Medicaid

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Photo: John Maniaci, American Family Children’s Hospital, Madison, Wisconsin

Medicaid covers millions of children across the U.S., providing them with the coverage and services they need to become healthy and productive adults. A strong Medicaid program is an important investment for children and the country.




Resources

Talking Points
Contact Lawmakers: Setting a Benchmark Payment Rate Could Impede Access to Pediatric Care
July 18, 2019

The House Energy and Commerce Committee approved legislation to address surprise medical bills. Talking points on surprise billing are available.

Article
Report: Block Granting or Capping Medicaid Would Affect Kids Health Care Coverage
July 17, 2019

Implementing block grants or per capita caps could cut as much as $163 billion in funding for children in Medicaid programs.

Analysis or Summary
Avalere Report: The Effect of Block Grants and Per Capita Caps on Children
July 17, 2019

Under block grant or per capita cap proposals, Avalere estimates a potential loss in federal Medicaid funding to states, specifically for children, ranging from $89B to $163B nationally over 10 years.

Issue Brief
Section 1332 State Innovation Waivers
July 12, 2019

Section 1332 of the Affordable Care Act (ACA) allows states to seek a waiver of key coverage provisions in the law and to experiment with different health coverage models.

Analysis or Summary
CHA Summary of Proposed Rule to Roll Back Non-discrimination Protections
July 12, 2019

HHS released a proposed rule to roll back key aspects of a former rule that implemented the Affordable Care Act’s non-discrimination provisions, known as Section 1557.

Analysis or Summary
CHA Summary of Informational Bulletin on Addressing Mental Health and Substance Use Issues in Schools
July 11, 2019

The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) released a Joint Informational Bulletin (Bulletin) that includes examples of approaches for mental health and substance abuse related treatment services in schools and describes the existing Medicaid authorities states may use to cover these services in school-based settings.

Letter or Testimony
CHA Comment Letter on CMS Co-location Guidance
July 5, 2019

CHA submitted comments to CMS on draft Medicare Conditions of Participation (CoPs) interpretive guidance recently released in a State Survey Agency Directors memorandum.

Analysis or Summary
Key Section 1115 Medicaid Waivers
July 3, 2019

State-by-state summaries of waivers for statuatory Medicaid requirements as allowed by Section 1115 of the Social Security Act and approval of the Secretary of HHS.

Analysis or Summary
CHA Summary of Price and Quality Transparency Executive Order
June 28, 2019

On June 21, the president issued an executive order (EO) that instructs several federal agencies to take a variety of actions to increase health care price, quality, and data transparency.

Press Release
Children’s Hospital Association’s Speak Now for Kids Family Advocacy Day
June 25, 2019

The ACE Kids Act of 2019 (H.R. 1226) is introduced in the House by Reps. Castor, Bilirakis, Eshoo and Herrera Beutler.

Letter or Testimony
CHA Joins Medicaid Groups in Expressing Concerns with the Medicaid “Fiscal Cliff” on U.S. Territories
June 21, 2019

This week, CHA joined allied Medicaid groups in raising concerns around the impact of the Medicaid fiscal cliff on beneficiaries and providers in the U.S. territories.

Letter or Testimony
CHA Comments on Inflation Index Changes and Impact on Poverty Thresholds
June 21, 2019

CHA submitted comments to the Office of Management and Budget (OMB) on possible changes to the inflation index used to annually update the federal poverty threshold.

Letter or Testimony
CHA Issues Statement for the Record on the Lower Health Care Costs Act
June 18, 2019

On June 17, CHA submitted a statement for the record in advance of the Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act.

Analysis or Summary
CHA Comments on Proposed Interoperability, Pediatric HIT and Information Blocking Rules
June 7, 2019

CHA submitted comments in response to CMS and the Office of the National Coordinator for IT proposed rules to implement provisions in the 21st Century Cures Act related to interoperability, electronic health records (EHR) certification, and information blocking.

Letter or Testimony
House Subcommittee Discusses Medicaid DSH Cuts
June 7, 2019

On June 4, the House Energy and Commerce Health Subcommittee held a hearing examining cuts to Medicaid disproportionate share hospital (DSH) payments scheduled to take effect Oct. 1

Analysis or Summary
Feedback needed on Senate HELP committee health care cost package
May 31, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee released a discussion draft on health care costs. CHA is requesting feedback from children’s hospitals to inform our comments and has drafted the attached list of questions relating to areas of focus.

Article
Census 2020: What Undercounting of Children Means for Pediatric Hospitals
May 29, 2019

Undercounting children can prevent children’s hospitals from receiving proper Medicaid funding and support for families.

Analysis or Summary
FY 2020 Medicare IPPS Proposed Rule Summary
May 23, 2019

On April 23, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) proposed rule.

Press Release
Children’s Hospitals Support Bipartisan Congressional Action to Delay Cuts to Supplemental Medicaid Payments
May 14, 2019

Children's hospitals commend House leaders for their support in delaying harmful DSH cuts.

Article
How 2020 Census Data Affects Children's Health Care
April 26, 2019

The U.S. census provides data to determine funding for state and local programs that support the health and well-being of children—and helps children’s hospitals better understand and care for the populations they serve. But young kids have been undercounted in the census for decades. With the 2020 Census around the corner, here’s a look at why an accurate count of kids across the country matters.

Analysis or Summary
Implications for Children of TX ACA Court Ruling
March 28, 2019

The Texas Federal District Court issued a ruling that the ACA's individual mandate and the entire law unconstitutional.

Letter or Testimony
Allied Groups Letter to CMS on Mental Health and Substance Use Care in Schools
February 27, 2019

CHA joined 46 allied organizations in sending a letter to the Centers for Medicare and Medicaid Services (CMS), spearheaded by Mental Health America, that details opportunities to leverage the Medicaid program to address mental health and substance use in a school setting.

Analysis or Summary
HHS Proposes Revisions to Anti-Kickback Statute Safe Harbor to Eliminate Drug Rebates for PBM’s
February 21, 2019

The Department of Health and Human Services (HHS) published a proposed rule in the Federal Register that would eliminate from safe harbor protection under the Anti-Kickback Statute rebates on prescription drugs.

Issue Brief
Medicaid DSH Payments Are Critical to Children's Hospitals
February 21, 2019

Medicaid DSH payments are critical to children’s hospitals and their ability to provide health care to all children, regardless of income.

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Policy Update Calls

Members receive the latest updates and suggest ways to best influence policy issues that impact children's health and children's hospitals in a weekly conference call.