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CBO report finds nearly 11 million could become uninsured if reconciliation bill is enacted
A Congressional Budget Office report released June 4 found that enactment of the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act (H.R. 1), would lead to 10.9 million people becoming uninsured in 2034 due to significant changes to the Medicaid program and Affordable Care Act coverage.
New AHA video series highlights the value of Medicaid and need to protect access to care
The AHA June 3 launched the first in a new video series, “Medicaid: Real Lives, Real Care,” highlighting the importance of Medicaid and why proposed cuts to the program would jeopardize access to care for patients and communities across America.
CMS rescinds EMTALA guidance
The Department of Health and Human Services and Centers for Medicare & Medicaid Services said June 3 they are rescinding 2022 CMS guidance with the subject “Reinforcement of EMTALA Obligations specific to Patients who are Pregnant or are Experiencing Pregnancy Loss” (QSO-22-22-Hospitals) and (QSO-21-22-Hospitals), and the accompanying letter from the former HHS Secretary, which “do not reflect the policy of this Administration.”
AHA letter in WSJ responds to editorial on Medicaid
The Wall Street Journal June 2 published online a letter to the editor from AHA President and CEO Rick Pollack responding to a recent editorial, “The Medicaid Scare Campaign.”
GAO says CMS should target behavioral health services in prior authorization audits
The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services target behavioral health services when auditing Medicare Advantage plans’ use of prior authorization.
Video highlights Corewell Health’s impact bringing behavioral health care to Michigan schools
A new AHA video highlights how Corewell Health is transforming youth behavioral health care access in rural Michigan through school-based clinics and telemedicine.
CMS says it will increase oversight on states misusing Medicaid funds to care for undocumented immigrants
The Centers for Medicare & Medicaid Services May 27 announced it will increase oversight of states to prevent the misuse of federal Medicaid funding to cover health care for individuals in the U.S. illegally.
House passes reconciliation bill with significant impacts to Medicaid, Health Insurance Marketplaces
The House May 22 passed the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act by a
AHA expresses support for legislation streamlining prior authorization requirements under MA plans
The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation that would reduce the variation in prior authorization methods used for Medicare Advantage plans.
HHS says pricing targets identified for drug manufacturers to meet ‘most favored nation’ requirements
The Department of Health and Human Services today announced it has identified specific pricing targets for pharmaceutical manufacturers to meet to satisfy requirements of the Trump administration’s executive order allowing consumers to make direct purchases from drug manufacturers at “most favored nation” pricing, the lowest cost paid for the same medications in an Organization for Economic Co-operation and Development country with a gross domestic product per capita that is at least 60% of the U.S. GDP per capita.