kids and pregnant women who are legal immigrants are now being targeted for health coverage cuts by the House "big beautiful bill" ccf.georgetown.edu/2025/05/21/t...

ccf.georgetown.edu

The Truth About Medicaid Coverage for Immigrants – and the Looming Threats

There has been a lot of information and misinformation about Medicaid coverage for immigrants circulating in the news, including wildly inaccurate reporting that undocumented immigrants are driving…

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Joan Alker @joanalker1.bsky.social · 15/05/2025

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Larry Levitt @larrylevitt.bsky.social · 15/05/2025

An under-appreciated aspect of a Medicaid work requirement is the enormous administrative expense involved in managing reporting by enrollees of their work hours or eligibility for an exemption.

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Edwin Park @edwincpark.bsky.social · 13/05/2025

My new Georgetown CCF blog on harmful impact of the House Energy and Commerce Committee reconciliation bill’s restrictions on state use of #Medicaid provider taxes which will make it much harder for states to finance their share of Medicaid costs: ccf.georgetown.edu/2025/05/13/h...

ccf.georgetown.edu

House Energy and Commerce Committee Reconciliation Bill Would Restrict State Use of Provider Taxes and Undermine State Financing of Medicaid

The House Energy and Commerce Committee is completing its markup of its section of the House Republican budget reconciliation bill. The bill includes draconian Medicaid cuts, as well as…

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Robin Rudowitz @robinr.bsky.social · 29/04/2025

As Congress considers proposals to reduce federal #Medicaid spending to offset tax cuts, proposals to target the expansion group may be on the table. Check our 5 Key Facts about the expansion group: www.kff.org/medicaid/iss...

kff.org

5 Key Facts About Medicaid Expansion | KFF

This issue brief examines Medicaid expansion enrollment and Medicaid spending in expansion and non-expansion states and describes the characteristics of adults covered by the Medicaid expansion.

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Joan Alker @joanalker1.bsky.social · 28/04/2025

House GOP now talking openly talking about "quarterly elig checks for Medicaid" This would repeal a vital protection for nearly 1/2 of the children in the US and lead to an ⬆️ in more children having periods of being uninsured.

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Adam Searing @adamsearing.bsky.social · 28/04/2025

This is an important new blog from my colleague Edwin Park looking at the direct impacts of potential Congressional Medicaid cuts under discussion right now.

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Josh Chafetz @joshchafetz.bsky.social · 06/03/2025

With his permission, I'm sharing Dean Treanor's response to Ed Martin's letter:

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Edwin Park @edwincpark.bsky.social · 05/03/2025

Here is CBO confirming the obvious. To meet House budget resolution's target that Energy and Commerce Committee make at least $880 billion in mandatory spending cuts and Medicare is excluded, deep #Medicaid cuts are absolutely necessary as there isn't much other spending. www.cbo.gov/publication/...

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Edwin Park @edwincpark.bsky.social · 27/02/2025

My new @nejm.org Perspective: Medicaid on the Chopping Block posted today, discussing the many essential roles #Medicaid plays and the major cuts now under consideration that could take away coverage and access from millions of low-income people. www.nejm.org/doi/full/10....

nejm.org

Medicaid on the Chopping Block | NEJM

House Republicans are considering proposals that would deeply cut federal Medicaid funding, make it harder for states to finance their contributions to the cost of Medicaid, and impose procedural b...

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Joan Alker @joanalker1.bsky.social · 26/02/2025

The movie is not over yet but the passage of the House Budget Resolution tonight with at least $880 billion of cuts to Medicaid/CHIP is an ugly scene to be sure. To understand what kinds of proposals to cut Medicaid are on the table read my colleague @edwincpark.bsky.social blog.

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