Latest Morning Briefing Stories
Modern Healthcare investigates how CMS’ recent proposal “could have wide-ranging implications for the 340B program.”
Little attention has gone toward facilities that house over 275,000 people with conditions such as Down syndrome, cerebral palsy and autism, despite the significant risk posed to any kind of group home, advocates say. Meanwhile, special-needs caregivers are struggling amid the economic downturn.
Medicaid consumes about 20% of state budgets, and even state leaders who have supported expansion of the program are viewing it as a way to avoid sinking into economic devastation.
An estimated 1.5 million undocumented Californians remain uninsured, and advocates worry that the group will be hit hard by financial setbacks during the pandemic. In other health care costs news: free clinics try to fill gaps and what to do if insurers bill you for testing.
CMS warned state Medicaid programs in 2015 that they may be violating federal law by restricting access to hepatitis C medicines, but restrictions are still in place for many states. Other Medicaid news comes out of California, Tennessee and Michigan.
Gov. Chris Sununu is delaying the penalties tied into the legislation for 120 days as the state continues its outreach efforts to make people aware of the requirements. “Making sure we get this right is just absolutely paramount,” said Sununu. “So the idea of giving ourselves another 120 days to move forward on this and get the implementation where we need it to be, it’s not just fair to the system, but it’s fair to those individuals.” New Hampshire is just the latest state to struggle with the implementation of the work requirements.
The decision to offer Medicaid to all young adults under 26 regardless of immigration status is another step toward universal coverage for California. But the deal falls short of what some advocates had hoped for.
California lawmakers want to expand coverage to everyone in the state, regardless of immigration status, but Gov. Gavin Newsom (D-Calif.) says that expanding Medi-Cal to all adults over 25, who typically have higher health care costs than the young, could be financially unsustainable. The disagreement between the governor and Assembly members from his party is a rare one.
California Gov. Gavin Newsom projects a massive $21.5 billion surplus as growth slows for Medi-Cal. State legislature news comes out of New York, Georgia and Virginia, as well.
California Gov. Gavin Newsom (D) says he will also create a state surgeon general position via executive order and make California the first state to cover immigrants without legal status who are younger than 26 through Medi-Cal. Newsom did not provide details during his inauguration speech about how he is going to pay for these health care goals, though Democrats in the Legislature are generally supportive of his ideas.