Author archive for Geraldine Doetzer

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January 14, 2026
CMS’ Preliminary Provider Tax Guidance Is More Restrictive than H.R. 1 – What Advocates Should Know, and What They Can Do
Geraldine Doetzer Fact Sheet
The “One Big Beautiful Bill Act" imposes new restrictions on provider taxes, which provide critical funding sources for most state Medicaid programs. Recent, preliminary CMS Guidance goes even further than OBBBA and could deepen and accelerate cuts to some states. This co-branded fact sheet by Community Catalyst and the…
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November 19, 2025
OBBBA Harms People with Disabilities: Limits on State Directed Payments
Brit Vanneman, Elizabeth Zirker, and Geraldine Doetzer Fact Sheet
The One Big Beautiful Bill Act (OBBBA) includes many provisions that will harm people with disabilities. In this brief, we explain how the bill limits State Directed Payments (SDPs), discuss how these cuts will lead to slower and fewer services for disabled people, and offer potential avenues for future…
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November 18, 2025
Turning Lemons Into Lemonade: State Applications Underscore the Limitations of OBBBA’s Rural Health Transformation Program
Geraldine Doetzer Uncategorized
Earlier this month, the Centers for Medicare & Medicaid Services (CMS) announced that all 50 states have applied for funding through the Rural Health Transformation Program (RHTP) established under the so-called “One Big Beautiful Bill Act” (OBBBA). As I discussed previously, RHTP is a one-time, $50 billion grant fund…
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November 18, 2025
The Federal Government is Back Open, With No Relief for Individuals With Marketplace Coverage
Geraldine Doetzer Uncategorized
It’s over. After 43 days, the longest government shutdown in history has come to an end with a plan to keep the government open until January 30, 2026. But it ends without a fix for the millions of Americans who rely on premium tax credits (PTCs) to buy Marketplace…
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October 31, 2025
Buyers Beware: What Marketplace Shoppers Need to Know About Junk Insurance This Year
Geraldine Doetzer Uncategorized
What would you do if your health insurance bill doubled overnight?Is this a mistake? I can’t pay this much!How bad would it be to just drop my plan? Isn’t there anything cheaper out there? These are no longer hypothetical questions for millions of people shopping for Marketplace coverage. On…
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October 15, 2025
A $50 Billion Band-Aid?: States Considering Rural Health Funding Should Proceed With Caution
Geraldine Doetzer Fact Sheet
Last month, the Centers for Medicare & Medicaid Services released its one-time application for the Rural Health Transformation Program (RHTP) Fund. Advocates should be aware of RHTP’s significant limitations in the context of historic cuts to Medicaid under the One Big Beautiful Bill Act, and urge their states to…
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Author archive for Geraldine Doetzer

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CMS’ Preliminary Provider Tax Guidance Is More Restrictive than H.R. 1 – What Advocates Should Know, and What They Can Do

OBBBA Harms People with Disabilities: Limits on State Directed Payments

Turning Lemons Into Lemonade: State Applications Underscore the Limitations of OBBBA’s Rural Health Transformation Program

The Federal Government is Back Open, With No Relief for Individuals With Marketplace Coverage

Buyers Beware: What Marketplace Shoppers Need to Know About Junk Insurance This Year

A $50 Billion Band-Aid?: States Considering Rural Health Funding Should Proceed With Caution