Talking Points Memo: A New Supreme Court Ruling On Medicaid Just Put 68 Million People At Risk

Talking Points Memo: A New Supreme Court Ruling On Medicaid Just Put 68 Million People At Risk

By Elizabeth G. Taylor and Jane Perkins

When it comes to health care at the Supreme Court this year, all eyes are focused on the Obamacare tax credits case, King v. Burwell. But a case decided this week, Armstrong v. Exceptional Child Center, Inc., has raised significant concerns for the availability of quality health care for those who need it most.

In a 5-4 ruling, the Supreme Court turned against decades of legal precedent and ruled that Medicaid providers cannot use the Supremacy Clause of the U.S. Constitution to stop state provider payment policies that are inconsistent with the federal Medicaid Act’s requirement for adequate reimbursement rates. That may sound like a bunch of legalese, but the outcome has a real impact on the 68 million-plus people relying on Medicaid. If a state’s Medicaid payment rates are too low (and many providers complain these rates are below their cost of providing services), then provider participation in Medicaid—and the ability of enrollees to obtain care—is at risk. Read the full article here. »

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