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Georgetown CCF

@georgetownccf.bsky.social
890 followers 125 following 145 posts

Based at Georgetown University's McCourt School, CCF is a nonpartisan policy and research center with a mission to improve health coverage for kids & families.

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Georgetown CCF @georgetownccf.bsky.social · 18h
As measles surges in Pennsylvania, doctors warn about a new condition affecting babies www.nbcnews.com/health/healt...
nbcnews.com
America had wiped out measles. Now babies are infected at birth.
Congenital measles has rarely been seen in the U.S. That’s changing as vaccination declines and more pregnant women become infected.
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Edwin Park @edwincpark.bsky.social · 23/09/2026
From @brucelesley.bsky.social a comprehensive dismantling of the Paragon Institute's attempt to explain away a well over 2 million decline in #Medicaid and CHIP enrollment among children since the start of the Trump Administration even before most of H.R. 1's massive Medicaid cuts take effect.
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Joan Alker @joanalker1.bsky.social · 28/09/2026
Tennessee letter is here: www.medicaid.gov/medicaid/sec...
medicaid.gov
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Georgetown CCF @georgetownccf.bsky.social · 28/09/2026
Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2026/09/27/u...
nytimes.com
White House Claim of Finding $250 Billion in Fraud Uses Questionable Numbers (Gift Article)
The ledger used by a task force created by President Trump is difficult to verify and includes cases that were identified and went to trial during the Biden administration.
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Georgetown CCF @georgetownccf.bsky.social · 17/09/2026
Generally, a community needs to be above 95% vaccination rate to create a robust herd immunity against measles, a bar all but 11 states have slipped underneath during the 2025-2026 school year.
wapo.st
Sen. Cassidy says measles surge will be administration’s ‘terrible legacy’
Under questioning by Sen. Bill Cassidy (R-Louisiana), Trump’s surgeon general pick Nicole Saphier called a combined vaccine “our greatest tool for combating measles infections.”
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Cathy Hope @gothope.bsky.social · 14/09/2026
Unreliable mail service and less online connectivity means more barriers for residents of rural areas to overcome to comply with the new Medicaid rules. See new report by @adamsearing.bsky.social @joanalker1.bsky.social @georgetownccf.bsky.social ccf.georgetown.edu/2026/09/14/r...
ccf.georgetown.edu
Rural Communities at Greater Risk of Harmful Impacts from New Medicaid Work Reporting Requirements
In 2025, Congress passed H.R. 1, legislation which requires work reporting requirements as a condition of Medicaid eligibility in the 41 states, including Washington, D.C., that have expanded coverage...
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Catherine Rampell @crampell.bsky.social · 11/08/2026
One piece of this new presidential vax schedule that's gotten insufficient coverage is the additional demand it would create for dr. appointments (assuming kids still get shots), since unbundling shots requires more trips to pediatrician. Do you know how hard it is to get a doctor's appt right now?!
thebulwark.com
There’s No Vaccine for Stupid
Innumerate Republican senators castigate Fauci for something he didn’t do.
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Georgetown CCF @georgetownccf.bsky.social · 11/08/2026
Trump signs order calling for spacing out childhood vaccines, against medical groups' guidance. Senator Cassidy (R-LA) responds: “I’m a doctor. This executive order is wrong.”
apnews.com
Trump signs order calling for spacing out childhood vaccines, against medical groups' guidance
President Donald Trump has signed an executive order that calls for spacing out childhood vaccines into separate medical visits and splitting the combined measles, mumps and rubella vaccine into three...
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Joan Alker @joanalker1.bsky.social · 08/08/2026
ccf.georgetown.edu/2026/07/30/c...
ccf.georgetown.edu
Change to Census Data Processing Methods Threatens Health Policy Research and Federal Data Systems
On June 4, 2026, the Commerce Department issued Department Administrative Order (DAO) 216-26, Disclosure Avoidance for Statistical Products, which bans a class of privacy techniques called “noise infu...
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Joan Alker @joanalker1.bsky.social · 06/08/2026
In more bad news, the data that we use every fall to assess child uninsured rates by state (ACS) has been delayed by the Census Bureau. www.linkedin.com/posts/joan-a...
linkedin.com
Census Bureau Releases Schedule for Income, Poverty and Health Insurance Statistics and Updates About the American Community Survey Estimates | Joan Alker
The data that we use every fall to calculate child coverage rates by state (ACS) for our annual report has been delayed by the U.S. Census Bureau. Not good news. https://lnkd.in/eTj-p2tK
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Joan Alker @joanalker1.bsky.social · 31/07/2026
Update: Witnesses for next week's hearing have been announced and they are: Brian Blase, Paragon Jonathan Ingram, Foundation for Govt Accountability our own Andy Schneider, Georgetown CCF...
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Georgetown CCF @georgetownccf.bsky.social · 30/07/2026
As parents get kids ready to go back to school, they have one more thing to worry about. wapo.st/4fHgKrP
wapo.st
As measles cases reach record highs, see your school’s vaccine rates
The share of U.S. counties where 95 percent or more of kindergartners were vaccinated against the disease has dropped to 28 percent, public records show.
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Joan Alker @joanalker1.bsky.social · 30/07/2026
New: Judge denied request from blue state AGs for a preliminary injunction to hold up parts of the Medicaid work requirement, but put the case on an expedited schedule and made clear that his ruling doesn’t pertain to the merits of the case Ruling here: storage.courtlistener.com/recap/gov.us...
storage.courtlistener.com
Order on Motion for Preliminary Injunction – #94 in Commonwealth of Massachusetts v. Oz (D. Mass., 1:26-cv-12962) – CourtListener.com
Judge Richard G. Stearns: ORDER entered denying 2 Motion for Preliminary Injunction. (RGS, law3) (Entered: 07/29/2026)
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Edwin Park @edwincpark.bsky.social · 30/07/2026
This has not received enough attention but a Commerce Dept order from June threatens the availability of Census data including the American Community Survey. So it may become a lot harder to understand health coverage trends. My colleague Aubrianna Osorio explains: ccf.georgetown.edu/2026/07/30/c...
ccf.georgetown.edu
Change to Census Data Processing Methods Threatens Health Policy Research and Federal Data Systems
On June 4, 2026, the Commerce Department issued Department Administrative Order (DAO) 216-26, Disclosure Avoidance for Statistical Products, which bans a class of privacy techniques called “noise infu...
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Georgetown CCF @georgetownccf.bsky.social · 30/07/2026
Chronically ill people face confusion over new Medicaid work rules and ‘medically frail’ exemption www.statnews.com/2026/07/30/m... via @statnews.com
statnews.com
Chronically ill people face confusion over new Medicaid work rules and ‘medically frail’ exemption
Patients, advocates, and experts fear the difficulty in documenting a frailty exemption to Medicaid work requirements will lead to millions losing coverage.
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Edwin Park @edwincpark.bsky.social · 28/07/2026
From @ewburak.bsky.social how pregnant & postpartum #Medicaid enrollees could lose their coverage due to work reporting requirements. While they are supposed to be exempt, they could fall through the cracks and get disenrolled due to the complex/onerous process: ccf.georgetown.edu/2026/07/22/n...
Graphic outlining the burdensome process for pregnant and postpartum enrollees to remain enrolled in Medicaid under work reporting requirements.
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Georgetown CCF @georgetownccf.bsky.social · 29/07/2026
Medicaid program integrity expert Andy Schneider points out that combatting fraud requires collaboration between federal and state officials to hold bad actors accountable. CMS did not provide evidence that withholding federal matching funds from states actually reduces fraud against Medicaid.
ccf.georgetown.edu
Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals
At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching funds to California and Minnesota “pending revie...
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Edwin Park @edwincpark.bsky.social · 27/07/2026
New @georgetownccf.bsky.social blog from me on CMS's new proposed rule implementing H.R. 1's restrictions on state use of provider taxes financing #Medicaid. It explains how the rule again goes beyond H.R. 1 requirements to make cost-shifts to states even larger: ccf.georgetown.edu/2026/07/27/c...
ccf.georgetown.edu
CMS Issues New Rule Again Going Beyond H.R. 1 Requirements to Further Restrict State Use of Medicaid Provider Taxes
On July 21, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new proposed rule that would implement two of H.R. 1’s restrictions on states’ use of provider taxes to finance their shar...
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Bruce Lesley @brucelesley.bsky.social · 22/07/2026
At @firstfocus.bsky.social, we are pleased to host an important Capitol briefing, Collateral Damage: show H.R. 1’s “Adult” Medicaid Cuts Are Impacting Children and Families One Year In, with our partners at @ameracadpeds.bsky.social @clasp.org @familiesusa.bsky.social @georgetownccf.bsky.social.
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Georgetown CCF @georgetownccf.bsky.social · 23/07/2026
Va. hospitals predict $31B reduction in state’s Medicaid funding if proposed CMS rule passes  virginiamercury.com/2026/07/23/v...
virginiamercury.com
Va. hospitals predict $31B reduction in state’s Medicaid funding if proposed CMS rule passes  • Virginia Mercury
A proposed federal rule stemming from the reconciliation bill Congress passed last summer includes additional policy changes that hospital chains warn go further than what Congress approved and Presid...
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Edwin Park @edwincpark.bsky.social · 17/07/2026
Our new detailed @georgetownccf.bsky.social explainer of the CMS rule implementing H.R. 1's harsh #Medicaid work reporting requirement including how it goes beyond H.R. 1 by narrowing exemptions/adding requirements & deviates from earlier guidance given to states: ccf.georgetown.edu/2026/07/16/n...
ccf.georgetown.edu
New Federal Medicaid Work Reporting Requirements Rule Threatens Coverage for Vulnerable Americans: An Explainer of the Interim Final Rule
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS), published the Interim Final Rule with Comment (CMS-2454-IFC, hereafter referred to as the IFR) “Medicaid Program; Community Engagem...
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KFF Health News @kffhealthnews.org · 20/07/2026
The death of a pregnant Mississippi woman five years ago has galvanized local leaders determined to reopen a Mississippi Delta hospital. But once a rural community loses a hospital, bringing it back can be nearly impossible. kffhealthnews.org/rural-health...
kffhealthnews.org
Pregnant Woman’s Roadside Death Triggers Push To Reopen Mississippi Delta Hospital - KFF Health News
The deaths of Harmony Ball-Stribling and her unborn daughter five years ago have galvanized local leaders determined to reopen a Mississippi Delta hospital. But once a rural community loses a hospital...
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Akeiisa Coleman @acinthedc.bsky.social · 20/07/2026
Many coverage restrictions in HR1 don't apply to seniors, children, or people who are disabled. Nonetheless, the law's demands on state agencies & the computer systems they oversee will disrupt #Medicaid benefits, advocates & other healthcare experts said in interviews. www.npr.org/2026/07/20/n...
npr.org
Deloitte-run systems denied Medicaid to disabled people. New laws could make it worse
Complex computer systems that decide whether people get Medicaid benefits have a history of errors. Now, changes to comply with Trump's tax and domestic policy law are inundating those systems.
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Georgetown CCF @georgetownccf.bsky.social · 18/07/2026
Why Texas kids are dropping off Medicaid rolls www.axios.com/local/san-an...
axios.com
Why Texas kids are dropping off Medicaid rolls
Many children remain eligible but are no longer enrolled.
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Georgetown CCF @georgetownccf.bsky.social · 15/07/2026
With H.R. 1 Medicaid cuts and other federal policies putting the squeeze on states, they are being forced to find new ways to fill budget holes.
kffhealthnews.org
Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid - KFF Health News
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Bus...
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Joan Alker @joanalker1.bsky.social · 13/07/2026
Our Medicaid enrollment tracker is updated. As of May there are 2.13 million fewer children covered by Medicaid since President Trump took office. The number continues to climb. Why is this a concern? B/c when the # of kids covered by Medicaid goes ⬇️ the # of uninsured kids goes ⬆️
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Georgetown CCF @georgetownccf.bsky.social · 09/07/2026
Half of Emergency Medicaid covers the cost of delivering babies. Medicaid data-sharing with ICE discourages pregnant women from seeking prenatal care and going to the hospital when in labor, putting newborns and moms at risk. ccf.georgetown.edu/2026/01/29/m...
ccf.georgetown.edu
Medicaid Data Sharing Crisis: Will HHS Break the Law to Help ICE?
When people share information with a health care program, they very reasonably expect their personal information will be used for their health care, and otherwise kept private. However, recent moves b...
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Georgetown CCF @georgetownccf.bsky.social · 02/07/2026
July 4 is the one-year mark for H.R. 1, which made the biggest cuts to Medicaid & SNAP in history while extending trillions of $ in tax breaks mainly benefiting the wealthy. "In effect, for every $1 cut from programs for low-income Americans, the wealthiest 1% will get about $1 back in tax breaks."
nbcnews.com
How Trump’s ‘big, beautiful bill’ changed America
President Donald Trump signed his “big, beautiful bill” a year ago. It unleashed the biggest ever rollback of federal programs serving the poor, while extending trillions of dollars in tax breaks disp...
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Edwin Park @edwincpark.bsky.social · 02/07/2026
How was #Medicaid affected in state legislative sessions this year in the face of H.R. 1's cuts? My CCF colleagues Jade Little & @akohler.bsky.social explain in their latest update: ccf.georgetown.edu/2026/07/02/h...
ccf.georgetown.edu
How H.R. 1 Cuts and Changes to Medicaid Played out in 2026 State Legislative Sessions (Part 2)
It’s been nearly a year since H.R.1 was signed into law, enacting the largest Medicaid cuts in history and setting off a scramble in state capitals to respond. Back in March, we took a look at how ten...
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Edwin Park @edwincpark.bsky.social · 02/07/2026
A great tribute from my CCF colleague Anne Dwyer to leading health policy researcher @lynnblewett.bsky.social @umnsph.bsky.social (and Anne's former professor!) who is retiring: ccf.georgetown.edu/2026/07/01/p...
ccf.georgetown.edu
Professor, Mentor, Researcher, and Data Pioneer: Celebrating Lynn Blewett’s Retirement
I first met Lynn Blewett as a graduate student at the University of Minnesota School of Public Health, where her courses on the U.S. health care system fundamentally shaped how I understand policy and...
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Edwin Park @edwincpark.bsky.social · 02/07/2026
Andy Schneider explains the lawsuit filed by 25 states and D.C. challenging CMS's rule implementing H.R. 1's #Medicaid work reporting requirement as the rule departs significantly from the statutory language as well as guidance given to states over the last year: ccf.georgetown.edu/2026/07/02/m...
ccf.georgetown.edu
Medicaid Work Reporting Requirements: States Ask a Federal Court to Protect Medically Frail Individuals from CMS Overreach
On June 3, CMS issued an Interim Final Rule (IFR) misinterpreting the work reporting requirements enacted last July in H.R. 1.  The H.R. 1 provisions were bad enough, but as my colleague Leo Cuello ha...
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Georgetown CCF @georgetownccf.bsky.social · 01/07/2026
“If you want to fight fraud, don’t take away money from states’ fraud control units. I chalk this up to more political theater to distract voters from historic Medicaid cuts before the midterms.” @joanalker1.bsky.social
apnews.com
Trump administration suspends funding for New York's Medicaid fraud unit
The Trump administration has frozen federal funding for New York's Medicaid Fraud Control Unit. Health and Human Services inspector general Thomas March Bell on Tuesday accused the state agency of not...
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Joan Alker @joanalker1.bsky.social · 26/06/2026
@edwincpark.bsky.social and I blogged about new federal guidance on budget neutrality in Medicaid Section 1115 waivers. This is part of the tsunami of Medicaid cuts and changes hitting states in 2027 ccf.georgetown.edu/2026/06/25/t...
ccf.georgetown.edu
Trump Administration Issues Section 1115 Medicaid Waiver Financing Guidance Which Goes Far Further Than H.R. 1 (Again)
On Friday, June 11 the Centers for Medicare and Medicaid Services (CMS) issued new guidance on the Secretary’s approach to implementing Section 1115(g) which was added to the Social Security Act by H....
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Joan Alker @joanalker1.bsky.social · 30/06/2026
Still time to sign up - come learn about Medicaid and upcoming changes to financing.
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Georgetown CCF @georgetownccf.bsky.social · 23/06/2026
Medicaid and ACA enrollment falls by more than 5 million, new report finds www.nbcnews.com/health/healt...
nbcnews.com
Medicaid and ACA enrollment falls by more than 5 million, new report finds
The decline over the last 12 months stems in part from President Donald Trump’s Medicaid cuts and the expiration of enhanced Affordable Care Act subsidies.
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Joan Alker @joanalker1.bsky.social · 22/06/2026
@GeorgetownCCF will be holding a webinar on the basics of Medicaid financing next Tuesday June 30 at 230p ET. I say basics, but it’s complicated so come learn with us. The webinar is free and open to all. Register here: georgetown.zoom.us/webinar/regi...
georgetown.zoom.us
Welcome! You are invited to join a webinar: Georgetown CCF Medicaid Financing Webinar. After registering, you will receive a confirmation email about joining the webinar.
This webinar will cover the basics of Medicaid financing, including how the federal-state partnership works, how federal funding is mandatory and not subject to annual appropriations, and how states f...
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The Rural Impact Podcast @ruralimpactpodcast.bsky.social · 18/06/2026
NEW! 🎧@mrbimpact.bsky.social @joanalker1.bsky.social @georgetownccf.bsky.social on the increasing rate of uninsured young children PLUS Heidi Heitkamp @onecountryproject.bsky.social on land preservation & Farm Bill. Listen anywhere or here: tinyurl.com/y9c94v2y
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Georgetown CCF @georgetownccf.bsky.social · 22/06/2026
Schools are focusing on two key priorities: teaching children to read and reducing high rates of chronic absenteeism that undermine learning. Both goals could be scuttled by an alarming increase in the number of young children who lack access to healthcare. @ewburak.bsky.social #keepkidscovered
the74million.org
1.2M Kids Under 6 Have No Insurance. That’s Harmful to Their Health and Futures
Burak: New research shows 220,000 children lost coverage from 2022-24, with dire consequences for childhood literacy and chronic absenteeism.
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Georgetown CCF @georgetownccf.bsky.social · 18/06/2026
Medicaid paperwork problems continue to cost thousands of Missourians coverage, and federal rules imposing more red tape are likely to make it much worse. Even people with cancer or other conditions will have to jump through new hurdles to keep Medicaid, just when they need health care the most.
missouriindependent.com
Medicaid paperwork problems continue to cost thousands of Missourians coverage • Missouri Independent
Advocates warn new federal rules could strain a state Medicaid system already dropping eligible people due to missed or unprocessed forms.
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Joan Alker @joanalker1.bsky.social · 12/06/2026
The pattern continues of CMS doubling down on Medicaid cuts and making them worse as they implement HR 1 HR 1 language requires actuarial analysis of longstanding and new budget neutrality agreements. The sentence from new CMS guidance says it all – Secretary wants budget CUTS not budget neutrality
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Georgetown CCF @georgetownccf.bsky.social · 12/06/2026
You are the perfect pick for the first Robert Pear journalism award! Congrats.
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Alice Miranda Ollstein @alicemiranda.bsky.social · 11/06/2026
@acog.org joins the chorus warning about that Medicaid work requirements will cause an "increased administrative burden on already overwhelmed clinicians." The "onerous paperwork" will leave them less time to care for patients, the group of obgyns said.
politico.com
How sick is sick enough? New Medicaid work rule worries patient advocates, states.
Trump administration wants ill recipients to prove they can’t work every six months. Doctors, advocates and state officials wonder how.
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KFF Health News @kffhealthnews.org · 11/06/2026
As predicted, the expiration of enhanced tax subsidies for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. @julierovner.bsky.social discusses this and more on 'What the Health?' ⤵️ kffhealthnews.org/podcast/what...
kffhealthnews.org
The Drip, Drip, Drip of Declining Coverage - KFF Health News
As predicted, the expiration of enhanced tax subsidies for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. Meanwhile, Health and Human Se...
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Joan Alker @joanalker1.bsky.social · 10/06/2026
My latest blog explores the 2 million decline in child Medicaid enrollment and which states are seeing the largest declines. ccf.georgetown.edu/2026/06/10/w...
ccf.georgetown.edu
Which States Are Seeing the Largest Declines in Child Medicaid/CHIP Enrollment?
Georgetown CCF has been closely monitoring Medicaid/CHIP enrollment for many years — especially during periods of rapid change. Unfortunately, we are in another period where large declines in child Me...
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Joan Alker @joanalker1.bsky.social · 07/06/2026
Wow, what a great piece from Public News Service. Take a look!! app.publicnewsservice.org/story/younge...
app.publicnewsservice.org
Younger MS children missing out on health insurance, checkups
Child advocates in Mississippi said they plan to work with lawmakers and communities to improve health care access for children after a recent report found more than 5% of children
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Joan Alker @joanalker1.bsky.social · 09/06/2026
The R talking point on Medicaid “fraud” unvarnished version.
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Georgetown CCF @georgetownccf.bsky.social · 08/06/2026
Children's wellbeing slips across the U.S. www.axios.com/2026/06/08/u...
axios.com
Children's wellbeing slips across the U.S.
Recent cuts to safety-net programs and higher living costs could add further pressure to kids already struggling, a report warns.
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Gideon Lukens @gidlukens.bsky.social · 02/06/2026
In their release of the #Medicaid work requirements rule, CMS touts an ASPE report as evidence that work requirements increase employment. In fact, the report simply assumes “illustrative” impacts that are “not necessarily what is or will occur in the real world”. tinyurl.com/2czhrtcw
tinyurl.com
Medicaid Work Requirements Incentivize Employment and Are Estimated to Reduce Poverty
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Allison Orris @aorris.bsky.social · 03/06/2026
The #Medicaid work requirement enacted by last year’s Republican reconciliation law was already bad enough. The Trump administration’s new interim final rule makes a bad policy worse...here's a little more on why: www.cbpp.org/research/hea...
cbpp.org
Administration’s Last-Minute Restrictions Likely to Worsen Impact of Medicaid Work Requirement
The Trump Administration’s final rule implementing the new Medicaid work requirement makes major, last-minute policy shifts that will likely increase the number of people who are denied or lose health...
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Georgetown CCF @georgetownccf.bsky.social · 03/06/2026
Trump’s Medicaid work requirements have an unwelcome surprise for some states and patients www.statnews.com/2026/06/03/m... via @statnews.com
statnews.com
Trump’s Medicaid work requirements have an unwelcome surprise for some states and patients
Advocates were already dreading Medicaid's work requirements. New rules are worse than they feared.
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