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CMS issues updated guidance on state-directed payment provision
The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by redefining the 180‑day window around July 4, 2025, to be calculated using business days.
CMS Updates Guidance on State-directed Payment Provisions
The Centers for Medicare & Medicaid Services (CMS) Feb. 2 issued updated preliminary guidance implementing section 71116 of the Working Families Tax Cuts (WFTC) legislation, which had formerly been referred to as the One Big Beautiful Bill Act, Public Law 119-21, which imposed new limits on Medicaid state-directed payments (SDPs).
Making our Voice Heard and Leading the Way to Advance Health in America
It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions
Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
Legislation and Legislative Advocacy, Medicaid, Medicare, Medicare Sequestration Payment Reductions, Cybersecurity, Rural issues, Workforce, Child and Adolescent Health, Maternal Health, Medical Education and Research, Access to Behavioral Health, Substance Use Disorder, Disaster Preparedness, 340B Drug Pricing Program
Medicaid: Real Lives, Real Care
Congress is considering policy options that could collectively reduce federal spending for the Medicaid program by hundreds of billions of dollars over the next 10 years.
CMS Releases Provider Tax Waiver Final Rule
The Centers for Medicare & Medicaid Services (CMS) Jan. 29 issued a final rule, “Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole.”
CMS finalizes changes to Medicaid provider tax waiver rules
The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based provider tax, as authorized under special waivers.
Advocacy Issue: Medicaid
The Medicaid program is the largest single source of health care coverage in the United States, covering nearly half of all children, many low-income elderly and disabled individuals, and working adults in low-wage jobs. With the passage of the One Big Beautiful Bill Act (P.L. 119-21), Congress made policy changes that will reduce federal spending for the Medicaid program by hundreds of billions of dollars over the next 10 years.
Fact Sheet: Medicaid DSH Program
The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations, including children and those who are disabled and elderly. These hospitals also provide critical community services, such as trauma and burn care, maternal and child health, high-risk neonatal care and disaster preparedness resources.