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- September 29, 2025
OBBBA is Now Law, But the Fight is Not Over: Utilizing Existing State Resources to Protect SRH Coverage
Read moreThe enactment of this year’s budget reconciliation law, the so-called “One Big Beautiful Act” (OBBBA), is already destabilizing the health care ecosystem with its drastic and confusing changes. Almost a trillion dollars will be slashed from Medicaid over the next few years, creating the largest cut in the 60…
- September 24, 2025
New Medicaid Work Requirements: How Managed Care Plans Can Help
Read moreBeginning January 1, 2027, OBBBA requires adults covered under the Medicaid expansion population to participate in mandatory work activities or show they are exempt. These work requirements will force Medicaid beneficiaries to show that they participate in one or more required work-related activities for 80 hours per month. Activities…
- September 18, 2025
State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA
Read moreThis chart provides information about the status of each provision of the 2024 Eligibility and Enrollment Final Rule following the enactment of the “One Big Beautiful Bill” Act, which partially blocks implementation and enforcement of some of the rule until September 30, 2034. It also provides an overview of…
- September 17, 2025
Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes
Read moreThe so-called "One Big Beautiful Bill Act" (OBBBA) makes changes to complex but crucial Medicaid financing mechanisms that are likely to force states to reduce provider payments and limit benefits. This issue brief provides an overview of state directed payments and provider taxes and explains how they interact; how…
- September 15, 2025
Republicans in Congress Are Still At War With the ACA – This Time, They May Be Winning
Read moreThe White House and Republicans in Congress have doubled down on their 15-year fight to destroy the Affordable Care Act (ACA). The so-called “One Big Beautiful Bill Act” (OBBBA) and regulations pushed out by the Trump Administration this spring will already make health insurance on the individual market more…
- September 11, 2025
Webinar – How Automated Eligibility Systems Can Harm or Help Applicants and Enrollees Support
Read moreThis webinar will explore the use of automated systems for Medicaid eligibility and enrollment tasks in the wake of OBBBA's passage and the harmful impact of its Medicaid eligibility and enrollment-related provisions. What We Know and What Happens Next: OBBBA and its Impact on Health Care Coverage is a…